Chapter 39. Cultural Concepts Relevant to Psychiatric Mental Health Nursing
Multiple Choice
1. An African American youth, growing up in an impoverished neighborhood, presents
in the emergency department with bruises to his face, chest, and arms. He appears to
be upset, is speaking in a dialect that is difficult for the nurse to understand, and is
standing within 6 inches of the nurses personal space. What cultural consideration
should a nurse identify as playing a role in this youths behavior?
A. African Americans frequently speak in different tongues when they are upset.
B. Most African Americans have learned to be aggressive when they have to see a
health professional. C. African Americans tend to use dialects and invasion of personal
space to intimidate others.
D. Some African Americans speak in a dialect that is different from standard English
and tend toward smaller personal space than that of the dominant culture.
ANS: D
The nurse needs to recognize that a tendency toward smaller personal space and the
use of dialects different from Standard English are cultural variables and dont
necessarily imply aggressive or disrespectful behavior.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
2. Northern European Americans value punctuality, hard work, and the acquisition of
material possessions and status. A nurse should recognize that these values may
contribute to which form of mental disorders?
, A. Dissociative disorders
B. Neurocognitive disorders
C. Stress-related disorders
D. Schizophrenia spectrum disorders
ANS: C
Northern European American values, such as punctuality, hard work, and acquisition of
material possessions, may place this group at risk for stress-related disorders when
individuals struggle to meet societal demands.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Analysis |
Client Need:
Psychosocial Integrity
3. A community health nurse is planning a health fair at a local shopping mall. Which
middle-class socioeconomic cultural group should the nurse anticipate would most
value preventive medicine and primary health care?
A. Northern European Americans
B. Native Americans C. Latino Americans D. African Americans ANS: A
Northern European Americans, especially those who achieve middle-class
socioeconomic status, place the most value on preventative medicine and primary
health care. This value is most likely related to this groups educational level and
Multiple Choice
1. An African American youth, growing up in an impoverished neighborhood, presents
in the emergency department with bruises to his face, chest, and arms. He appears to
be upset, is speaking in a dialect that is difficult for the nurse to understand, and is
standing within 6 inches of the nurses personal space. What cultural consideration
should a nurse identify as playing a role in this youths behavior?
A. African Americans frequently speak in different tongues when they are upset.
B. Most African Americans have learned to be aggressive when they have to see a
health professional. C. African Americans tend to use dialects and invasion of personal
space to intimidate others.
D. Some African Americans speak in a dialect that is different from standard English
and tend toward smaller personal space than that of the dominant culture.
ANS: D
The nurse needs to recognize that a tendency toward smaller personal space and the
use of dialects different from Standard English are cultural variables and dont
necessarily imply aggressive or disrespectful behavior.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Psychosocial Integrity
2. Northern European Americans value punctuality, hard work, and the acquisition of
material possessions and status. A nurse should recognize that these values may
contribute to which form of mental disorders?
, A. Dissociative disorders
B. Neurocognitive disorders
C. Stress-related disorders
D. Schizophrenia spectrum disorders
ANS: C
Northern European American values, such as punctuality, hard work, and acquisition of
material possessions, may place this group at risk for stress-related disorders when
individuals struggle to meet societal demands.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Analysis |
Client Need:
Psychosocial Integrity
3. A community health nurse is planning a health fair at a local shopping mall. Which
middle-class socioeconomic cultural group should the nurse anticipate would most
value preventive medicine and primary health care?
A. Northern European Americans
B. Native Americans C. Latino Americans D. African Americans ANS: A
Northern European Americans, especially those who achieve middle-class
socioeconomic status, place the most value on preventative medicine and primary
health care. This value is most likely related to this groups educational level and
