Cultural & Mental Health
Culture is best defined as this.
a set of values, beliefs, norms, and practices shared by members of a group, guiding their worldview and behavios.
The term refers to the belief that one's own culture is superior to others.
ethnocentrism
The most common barrier to effective psychiatric care between nurse and patient from different cultures.
language/communication differences
During assessment, nurses must gather information on the patient's cultural background and these health beliefs.
What are explanatory models of illness
Eye contact in Western cultures often means attentiveness, but in some Asian cultures, it may be interpreted as this.
disrespect or aggression
Culture influences how patients perceive, label, and explain ____
mental health & mental illness
The process of hearing and adapting to a new culture is called this.
acculturation
The use of trained interpreters is essential because family members may cause this problem.
breach of confidentiality or misinterpretation
Nursing diagnoses must consider these cultural variables that influence patient healh.
What are cultural factors (values, beliefs, language, support systems)
Silence is valued in some cultures, such as Native American or Asian traditions, as a sign of this.
respect, thoughtfullness, or emotional control
This term describes differences in the incidence and outcomes of mental illness among cultural groups.
Health disparities
When an individual experiences stress while adapting to new culture, it is called this.
culture shock
Financial hardship, lack of insurance, and transportation issues are examples of this type of barrier.
socioeconomic barrier
Interventions must be culturally appropriate, but also prioritize this.
patient safety and clinical effectiveness
The nurse's awareness of their own cultural values and biases is called this.
cultural self-awareness
A nurse who adapts care to a patient's cultural needs is practicing this.
culturally competent care
The ability to work effectively with people from different cultural backgrounds is called this.
cultural competence
Preconceived negative beliefs about a group tnat may impact care are called
stigma or prejudice
The evaluation stage requires determining whether this was achieved within the cultural context.
patient outcomes or goals
When communication styles clash, the nurse should use this approach.
Active listening and clarification with cultural sensitivity
A nurse is caring for a Native American patient who believes illness results from disharmony with nature. Which nursing action demonstrates cultural competence?
a) Insisting the patient use only prescribed medication
b) Incorporating traditional healing practices with medical treatment
c) Avoiding discussion of the patient’s beliefs to maintain neutrality
d) Explaining that cultural beliefs have no scientific basis
b) Incorporating traditional healing practices with medical treatment
A Hispanic patient expresses distress as “nervios,” describing headaches, sadness, and stomach pain. The nurse recognizes this as an example of:
a) A somatic symptom disorder
b) A culture-bound syndrome
c) A misinterpretation of depression
d) An anxiety disorder
b) A culture-bound syndrome
A nurse is assessing a patient who speaks limited English. The patient’s child offers to interpret. What is the best nursing action?
a) Accept the child’s offer to save time
b) Use a professional medical interpreter
c) Ask another staff member to translate, even if not trained
d) Communicate using hand gestures and basic words only
b) Use a professional medical interpreter
A nurse plans care for an Asian patient who views emotional restraint as a cultural value. Which intervention is most appropriate?
a) Encourage the patient to openly express emotions
b) Accept the patient’s use of nonverbal communication and respect cultural norms
c) Label the patient as resistant to therapy
d) Explain that withholding emotions delays recovery
b) Accept the patient’s use of nonverbal communication and respect cultural norms
A Middle Eastern patient avoids direct eye contact with the nurse. The most culturally sensitive response is to:
a) Document the behavior as a sign of depression
b) Recognize this as a possible cultural norm and continue building trust
c) Confront the patient about lack of eye contact
d) Increase verbal questioning to force engagement
b) Recognize this as a possible cultural norm and continue building trust?