Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
1. When reviewing severalstudies about Hispanic Americans and their use of mental health care
facilities,
the nurse notes that this cultural group tends to use all other resources before seeking help from mental
health professionals. Which of the following would the nurse identify as a reason for this belief about
many mental health facilities?
A) Require periods of hospitalization
B) Do not provide 24-hour emergency services
C) Are not reimbursed by third party payers
D) Do not accommodate their cultural needs
2. A nurse is preparing a presentation about mental health problems associated with specific cultural
groups. When describing mental health problems associated with Asian Americans, Polynesians, and
Pacific Islanders, the nurse would address high rates of which of the following?
A) Schizophrenia
B) Manic disorders
C) Dementia
D) Suicide
3. The nurse is doing an assessment interview of a patient. During the interview, the patient comments,
Our people are connected with nature. Our world, our seasons, and our weatherthey all have many
lessons to teach us. The nurse interprets the patient‟s statement as an expression of which of the
following?
A) Religiousness
B) Tribal law
C) Spirituality
D) Ecological values
4. A psychiatricmental health nurse is providing care to a patient who has recently emigrated to the
United
States from Eastern Europe. Which of the following would be least effective in providing culturally
competent care?
, A) Demonstrating a genuine interest in the patient
B) Avoiding assumptions about the patient‟s culture
C) Speaking to the patient in his native language.
D) Acquiring information about the patient‟s country.
5. A psychiatricmental health nurse working in a Veteran‟s Administration Medical Center is meeting
with
a military wife who is an Asian American. The woman is to be joining a support group for wives of
veterans who have posttraumatic stress syndrome. When asking her to describe her husband‟s mental
health problems, which response would the nurse most likely expect?
A) Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family.
B) I know the war messed his mind up. He‟ll never be the same.
C) Sometimes he hallucinates that he is back in Vietnam.
D) He just stays to himself; he never talks to me about what is bothering him.
6. A psychiatricmental health nurse is working with a patient who is being treated for depression. Which
patient statement would indicate that her spirituality is intact?
A) My church friends came to visit me this past Sunday afternoon.
B) Nothing will ever be the same again; my life is not worth living.
C) I know I am as well off as I can be under the circumstances.
D) I know God must be punishing me for all my sins.
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7. A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong
faith,
and he has been active in his church for many years. He is concerned about his health and the
challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate
spiritual nursing intervention for the patient?
A) I‟ll take you to visit my church if you can get a pass.
B) You have to belong to the same church I do if you‟re going to go to heaven.
C) Would you like me to bring you a guided imagery audiotape?
D) We can pray together if you‟d like.
1. When reviewing severalstudies about Hispanic Americans and their use of mental health care
facilities,
the nurse notes that this cultural group tends to use all other resources before seeking help from mental
health professionals. Which of the following would the nurse identify as a reason for this belief about
many mental health facilities?
A) Require periods of hospitalization
B) Do not provide 24-hour emergency services
C) Are not reimbursed by third party payers
D) Do not accommodate their cultural needs
2. A nurse is preparing a presentation about mental health problems associated with specific cultural
groups. When describing mental health problems associated with Asian Americans, Polynesians, and
Pacific Islanders, the nurse would address high rates of which of the following?
A) Schizophrenia
B) Manic disorders
C) Dementia
D) Suicide
3. The nurse is doing an assessment interview of a patient. During the interview, the patient comments,
Our people are connected with nature. Our world, our seasons, and our weatherthey all have many
lessons to teach us. The nurse interprets the patient‟s statement as an expression of which of the
following?
A) Religiousness
B) Tribal law
C) Spirituality
D) Ecological values
4. A psychiatricmental health nurse is providing care to a patient who has recently emigrated to the
United
States from Eastern Europe. Which of the following would be least effective in providing culturally
competent care?
, A) Demonstrating a genuine interest in the patient
B) Avoiding assumptions about the patient‟s culture
C) Speaking to the patient in his native language.
D) Acquiring information about the patient‟s country.
5. A psychiatricmental health nurse working in a Veteran‟s Administration Medical Center is meeting
with
a military wife who is an Asian American. The woman is to be joining a support group for wives of
veterans who have posttraumatic stress syndrome. When asking her to describe her husband‟s mental
health problems, which response would the nurse most likely expect?
A) Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family.
B) I know the war messed his mind up. He‟ll never be the same.
C) Sometimes he hallucinates that he is back in Vietnam.
D) He just stays to himself; he never talks to me about what is bothering him.
6. A psychiatricmental health nurse is working with a patient who is being treated for depression. Which
patient statement would indicate that her spirituality is intact?
A) My church friends came to visit me this past Sunday afternoon.
B) Nothing will ever be the same again; my life is not worth living.
C) I know I am as well off as I can be under the circumstances.
D) I know God must be punishing me for all my sins.
11
7. A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a strong
faith,
and he has been active in his church for many years. He is concerned about his health and the
challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate
spiritual nursing intervention for the patient?
A) I‟ll take you to visit my church if you can get a pass.
B) You have to belong to the same church I do if you‟re going to go to heaven.
C) Would you like me to bring you a guided imagery audiotape?
D) We can pray together if you‟d like.
