NURS 3036 Exam Questions and
Answers| Latest Update
Decision making as a part of feelings ✔️✔️Can evoke fear and anxiety. It is influenced by culture.
Important to ask who the primary decision maker is and other family members roles in decision
making
Organ donating in relation to end-of-life feeling ✔️✔️It is a sensitive topic for clients and family
regardless of culture and is influenced by views on life sustaining measures, perspectives of
when life actually ends, and views on what constitutes the essence of a person
Disclosure of diagnosis and prognosis in relation to feelings during end-of-life care ✔️✔️Many
cultures do not place the same value as Western cultures on full disclosure. It may be seen as
disempowering and burdensome for clients
Advanced directives in relation to feelings during end-of-life care ✔️✔️Based on Western values
of autonomy: a document that expresses a persons wishes about critical care or sustaining life
measures and is encouraged by the Canadian health care system
Family in end-of-life care ✔️✔️There are varying degrees of participation in the spiritual and
physical care of the client. Important for healthcare providers to explore expectations from
family on pain management, expectations, visitors, hospice, palliative care, potential barriers,
funeral arrangements, preparing the body, an spiritual practices
Faith ✔️✔️Influences how families cope, what they find helpful, perceptions of end-of-life issue.
It is an agreed upon set of beliefs in which many people draw upon to seek out comfort in the
dying process
T/F: the provision of spiritual care is part of the role of all health care providers who provide
end-of-life care ✔️✔️True
,Finality ✔️✔️The closure of life as known and lived by a client. Healthcare providers need to
explore the meaning of closure and the client and families views and beliefs regarding death
and promote reconciliation and closure
Rituals after death ✔️✔️Important part of the process that leads to the final rest or peace for the
body and soul of the deceased
Hindu end-of-life rituals ✔️✔️To be placed on floor closer to mother earth
Russian end-of-life rituals ✔️✔️Cover all mirrors
What are mental health practices influenced by? ✔️✔️The pervasive influence of culture
Specific competencies of mental health are used to understand: ✔️✔️1. Unique cultural
symptoms and interventions
2. Clients usual rules of interaction
3. Clients worldview of general outlook
4. Clients view of mental illness
Generic cultural knowledge of mental health practices: ✔️✔️1. High and low context cultural
features
2. Cultural value orientations
3. Locus of control
4. Emotional expression
5. Time perception
Low context vs high context in generic cultural knowledge of mental health practices ✔️✔️Low
context: Message is spoken word
High context: Message is not as much spoken word
,Cultural value orientations ✔️✔️how the relationship between humanity and the environment is
perceived
Locus of control ✔️✔️Degree in which you believe you can determine your fate through actions
Time perception ✔️✔️Some groups give more emphasis on the past while others value the
future; some primarily focused on the present
Somatization ✔️✔️Phenomenon where emotional or mental distress is expressed as a physical
complaint
What do cultural views of mental health influence ✔️✔️The paths that are sought and the types
treatment considered acceptable
Mental health implications for immigrants and refugees (stressors) ✔️✔️- adjustment
- discrimination
- war
- trauma
- loss
Mental health assessments ✔️✔️Health care providers should approach from a position of
curiosity with willingness to ask questions about background and beliefs. Important to consider
many aspects of culture and the influence of social processes such as racism
T/F: Racism is not linked to depression ✔️✔️False
T/F: Pharmacotherapy in mental health has been developed with little recognition of cultural
variances ✔️✔️True
, What is important in working with ethnocultural communities? ✔️✔️Engaging the family
Program development ✔️✔️Involves thoughtful incorporation of the cultural values of the
groups, ideally with input from community members
Cultural formulation in mental health ✔️✔️Tool that indicates several areas for inquiry which
provides a systemic review of all cultural factors that influence how these potentially affect the
working relationship with the client
Cultural identity in mental health ✔️✔️Significant connections between mental health and
cultural identity. Important to ascertain and not assume based on appearance. It is a sense of
belonging and explores patterns of acculturation and adaptation
Cultural explanations ✔️✔️Meanings, beliefs, attitudes that a culture ascribes to a particular
phenomenon
Social stressors ✔️✔️Events or conditions linked to an individuals and families social
characteristics, positions and roles. The health care provider should:
1. List as many possible stressors as possible that may contribute to the client
2. Consider supportive actions
3. Consider level of functioning within the cultural context
Positive and negative transference may occur within the relationship depending on? ✔️✔️The
pairing of the client and health care provider(majority) or minority of either member of the
relationship
Case formulation ✔️✔️1. Spiritual dimension: Spiritual issues prominent in ethnocultural groups
2. Presenting: clinical features being presented
3. Protecting: Consider strengths
Answers| Latest Update
Decision making as a part of feelings ✔️✔️Can evoke fear and anxiety. It is influenced by culture.
