Which statement best explains the term "worldview"?
A. Beliefs and values held by people of a given culture about what are good, right, and normal.
A world view is a system of thinking about how the world works and how people should behave in the world and towards each other. It is from this view that people develop beliefs, values and the practices that guide their lives. Text page: 102
Cultures develop norms to be consistent with their worldview and to adapt to their historical experience and the influences of the "outside" world. When members of a group are introduced to the culture's worldview, beliefs, values, and practices, it is called
C. enculturation.
Members of the group are introduced to the culture's worldview, beliefs, values, and practices in a process called enculturation. Text page: 106
Exclusive use of Western psychological theories by nurses making client assessments will result in
C. inadequate assessment of clients of diverse cultures.
Clients of another culture are at greatest risk for misdiagnosis of a psychiatric problem because of
B. culturally insensitive interviewing techniques.
Inaccurate information or insufficient information may be obtained when the interviewer is not culturally sensitive. Only when assessment data are accurate can effective treatment be planned. Text page: 109
People with an indigenous worldview
D. are concerned with being part of a harmonious community.
Clients with an indigenous worldview are interested in connectedness and being in harmony with others. They are little interested in personal goals and autonomy. Text page: 105
Deviance from cultural expectations is considered by members within the cultural group as
C. illness.
Deviance from cultural expectations is considered, by others within the culture to be a problem and is frequently defined by the cultural group as "illness". Text page: 106
The Eastern worldview can be identified by the belief that:
D. Holds responsibility to family as central
The eastern traditional worldview is sociocentric. Individuals experience their self-hood and their lives as part of an interdependent web of relationships and expectations. Text page: 104
When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects
D. imbalance.
Many Eastern cultures explain illness as a function of imbalance. Text page: 10
The psychiatric mental health nurse working with depressed clients of the Eastern culture must realize that a useful outcome criterion might be if client reports
B. appeasement of spirits.
Appeasement of spirits might be a viable outcome criterion if the client believes the illness was caused by angry spirits. In each of the other options useful outcomes would be decreased somatic symptoms, reinstatement of energy balance, and decreased anxiety. Text page: 109
The nurse assesses the wellness beliefs and values of a client from another culture best when asking:
B. "What do you think is making you ill?"
Asking the client to suggest reasons for the illness will best provide an opportunity to become familiar with general beliefs and values the client holds regarding his wellness. Text page: 113
Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture?
B. "What usually helps people who have the same type of illness you have?"
Asking about typical treatment seeks information about the "usual" cultural treatment of the disorder experienced by the client. Text page: 113
Data concerning client age, sex, education, and income should be the focus of an assessment in order to best understand cultural issues related to
A. power and control.
Power and control are often products of culturally determined beliefs about who should hold power. In many cultures the elderly are venerated. In other cultures women are virtually powerless. For some cultures, higher education equates with power. Text pages: 107, 108
The psychiatric nurse planning and implementing care for culturally diverse clients should understand
D. holistic theory.
n most cultures a holistic perspective prevails, one without separation of mind and body. Text page: 104 and 108
A second-generation Chinese-American client reports the inability to concentrate and dysphoric mood. During the assessment interview the nurse also learns that the client is responsible for his elderly parents in addition to his wife and two children. The question that would give data of least value to the assessment of family dynamics is
D. "Do you expect others to shun or avoid you because you are seeing a therapist?"
The question about others' reaction to seeking help from a psychotherapist will not provide data about family dynamics. Text page: 104
Blacks, African Americans, Afro-Caribbean’s and Latino-Hispanic Americans run a significant risk of being misdiagnosed with AAA when the true diagnosis is BBB or CCC.
A) schizophrenia
B) bipolar disease
C) affective disorder
Author
TomWruble
ID
199678
Card Set
NUR210CH06
Description
Cultural Implications for Psychiatric Mental Health Nursing
