##LATEST A+ @Comprehensive Exit Exam ? 2020251202225337_692f6df1e8607_case_study_1_native_american.docx
Different Versions ? Verified Questions and Answers ? ..Best Guide for Exam Preparation .? 100 % Satisfaction
07/01/2026
Guaranteed
Case Study 1: Native American Adolescent with Depression
Scenario:
A 16-year-old Native American adolescent is admitted for worsening depression. Symptoms
include isolation, sleep difficulties, and declining academic performance. The family believes the
symptoms are the result of a spiritual imbalance and asks that a tribal healer be involved. The
patient prefers to speak with a tribal elder and resists talk therapy.
NCLEX-Style Questions:
1. Which nursing action best demonstrates cultural humility?
A. Explain that spiritual healing is not evidence-based.
B. Encourage the patient to journal about their symptoms.
C. Ask the patient if they would like to incorporate a tribal healer into the care
plan.
D. Refer the patient to inpatient psychiatric care immediately.
2. Which member of the healthcare team would be most appropriate to involve in
supporting cultural preferences?
A. Recreational Therapist
B. Social Worker
C. Tribal or Cultural Liaison
D. Hospital Chaplain
3. Which intervention best supports person-centered, culturally responsive care?
A. Schedule individual CBT therapy immediately.
B. Collaborate with the care team to incorporate tribal practices into treatment.
C. Emphasize the importance of medication compliance above all else.
D. Encourage family to focus on scientific explanations.
4. What is the priority nursing diagnosis for this client?
A. Ineffective coping related to lack of interest in therapy
B. Risk for self-harm related to depressive symptoms and isolation
C. Disturbed body image related to cultural norms
1
Different Versions ? Verified Questions and Answers ? ..Best Guide for Exam Preparation .? 100 % Satisfaction
07/01/2026
Guaranteed
Case Study 1: Native American Adolescent with Depression
Scenario:
A 16-year-old Native American adolescent is admitted for worsening depression. Symptoms
include isolation, sleep difficulties, and declining academic performance. The family believes the
symptoms are the result of a spiritual imbalance and asks that a tribal healer be involved. The
patient prefers to speak with a tribal elder and resists talk therapy.
NCLEX-Style Questions:
1. Which nursing action best demonstrates cultural humility?
A. Explain that spiritual healing is not evidence-based.
B. Encourage the patient to journal about their symptoms.
C. Ask the patient if they would like to incorporate a tribal healer into the care
plan.
D. Refer the patient to inpatient psychiatric care immediately.
2. Which member of the healthcare team would be most appropriate to involve in
supporting cultural preferences?
A. Recreational Therapist
B. Social Worker
C. Tribal or Cultural Liaison
D. Hospital Chaplain
3. Which intervention best supports person-centered, culturally responsive care?
A. Schedule individual CBT therapy immediately.
B. Collaborate with the care team to incorporate tribal practices into treatment.
C. Emphasize the importance of medication compliance above all else.
D. Encourage family to focus on scientific explanations.
4. What is the priority nursing diagnosis for this client?
A. Ineffective coping related to lack of interest in therapy
B. Risk for self-harm related to depressive symptoms and isolation
C. Disturbed body image related to cultural norms
1