Important to ask who the primary decision maker is and other family members roles in decision
making
Organ donating in relation to end-of-life feeling ✔️✔️It is a sensitive topic for clients and family
regardless of culture and is influenced by views on life sustaining measures, perspectives of
when life actually ends, and views on what constitutes the essence of a person
Disclosure of diagnosis and prognosis in relation to feelings during end-of-life care ✔️✔️Many
cultures do not place the same value as Western cultures on full disclosure. It may be seen as
disempowering and burdensome for clients
Advanced directives in relation to feelings during end-of-life care ✔️✔️Based on Western values
of autonomy: a document that expresses a persons wishes about critical care or sustaining life
measures and is encouraged by the Canadian health care system
Family in end-of-life care ✔️✔️There are varying degrees of participation in the spiritual and
physical care of the client. Important for healthcare providers to explore expectations from
family on pain management, expectations, visitors, hospice, palliative care, potential barriers,
funeral arrangements, preparing the body, an spiritual practices
Faith ✔️✔️Influences how families cope, what they find helpful, perceptions of end-of-life issue.
It is an agreed upon set of beliefs in which many people draw upon to seek out comfort in the
dying process
T/F: the provision of spiritual care is part of the role of all health care providers who provide
end-of-life care ✔️✔️True
,Finality ✔️✔️The closure of life as known and lived by a client. Healthcare providers need to
explore the meaning of closure and the client and families views and beliefs regarding death
and promote reconciliation and closure
Rituals after death ✔️✔️Important part of the process that leads to the final rest or peace for the
body and soul of the deceased
Hindu end-of-life rituals ✔️✔️To be placed on floor closer to mother earth
Russian end-of-life rituals ✔️✔️Cover all mirrors
What are mental health practices influenced by? ✔️✔️The pervasive influence of culture
Specific competencies of mental health are used to understand: ✔️✔️1. Unique cultural
symptoms and interventions
2. Clients usual rules of interaction
3. Clients worldview of general outlook
4. Clients view of mental illness
Generic cultural knowledge of mental health practices: ✔️✔️1. High and low context cultural
features
2. Cultural value orientations
3. Locus of control
4. Emotional expression
5. Time perception
Low context vs high context in generic cultural knowledge of mental health practices ✔️✔️Low
context: Message is spoken word
High context: Message is not as much spoken word
,Cultural value orientations ✔️✔️how the relationship between humanity and the environment is
perceived
Locus of control ✔️✔️Degree in which you believe you can determine your fate through actions
Time perception ✔️✔️Some groups give more emphasis on the past while others value the
future; some primarily focused on the present
Somatization ✔️✔️Phenomenon where emotional or mental distress is expressed as a physical
complaint
What do cultural views of mental health influence ✔️✔️The paths that are sought and the types
treatment considered acceptable
Mental health implications for immigrants and refugees (stressors) ✔️✔️- adjustment
- discrimination
- war
- trauma
- loss
Mental health assessments ✔️✔️Health care providers should approach from a position of
curiosity with willingness to ask questions about background and beliefs. Important to consider
many aspects of culture and the influence of social processes such as racism
T/F: Racism is not linked to depression ✔️✔️False
T/F: Pharmacotherapy in mental health has been developed with little recognition of cultural
variances ✔️✔️True
, What is important in working with ethnocultural communities? ✔️✔️Engaging the family
Program development ✔️✔️Involves thoughtful incorporation of the cultural values of the
groups, ideally with input from community members
Cultural formulation in mental health ✔️✔️Tool that indicates several areas for inquiry which
provides a systemic review of all cultural factors that influence how these potentially affect the
working relationship with the client
Cultural identity in mental health ✔️✔️Significant connections between mental health and
cultural identity. Important to ascertain and not assume based on appearance. It is a sense of
belonging and explores patterns of acculturation and adaptation
Cultural explanations ✔️✔️Meanings, beliefs, attitudes that a culture ascribes to a particular
phenomenon
Social stressors ✔️✔️Events or conditions linked to an individuals and families social
characteristics, positions and roles. The health care provider should:
1. List as many possible stressors as possible that may contribute to the client
2. Consider supportive actions
3. Consider level of functioning within the cultural context
Positive and negative transference may occur within the relationship depending on? ✔️✔️The
pairing of the client and health care provider(majority) or minority of either member of the
relationship
Case formulation ✔️✔️1. Spiritual dimension: Spiritual issues prominent in ethnocultural groups
2. Presenting: clinical features being presented
3. Protecting: Consider strengths
