Description
Psychiatric Nursing, 7th Edition by Norman L. Keltner – Debbie Steele – Test Bank
Chapter 05: Cultural Issues
MULTIPLE CHOICE
1. Culture is defined as a group’s shared:
|
a. |
race and ethnicity. |
|
b. |
values, beliefs, and norms. |
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c. |
biologic variations and psychological characteristics. |
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d. |
patterned behavioral responses that developed over time. |
ANS: B
Culture is the internal and external manifestation of a person’s, group’s, or community’s learned and shared values, beliefs, and norms that are used to help individuals function in life and understand and interpret life occurrences. None of the other responses provides an adequate explanation of culture, because all are too narrow in scope.
DIF:Cognitive level: UnderstandingREF:p. 50
TOP: Nursing process: Implementation MSC: NCLEX: Safe, Effective Care Environment
2. A nurse begins work at an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after:
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a. |
identifying culture-bound issues. |
|
b. |
implementing scientifically proven interventions. |
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c. |
correcting inferior health practices of the population. |
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d. |
exploring commonly held beliefs and values of the population. |
ANS: D
Cultural competence is dependent on understanding the beliefs and values of members of a different culture. A nurse who works with an individual or group of a culture different from his or her own must be open to learning about the culture. The other options have little to do with cultural competence or represent only a portion of the answer.
DIF:Cognitive level: ApplyingREF:p. 50
TOP: Nursing process: Implementation MSC: NCLEX: Safe, Effective Care Environment
3. A nurse cares for a first-generation American whose family emigrated from Germany one generation ago. This patient would probably have which worldview about the source of knowledge?
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a. |
Knowledge is acquired through use of affective or feeling senses. |
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b. |
Knowledge is acquired according to proof of existence. |
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c. |
Knowledge develops by striving for transcendence of the mind and body. |
|
d. |
Knowledge evolves from an individual’s relationship with a supreme being. |
ANS: B
The European-American perspective of acquiring knowledge evolves through acquiring proof that something exists using the personal senses. The distracters describe the beliefs of other cultural groups.
DIF:Cognitive level: UnderstandingREF:p. 51
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
4. The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
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a. |
Patients of different cultural groups may metabolize medications at different rates. |
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b. |
Metabolism of psychotropic medication is consistent among various cultural groups. |
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c. |
Differences in hepatic enzymes will influence the rate of elimination of psychotropic medications. |
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d. |
It is important to provide patients with oral and written literature about their psychotropic medications. |
ANS: A
Cytochrome P-450 enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.
DIF:Cognitive level: UnderstandingREF:p. 53
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A nurse prepares to assess a newly hospitalized patient who moved to the United States 6 months ago from Somalia. The nurse should first determine:
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a. |
if the patient’s immunizations are current. |
|
b. |
the patient’s religious preferences. |
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c. |
the patient’s specific ethnic group. |
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d. |
whether or not an interpreter is needed. |
ANS: D
The assessment depends on communication. The nurse should first determine whether or not an interpreter is needed. The other information can be subsequently assessed when communication is effective.
DIF:Cognitive level: AnalyzingREF:p. 54
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
6. A clinic nurse encounters many patients who request acupuncture, nutritional therapies, moxibustion, cupping, and coining. The nurse understands that these patients are seeking to restore:
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a. |
chi. |
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b. |
meridians. |
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c. |
equilibrium. |
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d. |
divine relationships. |
ANS: C
Patients who view illness as disequilibrium or lack of balance may seek alternative therapies to restore balance. Chi is an energy force. Meridians are lines in the body representing body functions. Divine relationships are an aspect of balance, but equilibrium is a broader concept.
DIF:Cognitive level: UnderstandingREF:p. 53
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
7. The nurse can expect the parent of a child with mal ojo (evil eye) to believe that the effects of the spell can be broken after:
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a. |
ignoring the child. |
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b. |
feeding the child warm foods. |
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c. |
looking deeply into the child’s eyes. |
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d. |
a root doctor or native healer intervenes. |
ANS: D
Individuals who believe in culture-bound illnesses usually also believe that the cure for the illness is found in treatment by a native healer or roots doctor. The parent would not believe that any of the other options are effective.
DIF: Cognitive Level: ApplyingREF:p. 53
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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