Varcarolis Ch 5 Cultural Implications Practice Questions and Answers
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Course
Varcarolis Psychiatric Mental Health Nursing
Institution
Varcarolis Psychiatric Mental Health Nursing
Varcarolis Ch 5 Cultural Implications
Practice Questions and Answers
Which Western cultural feature may result in establishing unrealistic
outcomes for patients of other cultural groups?
a. Interdependence
b. Present orientation
c. Flexible perception of time
d. Direct confrontation to solve...
Varcarolis Ch 5 Cultural Implications
Practice Questions and Answers
Which Western cultural feature may result in establishing unrealistic
outcomes for patients of other cultural groups?
a. Interdependence
b. Present orientation
c. Flexible perception of time
d. Direct confrontation to solve problems - Answer✔️✔️-D
Directly confronting problems is a highly valued approach in the American
culture but not part of many other cultures in which harmony and restraint
are valued
A psychiatric nurse leads a medication education group for Hispanic
patients. This nurse holds a Western worldview and uses pamphlets as
teaching tools. Groups are short and concise. After the group, the patients
are most likely to believe
Hispanic individuals usually value relationship behaviors. Their needs are
for learning through verbal communication rather than reading and for
having time to chat before approaching the task.
To provide culturally competent care, the nurse should
a. accurately interpret the thinking of individual patients.
b. predict how a patient may perceive treatment interventions.
c. formulate interventions to reduce the patient's ethnocentrism.
d. identify strategies that fit within the cultural context of the patient. -
Answer✔️✔️-D
The correct answer is the most global response.
A black patient, originally from Haiti, has a diagnosis of major depressive
disorder. A colleague tells the nurse, "This patient often looks down and is
reluctant to share feelings. However, I've observed the patient
spontaneously interacting with other black patients." Select the nurse's best
response.
a. "Black patients depend on the church for support. Have you consulted
the patient's pastor?"
b. "Encourage the patient to talk in a group setting. It will be less
intimidating than one-to-one interaction."
c. "Don't take it personally. Black patients often have a resentful attitude
that takes a long time to overcome."
d. "The patient may have difficulty communicating in English. Have you
considered using a cultural broker?" - Answer✔️✔️-D
Society expects a culturally diverse patient to accommodate and use
English. Feelings are abstract, which requires a greater command of the
language. This may be especially difficult during episodes of high stress or
mental illness. Cultural brokers can be helpful with language and helping
the nurse to understand the Haitian worldview and cultural nuances.
A Haitian patient diagnosed with major depressive disorder tells the nurse,
"There's nothing you can do. This is a punishment. The only thing I can do
is see a healer." The culturally aware nurse assesses that the patient
a. has delusions of persecution.
b. has likely been misdiagnosed with depression.
c. may believe the distress is the result of a curse or spell.
d. feels hopeless and helpless related to an unidentified cause. -
Answer✔️✔️-C
Individuals of African American or Caribbean cultures who have a
fatalistic attitude about illness may believe they are being punished for
wrongdoing or are victims of witchcraft or voodoo. They may be reticent to
share information about curses with therapists. No data are present in the
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