Chapter 37: World Aspects of Psychiatry
MULTIPLE CHOICE
1. To include a cultural focus in patient care planning, which belief about faith will the nurse
incorporate? Faith is a:
a. Belief of body and mind
b. Manner of expressing spirituality
c. Use of spiritual resources without empiric proof
d. Search for the sacred, transcendent, or universal
ANS: C
Faith is the ability to draw on spiritual resources without having physical and empiric proof.
Body and mind refer to psychosomatic concepts. A manner of expressing spirituality refers to
religion. A search for the sacred, transcendent, or universal refers to spirituality.
2. A culturally diverse patient refuses to participate in a group because of the presence of a
person who can put spells on. The nurse recognizes a priority need to explore this patients:
a. Economic status
b. Home environment
c. Health-illness beliefs
d. Educational background
ANS: C
Culture influences beliefs about health and illness, including causes of illness. What the nurse
might label as delusional might be a culturally determined belief about illness causation. The
other assessments do not relate to the situation as directly.
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,3. An Asian-American patient diagnosed with depression explains to the nurse that eating two
specific foods will restore the balance of hot and cold and she will be cured. The nurse should:
a. Explain that foods cannot cure mental disorders.
b. Arrange for the patient to talk with the dietitian.
c. Change the subject to focus on medication compliance.
d. Accept that cultural beliefs about illness die slowly.
ANS: B
Culturally determined beliefs about health and illness should be respected. If there are no
contraindications to the patient eating the foods mentioned, the nurse should facilitate obtaining
them. Attempt to explain the flaw in the patients belief is an attempt to negate culturally
determined beliefs. Changing the subject does not address patient concerns. Assuming that the
belief is inflexible suggests the patients beliefs have no merit.
4. When working with a patient newly emigrated from Asia who has been assessed as having
xenophobia, the nurse could anticipate making the assessment that the individual:
a. Resists sharing food with others
b. Would be reluctant to ride an elevator
c. Is unlikely to talk with nonfamily members
d. Fears the consequences of going out of doors
ANS: C
Xenophobia is defined as a morbid fear of strangers. The xenophobic individual would not
necessarily resist sharing food (fear of germs), riding in elevators (fear of closed spaces), or
going out of doors (fear of open spaces).
5. The nurse plans to use pamphlets to teach a newly immigrated Vietnamese patient about
diabetes mellitus. Before initiating this education, the priority information for the nurse to obtain
is the patients:
HTTPS://PASINGGRADES.COM/
, a. Ability to read and understand English
b. Readiness and ability to learn this material
c. Previous knowledge and interest in the subject
d. Willingness to participate and follow instructions
ANS: A
Pamphlets are useful only if the patient can read and understand the language in which the
material is written. The other options are secondary to this priority concern.
6. A nurse is planning to incorporate a culturally sensitive focus in her nursing care. Which of
these underlying principles concerning cultural heritage will be included?
a. A group is formed from among individuals who share similar ancestral origins.
b. A condition of belonging to a group is that all members share a unique heritage.
c. Learned patterns of behavior and thinking are shared by members of a cultural
group.
d. The classification of humans into cultural groups is generally based on physical
characteristics.
ANS: C
Cultural heritage is learned patterns of behavior and thinking shared by a particular group that is
transmitted over time to other members. Ancestral origins, a similar heritage, and physical
characteristics may be shared traits but alone do not constitute cultural heritage.
7. A patient diagnosed with paranoid schizophrenia is describing religiously-based delusions that
other patients find offensive. Which nursing intervention will the nurse implement to provide a
therapeutic milieu?
a. Engaging the delusional patient in prayer in order to redirect the problematic
behavior
b. Explaining to the delusional patient that such talk is offensive to some of the
milieu and will not be allowed
HTTPS://PASINGGRADES.COM/
MULTIPLE CHOICE
1. To include a cultural focus in patient care planning, which belief about faith will the nurse
incorporate? Faith is a:
a. Belief of body and mind
b. Manner of expressing spirituality
c. Use of spiritual resources without empiric proof
d. Search for the sacred, transcendent, or universal
ANS: C
Faith is the ability to draw on spiritual resources without having physical and empiric proof.
Body and mind refer to psychosomatic concepts. A manner of expressing spirituality refers to
religion. A search for the sacred, transcendent, or universal refers to spirituality.
2. A culturally diverse patient refuses to participate in a group because of the presence of a
person who can put spells on. The nurse recognizes a priority need to explore this patients:
a. Economic status
b. Home environment
c. Health-illness beliefs
d. Educational background
ANS: C
Culture influences beliefs about health and illness, including causes of illness. What the nurse
might label as delusional might be a culturally determined belief about illness causation. The
other assessments do not relate to the situation as directly.
HTTPS://PASINGGRADES.COM/
,3. An Asian-American patient diagnosed with depression explains to the nurse that eating two
specific foods will restore the balance of hot and cold and she will be cured. The nurse should:
a. Explain that foods cannot cure mental disorders.
b. Arrange for the patient to talk with the dietitian.
c. Change the subject to focus on medication compliance.
d. Accept that cultural beliefs about illness die slowly.
ANS: B
Culturally determined beliefs about health and illness should be respected. If there are no
contraindications to the patient eating the foods mentioned, the nurse should facilitate obtaining
them. Attempt to explain the flaw in the patients belief is an attempt to negate culturally
determined beliefs. Changing the subject does not address patient concerns. Assuming that the
belief is inflexible suggests the patients beliefs have no merit.
4. When working with a patient newly emigrated from Asia who has been assessed as having
xenophobia, the nurse could anticipate making the assessment that the individual:
a. Resists sharing food with others
b. Would be reluctant to ride an elevator
c. Is unlikely to talk with nonfamily members
d. Fears the consequences of going out of doors
ANS: C
Xenophobia is defined as a morbid fear of strangers. The xenophobic individual would not
necessarily resist sharing food (fear of germs), riding in elevators (fear of closed spaces), or
going out of doors (fear of open spaces).
5. The nurse plans to use pamphlets to teach a newly immigrated Vietnamese patient about
diabetes mellitus. Before initiating this education, the priority information for the nurse to obtain
is the patients:
HTTPS://PASINGGRADES.COM/
, a. Ability to read and understand English
b. Readiness and ability to learn this material
c. Previous knowledge and interest in the subject
d. Willingness to participate and follow instructions
ANS: A
Pamphlets are useful only if the patient can read and understand the language in which the
material is written. The other options are secondary to this priority concern.
6. A nurse is planning to incorporate a culturally sensitive focus in her nursing care. Which of
these underlying principles concerning cultural heritage will be included?
a. A group is formed from among individuals who share similar ancestral origins.
b. A condition of belonging to a group is that all members share a unique heritage.
c. Learned patterns of behavior and thinking are shared by members of a cultural
group.
d. The classification of humans into cultural groups is generally based on physical
characteristics.
ANS: C
Cultural heritage is learned patterns of behavior and thinking shared by a particular group that is
transmitted over time to other members. Ancestral origins, a similar heritage, and physical
characteristics may be shared traits but alone do not constitute cultural heritage.
7. A patient diagnosed with paranoid schizophrenia is describing religiously-based delusions that
other patients find offensive. Which nursing intervention will the nurse implement to provide a
therapeutic milieu?
a. Engaging the delusional patient in prayer in order to redirect the problematic
behavior
b. Explaining to the delusional patient that such talk is offensive to some of the
milieu and will not be allowed
HTTPS://PASINGGRADES.COM/
