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Chapter 5: Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Terms in this set (24)
Miss Lee is an Asian american on the psychiatric unit. She tells the nurse, "I must have the hot ginger root for my headache. It is the only thing that will help." what meaning does the nurse attach to this statement by Miss Lee?
a. She is being obstinate and wants control over her care
b. She believes that ginger root has magical qualities
c. She subscribes to the restoration of health through the balance of yin and yang
d. Asian Americans refuse to take traditional medicine for pain
Miss Lee, an Asian American on the psychiatric unit, says she is afraid that no one from her family will visit her. On what belief does Miss Lee base her statement?
a. Many Asian Americans do not believe in hospitals
b. Many Asian Americans do not have close family support systems
c. Many Asian Americans believe the body will heal itself if left alone
d. Many Asian Americans view psychiatric problems as bringing shame to the family
Joe, a Native american, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that joe needs emergency care, but Joe states he will not go to the emergency department (ED) unless the shaman is allowed to help treat him. How should the nurse handle this situation?
a. Contact the shaman and have him meet them at the ED to consult with the attending physician
b. Tell Joe that the shaman is not allowed in the ED
c. Explain to Joe that the shaman is at fault for his leg being in the condition it is in now.
d. Have the shaman try to talk Joe into going to the ED without him
Joe, a Native american, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. AS a greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
a. The shaman is snubbing the physician
b. The shaman is angry at Joe for wanting to go the ED
c. The shaman does not believe in traditional medicine
d. the shaman does not feel comfortable with touch
Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, "No one can help me.I was an evil person in my youth, and now I must pay." How might the nurse assess this statement?
a. Sarah is having delusions of persecutions
b. Some African Americans believe illness is God's punishment for their sins
c. Sarah is depressed and just wants to be left alone
d. African Americans do not believe in psychiatric help
Sarah is an African American woman who lives in the rural South. She receives a visit from the public health nurse. Sarah says to the nurse, "Granny told me to eat a lot of poke greens and I would feel better." How should the nurse interpret this statement?
a. Sarah's grandmother believes in the healing power of poke greens.
b. Sarah believes everything her grandmother tells her
c. Sarah has been receiving health care from a "folk practitioner"
d. Sarah is trying to determine if the nurse agrees with her grandmother
Frank is a latino American who has an appointment at the community health center for 1:00 PM. The nurse is angry when Frank shows up at 3:30 PM stating,"I was visiting with my brother." How must the nurse interpret this behavior?
a. Frank is being passive-aggressive by showing up late
b. This is Frank's way of defying authority
c. Frank is a member of a cultural group that is present-time oriented
d. Frank does not think he needs a physical examination
The nurse must give Frank, a Latino American, a physical examination. She tells him to remove his clothing and put on an examination gown. Frank refuses. How should the nurse interpret this behavior?
a. Frank does not believe in taking orders from a woman
b. Frank is modest and embarrassed to remove his clothes
c. Frank doesn't understand why he must remove his clothes
d. Frank does not think he needs a physical examination
Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Her room is filled with relatives who have brought a variety of foods and gifts for Maria. They are all talking, seemingly at the same time, and some, including Maria, are crying. They repeatedly touch and hug maria and each other. How should the nurse handle this situation?
a. Explain to the family that Maria needs her rest and they must all leave
b. Allow the family to remain and continue their activity as described, as long as they do not disturb other clients.
c. Explain that Maria will not get over her loss if they keep bringing it up and causing her to cry so much
d. Call the family priest to come and take charge of this family situation
Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Maria's mother says to the nurse, "If only Maria had told me she wanted the biscotti. I would have made them for her." What is the meaning behind maria's mother's statement?
a. Some Italian Americans believe a miscarriage can occur if a woman does not eat a food she craves
b. Some Italian Americans think biscotti can prevent miscarriages
c. Maria's mother is taking the blame for Maria's miscarriage
d. Maria's mother believes that physician should have told Maria to eat biscotti
Joe, who has come to the mental health clinic with symptoms of depression, says to the nurse, "My father is dying. I have always hated my father. He physically abused me when I was a child. We haven't spoken for man years. He wants to see me now, but I don't know if I want to see him." With which spiritual need is Joe struggling?
d. Meaning and purpose in life
acceptance of a belief in the absence of physical or empirical evidence
a special kind of positive expectation
identified as a projection of one's own good feelings onto others
As a child, Joe was physically abused by his father. The father is now dying and has expressed a desire to see his son before he dies. Joe is depressed and says to the mental health nurse, "I'm so angry! Why did God have to give me a father like this? i feel cheated of a father! I've always been a good person. I deserved better. I hate God!" From this subjective data, which nursing diagnosis might the nurse apply to Joe?
a. readiness for enhanced religiosity
b. Risk for impaired religiosity
c. reading for enhanced spiritual well-being
d. spiritual distress
North European Americans
descendants of the first immigrants of the U.S. and make up the current dominant cultural group.
they value punctuality, work responsibility, and biological variations.
trace their roots in the U.S. to the days of slavery.Most have large support systems and a strong religious orientation. Many have assimilated into and have many of the same characteristics as the dominant culture. Some AA from the rural south may receive health care form a folk practitioner
many still live on reservations. They speak many different languages and dialects. They often appear silent and reserved and many are uncomfortable with touch and expressing emotions. Health care may be delivered by a healer called a shaman
languages are very diverse. Touching during communication has historically been considered unacceptable. Asian Americans may have difficulty expression emotions and appear cold and aloof. Family loyalty is emphasized. Psych illness is viewed as behavior that is out of control brings shame on the family
common language is Spanish. Large family groups are important and touch is a common form of communication. The predominant religion is Roman Catholicism, and the church is often a source of strength in times of crisis. Health care may be delivered by a folk healer called a curandero, who uses various forms of treatment to restore the body to a balanced state
Western European Americans
have their origins in Italy, France, and Greece. They are warm and expressive and use touch as a common form of communication. The dominant religion is roman Catholicism for the Italians and French, and Greek Orthodox for the Greeks. Most Western European Americans follow the health practices of the dominant culture, but some folks beliefs and superstitions endure.
trace their ancestry and traditions to the nomadic desert tribes of the Arabian Peninsula. Arabic is the official language of the Arab world and the dominant religion is Islam. Mental illness is considered a social stigma and symptoms are often somaticized.
came to the U.S. predominantly from Spain, Portugal, Germany, and Eastern Europe. Four main Jewish religious groups exist today: Orthodox, Reform, Conservative, and Reconstructionist. The primary language is English. A high value is placed on education. Jewish Americans are very health conscious and practice preventive health care. The maintenance of one's mental health is considered just as important as physical health
What are culture bound syndromes?
clusters of physical and behavioral symptoms that are considered as illnesses or "afflictions" by specific cultures, but do not readily fit into the Western conventional diagnostic categories
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