Question 1

MATCHING
Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it  from the right column may be used more than once.
-Hwa-byung

Accepted Answer

Hwa-byung is a culture-bound syndrome found in Korea.

Question 2

The psychiatric nurse makes a home visit to a Hispanic patient with major depression.The patient greets the nurse,smiles,and eagerly offers to make coffee.The nurse initiates a handshake,politely refuses the coffee,and suggests they talk about the patient's progress.During the session,the nurse notes the patient becomes less spontaneous and more withdrawn.The nurse should correctly analyze that:

Accepted Answer

In the Hispanic culture,good etiquette requires accepting offers of food and spending some time in small talk before getting down to business.The nurse behaved impolitely by the patient's standards.Rapid cycling is related to rapid mood swings of bipolar disorder.Data are not present to suggest that the nurse touched on a taboo topic.Patients of Hispanic culture engage in "high touch" behaviors.

Question 3

A Mexican American patient puts a picture of the Virgin Mary on the bedside table.What is the nurse's best action?

Accepted Answer

Cultural heritage is expressed through language,works of art,music,dance,customs,traditions,diet,and expressions of spirituality.This patient's prominent placement of the picture is an example of expression of cultural heritage and spirituality.The nurse should not move it unless the patient's safety is jeopardized.

Question 4

Which question would best help a nurse assess feminist issues regarding treatment options for a woman of a culture with an Eastern worldview?

Accepted Answer

The best question will help the nurse understand a woman's importance in the culture.In a culture in which women play a lesser role,healing options may not be readily available.The distracters help assess culture-bound illness,relate to sick roles,pain expression,predominant symptoms,and are more related to general cultural factors rather than women's issues.

Question 5

Which tip(s)would be useful for an American nurse preparing for an encounter with a female patient from Japan? (Select all that apply. )

Accepted Answer

Anticipating diversity puts the nurse in a position of guarding against stereotyping and opens the nurse to cultural awareness.Promoting feelings of acceptance prevents cultural pain.Learning about the position of the patient facilitates empathy.The least useful strategy would be to use direct eye contact and touch.In a cross-cultural encounter,strategies known to be acceptable to the patient are preferable.Direct eye contact and touch may be offensive to patients whose culture calls for more reserved cultural practices.Stereotyping may lead to culturally insensitive care decisions.

Question 6

A health care aide insists that a patient with mental illness eat specific foods to balance energy forces.The patient tells the nurse,"I go along with the diet to keep my aide happy." Which phenomenon is evident?

Accepted Answer

Cultural imposition occurs when a member of one culture forces a member of another culture to adhere to certain cultural norms.Biculturalism refers to the ability to move back and forth between traditional culture and a new culture.A culture-bound syndrome refers to a behavior that one culture understands as illness but not another culture.Enculturation refers to the transmission of cultural preferences within a cultural group.

Question 7

MATCHING
Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it  from the right column may be used more than once.
-Ataque de nervios

Accepted Answer

Ataque de nervios is most commonly experienced by Latin American patients.

Answer: A 
 Navajo patients may experience a similar culture-bound syndrome called "ghost sickness."

Answer: B 
 Korean patients may experience a culture-bound syndrome called "hwa-byung," which is characterized by anger and resentment towards family members.

Answer: D 
 Chinese patients may experience a culture-bound syndrome called "shenjing shuairuo," which is characterized by complaints of weakness, fatigue, and nervousness.

Question 8

MATCHING
Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it  from the right column may be used more than once.
-Wind illness

Accepted Answer

Wind illness, also known as "feng" in Chinese culture, is a culture-bound syndrome associated with the belief that exposure to wind can cause illness.

Question 9

A nurse working with a single,Asian American college student tells a colleague,"The patient has very poor eye contact.No matter what strategies I use,this patient will not look at me." Which explanation(s)would be likely reasons for this patient's behavior? In some Asian cultures: (Select all that apply. )

Accepted Answer

The correct responses describe cultural beliefs often held by Asian American groups.They are each based on valuing concepts of respect and restraint.Although trancelike syndromes do occur among members of certain cultures,they are not related to this situation.Most Asian cultures value a more distant personal space.

Question 10

MATCHING
Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it  from the right column may be used more than once.
-Susto

Accepted Answer

Susto is a culture-bound syndrome commonly found in Latin American cultures.

