Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Understanding

Integrated Process: Nursing Process

Objective: 2

Page and Header: 22, Hispanic Americans

1. When reviewing several studies about the use of mental health care facilities among Latinx Americans, the nurse notes that this cultural group tends to use all other resources before seeking help from mental health professionals. Which of the following would the nurse identify as a reason for this belief about many mental health facilities?

A) They require periods of hospitalization.

B) They do not provide 24-hour emergency services.

C) They are not reimbursed by third-party payers.

D) They do not accommodate their cultural needs.

Page and Header: 23, Asian Americans, Polynesians, and Pacific Islanders

2. A nurse is preparing a presentation about mental health problems associated with specific ethnic and cultural groups. When describing mental health problems associated with American Indian/Alaska Native adolescents, the nurse would address high rates of which of the following?

A) Schizophrenia

B) Manic disorders

C) Dementia

D) Suicide

Page and Header: 21, Box 3.1 Health Literacy Universal Precautions

3. A psychiatric–mental health nurse is conducting an in-service program about health literacy among clients. The nurse determines that additional teaching is needed when the group identifies which action as addressing health literacy needs?

A) Using only medical terminology to ensure accuracy and consistency of communication

B) Verifying that clients understand information that is communicated to them

C) Assuming that all clients may have difficulty understanding health information

D) Ensuring clarity of communication in both spoken and written forms

Page and Header: 23, Asian Americans, Polynesians, and Pacific Islanders

4. A psychiatric–mental health nurse is interviewing a client who emigrated from an Asian country to the United States as a child. What client statement would the nurse recognize as illustrating a challenge specific to some traditional Asian cultures regarding mental health care?

A) “I’m worried about how much treatment is going to cost.”

B) “My parents don’t know that I’m seeking professional help.”

C) “My siblings have been pressuring me to start treatment.”

D) “My job doesn’t leave me much time to attend therapy sessions.”

Page and Header: 24, Spirituality, Religion, and Mental Illness

5. A psychiatric–mental health nurse is working with a client who is being treated for depression. Which statement by the client would indicate that the client’s spirituality is intact?

A) “My church friends came to visit me this past Sunday afternoon.”

B) “Nothing will ever be the same again; my life is not worth living.”

C) “I know I am as well off as I can be under the circumstances.”

D) “I know God must be punishing me for all my sins.”

Page and Header: 24, Spirituality, Religion, and Mental Illness

6. A client is being treated for prostate cancer; his prognosis is very poor. The client has a strong faith, and he has been active in his church for many years. He is concerned about his health and the challenges he faces as his cancer progresses. Which comment by the nurse reflects the most appropriate spiritual nursing intervention for this client?

A) “I’ll take you to visit my church if you can get a pass.”

B) “If you picked the right church, you should go to Heaven.”

C) “Would you like me show you a guided imagery app for your phone?”

D) “We can pray together if you’d like.”

Page and Header: 22, Cultural and Social Factors and Beliefs About Mental Illness

7. A psychiatric–mental health nurse is educating a class at a community health center on social factors associated with mental illness. When describing the influence of poverty and effects of the downward economic spiral on mental health, which population would the nurse identify as being the most at risk?

A) older adults

B) individuals with physical disabilities

C) single-parent families

D) individuals who are homeless

Page and Header: 20, Key Terms

8. During an assessment, a client states, “We rely on our large extensive family for moral support and help and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of them.” The nurse interprets this statement as an indication of what?

A) Acculturation

B) Cultural identity

C) Cultural competence

D) Linguistic competence

Page and Header: 22, Cultural and Social Factors and Beliefs About Mental Illness

9. Within the context of the culture of poverty, what most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?

A) Unemployment causes poverty; a lack of will power and motivation can, in turn, cause unemployment in people who do not have a strong work ethic.

B) Individuals lack the finances to pay rent, so they eventually do not have an address to use in filling out job applications.

C) Characteristics of poverty (joblessness and lack of financial independence) can contribute to attributes (feelings of powerlessness and low self-esteem) that sustain poverty.

D) Poverty is passed on from generation to generation; individuals learn at an early age that there is no way to escape living in poverty.

Page and Header: 24, Spirituality, Religion, and Mental Illness

10. A group of nursing students is reviewing information about spirituality and religiousness. The group demonstrates understanding when they identify religiousness as what?

A) A feeling of connectedness

B) A way of interpreting life events

C) A relationship with a unifying force

D) Community participation in common worship

Page and Header: 25–26, Table 3.1. Major World Religions and Belief Forms

11. During assessment, the nurse learns that the client follows Buddhist beliefs. The nurse would integrate understanding of which when developing the client’s plan of care?

A) Desire is the cause of all human suffering and misery.

B) Self-indulgence is necessary to reach nirvana.

C) Present behavior is based on current unhappiness.

D) Vision is achieved through role playing.

Page and Header: 25–26, Table 3.1 Major World Religions and Belief Forms

12. After educating a group of students on the beliefs associated with the world’s major religions, the instructor determines that additional teaching is needed when the students identify which belief as associated with Confucianism?

A) People are born good.

B) People are assigned to castes.

C) Authority figures are respected.

D) Self-responsibility leads to improvement.

Page and Header: 25–26, Table 3.1. Major World Religions and Belief Forms

13. During an interview, a client states, “God does not exist for me.” The nurse interprets this statement as reflecting what belief?

A) animism

B) agnosticism

C) atheism

D) polytheism

Page and Header: 24, Spirituality, Religion, and Mental Illness

14. During an interview, a client tells the nurse, “I have developed a new, strong feeling of being connected to the universe.” The nurse interprets this statement as an indication of what?

A) meaning

B) self-transcendence

C) cultural identity

D) religiousness

Page and Header: 22, Cultural and Social Factors and Beliefs About Mental Illness

15. A group of nurses is preparing an in-service presentation about culture and mental illness. When describing cultural explanations, which would the group include?

A) Suffering within a cultural group

B) Perceived causes for symptoms

C) Social factors contributing to the disorder

D) Ability to communicate effectively

Page and Header: 25–26, Table 3.1. Major World Religions and Belief Forms

16. A nurse is assessing a client who has come to the health care facility for treatment. During the assessment, the client states, “I don’t know if there is a God or Heaven.” The nurse interprets this statement to be a reflection of what belief?

A) agnosticism

B) atheism

C) Maoism

D) scientism

Page and Header: 24, Spirituality, Religion, and Mental Illness

17. A psychiatric–mental health nurse is conducting a seminar for a group of colleagues about the impact of spirituality and religion on mental illness. The nurse determines that the teaching was successful based on which group statement?

A) “If a person is spiritual, then that person is also religious.”

B) “Being religious requires a person to use self-reflection”

C) “Religion and spirituality can be helpful in dealing with mental illness.”

D) “Spirituality involves gathering for group worship.”

Page and Header: 24, Rural Cultures

18. A psychiatric–mental health nurse is preparing to practice in a rural region. What should the nurse understand about mental health issues and services in rural cultures?

A) Mental health disorders are less common compared to urban areas.

B) Suicide rates are roughly equal to those in urban settings.

C) There tends to be limited access to mental health care.

D) People living in rural cultures tend not to be receptive to mental health care.