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Chapter 39. Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing
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Chapter 39. Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

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  • August 29, 2024
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  • 2024/2025
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Townsend
PMHN, 10e
Chapter 39 - ETB
Chapter 39. Cultural and Spiritual Concepts Relevant to Psychiatric-Mental
abirb.com/test

Health Nursing


MULTIPLE CHOICE


1. The nurse is caring for a client who only speaks Spanish. Whicabhirbin.ctoemr/vteesnt tion
by the nurse would be most appropriate?
1. Ask the client’s daughter to interpret information.
2. Use a certified interpreter with a health care background.
3. Ask the client’s friend who teaches Spanish.
4. Ask a nurse who took a Spanish class in high school.

ANS: 2
Chapter: Chapter 39, Cultural and Spiritual Concepts Relevant to Psychiatric-Mental
Health
Nursing Objective: Apply the nursing process in the care of individuals from various
cultural groups. Page: 878
Heading: Box 39-1 Using an Interpreter
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity Cognitive Level:
Application [Applying] Concept: Culture
Difficulty: Moderate


Feedback
1. This is incorrect. The nurse would not use the client’s
daugahbitrbe.rcotmo/tiensterpret
information; the daughter may not interpret information correctly or may leave out
2. information
This is correct.
sheThe
doesnurse
not want
would
heruse
mother
a certified
to know.
Spanish interpreter with a health care
background to ensure the client is receiving correct information.
3. This is incorrect. The nurse would not use a client’s friend to interpret. The friend
may not explain the information the nurse would want the patient to know or leave
information out they don’t want their friend to know.
4. This is incorrect. A nurse who took one Spanish class in high school likely did not
learn health care Spanish and probably did not learn enough Spanish to interpret an
entire conversation.

CON: Moderate

, Townsend
PMHN, 10e
Chapter 39 - ETB
abirb.com/test
2. Which statement made by the nursing student is an example of stereotyping and requires
correction?
1. “Do you have any dietary restrictions based on cultural or spiritual beliefs we need to
be aware of?”
2. “Are there any spiritual practices important for you to continue during your stay?”
3. “Do you have any cultural practices you would like us to be aware of?”
4. “Since you are Hispanic, I will call the priest and have him comabierbb.croimn/gtesyt ou
communion.”

ANS: 4
Chapter: Chapter 39, Cultural and Spiritual Concepts Relevant toabPirsby.ccomhi/taetsrt ic-
Mental
Health
Nursing Objective: Assess client’s spiritual and religious needs.
Page: 879
Heading: Environmental Control > Assessment Strategies
Integrated Process: Nursing Process
Nursing Process: Evaluation
Client Need: Psychosocial Integrity Cognitive Level:
Evaluation [Evaluating] Concept: Culture
Difficulty: Moderate

Feedback
1. This is incorrect. This statement does not require correction. This is an appropriate
statement to assess cultural and spiritual beliefs related to dietary restrictions.
2. This is incorrect. This statement does not require correction. This is part of a cultural
and spiritual assessment.
3. This is incorrect. This statement does not require correctio anb.irTb.hcoims /itessat n
question to assess cultural and spiritual beliefs. appropriate
4. This is correct. This statement stereotypes Hispanic individuals as being Catholic and
requires correction.

CON: Culture




3. When working with clients of any culture, which action would the nurse avoid?
1. Maintaining eye contact to avoid being rude and making the client uncomfortable
2. Assuming that all individuals within a culture or ethnic group are similar
3. Supporting the client to participate in cultural and spiritual rituaablirs
4. Using an interpreter to obtain health information during an assessment

ANS: 2
Chapter: Chapter 39, Cultural and Spiritual Concepts Relevant to Psychiatric-Mental

, Townsend
PMHN, 10e
Chapter 39 - ETB
abirb.com/test
Health Nursing
Objective: Apply the nursing process in the care of individuals from various cultural groups.
Page: 876
Heading: Cultural Concepts
Integrated Processes: Nursing Process
Nursing Process: Implementation Client
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Culture
Difficulty: Easy

Feedback
1. This is incorrect. Not all cultures interpret direct eye contaacbtirabs.cobme/itensgt
2. rude.is correct. Each client should be treated as an individual. Assuming that all
This
individuals who share a culture or ethnic group are similar constitutes stereotyping.
Many variations and subcultures exist within a culture.
3. This is incorrect. Each client should be treated as an individual and encouraged to
participate in their cultural and spiritual rituals.
4. This is incorrect. When the client and nurse do not understand the same language,
the use of an interpreter is essential. The nurse must have aanbirub.ncdome/rtsetsat
nding of the
CON: Culture



4. A client’s wife tells the nurse that her husband strongly believaebsirtbh.caotmh/t estis
Jesus. She states that she tells her husband that he is not Jesus, but he truly believes that he is
and that he can perform miracles. Which disorder does the nurse suspect the client has?
1. Attention deficit-hyperactivity disorder (ADHD)
2. Schizophrenia
3. Major depressive disorder (MDD)
4. Anxiety

ANS: 2
Chapter: Chapter 39, Cultural and Spiritual Concepts Relevant to Psychiatric-Mental
Health Nursing
Objective: Assess patients’ spiritual and religious needs.
Page: 887
Heading: Addressing Spiritual and Religious Needs Through the Nursing Process >
Assessment
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]

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