Answer: A 
 The Navajo culture does not have a specific culture-bound syndrome related to susto, but they have similar concepts such as "yąąjį' na'ęstsǫǫsí" which is a type of emotional distress caused by intruding spirits.

Answer: B 
 Koreans do not have a specific culture-bound syndrome related to susto, but they have similar concepts such as "hwa-byung" which is caused by repressed anger and resentment.

Answer: D 
 Chinese do not have a specific culture-bound syndrome related to susto, but they have similar concepts such as "shenjing shuairuo" which is a general term for psychological disorders caused by stress.

Question 11

MATCHING
Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it  from the right column may be used more than once.
-Ghost sickness

Accepted Answer

Ghost sickness is a culture-bound syndrome that is primarily experienced among the Navajo people.

Answer: C 
 Latin American patients are most likely to experience ghost sickness.

Answer: D 
 Chinese patients may experience ghost sickness.

Question 12

Which belief best fosters provision of culturally competent nursing care? (Select all that apply. )

Accepted Answer

Cultural competence requires health care providers to see themselves as becoming culturally competent rather than already being culturally competent.This view necessitates that the provider continuously strive to work effectively within the cultural context of the patient.The meaning of eye contact varies from one culture to another.The patient may not desire assimilation and conformity.Reading can be helpful but does not provide all knowledge.Self-examination should move the nurse toward providing more competent,humanistic care.

Question 13

Why is the study of culture so important for psychiatric nurses in the United States? Select all that apply.

Accepted Answer

One purpose of cultural competence is for the psychiatric nurse to relate and explain information about the patient's illness and treatment in an understandable way,incorporating the patient's own beliefs and values.A fundamental aspect of nursing practice is advocacy.Cultural competence promotes recognition of prejudices in care such as stigma and misdiagnosis.Psychiatric nurses often interface with patients and families over years and in community settings.

Question 14

The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include: (Select all that apply. )

Accepted Answer

Physical symptoms are seen as more acceptable in cultural groups in which interdependence and harmony of the group are emphasized.Mental illness is often perceived as reflecting a failure of the entire family.In groups in which mental illness is seen as a moral weakness and both the individual and family are stigmatized,somatization of mental distress is better accepted.In groups in which mind,body,and spirit are holistically perceived,somatization of psychological distress is common.Somatization and food are not commonly related.Intergenerational conflict has not been noted as a risk factor for somatization.

Question 15

A patient with depression infers that symptoms result from an imbalance of yin and yang.Select the best question to elicit information to guide nursing care that will accommodate the patient's culture.

Accepted Answer

Accommodation involves including neutral health practices in the patient's plan of care.A diet that addresses correcting yin and yang imbalance would probably be psychologically helpful and would not be likely to interfere with Western medical treatment with selective serotonin reuptake inhibitors.

Question 16

A hospice nurse plans care for four culturally diverse patients,each of whom has advanced cancer.Which patient will most likely wish to engage actively in end-of-life planning?

Accepted Answer

This patient would hold a Western worldview and value autonomy,independence,and self-reliance.The patient would see time as linear and have an internal locus of control.Self-action would be a high priority.For the distracters,the concept of person is defined more in relationship to others,and the locus of control is self-rooted in tradition or in natural forces.The need for independence and self-reliance is far less.Tradition,fate,or other forces are seen as being in control.

Question 17

Which term best describes the study of why an African American patient may have a different response to a psychotropic medication as compared to an Asian American patient?

Accepted Answer

Ethnopharmacology is the study of genetic and ethnic variations in drug pharmacokinetics.Pharmacodynamics is a broader term.Neurasthenia is a culture-bound syndrome.Genetics is only partially correct.

Quiz 6: Cultural Implications for Psychiatric Mental Health Nursing

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Hwa-byung

A Mexican American patient puts a picture of the Virgin Mary on the bedside table.What is the nurse's best action?

Which question would best help a nurse assess feminist issues regarding treatment options for a woman of a culture with an Eastern worldview?

Which tip(s) would be useful for an American nurse preparing for an encounter with a female patient from Japan? (Select all that apply. )

A health care aide insists that a patient with mental illness eat specific foods to balance energy forces.The patient tells the nurse,"I go along with the diet to keep my aide happy." Which phenomenon is evident?

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Ataque de nervios

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Wind illness

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Susto

MATCHING Match the culture-bound syndrome in the left column with the patient most likely to experience it from the right column.solve it from the right column may be used more than once. -Ghost sickness