eBay:testbanks_and_xanax

ANS: A

Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.

PTS: 1 DIF: Cognitive Level: Understand (Comprehension)

REF: Page 5-12 TOP: Nursing Process: Assessment

MSC: Client Needs: Physiological Integrity

28. A nurse prepares to assess a newly hospitalized patient who moved to the United States 6 months ago from Somalia. The nurse should first determine a. if the patient’s immunizations are current. b. the patient’s religious preferences. c. the patient’s specific ethnic group. d. whether an interpreter is needed.

ANS: D

The assessment depends on communication. The nurse should first determine whether an interpreter is needed. The other information can be subsequently assessed.

PTS: 1 DIF: Cognitive Level: Apply (Application)

REF: Page 5-8 TOP: Nursing Process: Assessment

MSC: Client Needs: Psychosocial Integrity

Multiple Response

1. Which questions should the nurse ask to determine an individual’s worldview? (Select all that apply.)

a. What is more important: the needs of an individual or the needs of a community?

b. How would you describe an ideal relationship between individuals?

c. How long have you lived at your present residence?

d. Of what importance are possessions in your life?

e. Do you speak any foreign languages?

ANS: A, B, D

The answers provide information about cultural values related to the importance of individuality, material possessions, relational connectedness, community needs versus individual needs, and interconnectedness between humans and nature. These will assist the nurse to determine a patient’s worldview. Other follow-up questions are needed to validate findings.

PTS: 1 DIF: Cognitive Level: Apply (Application)

REF: Pages 5-3, 7, 29 (Table 5-2) TOP: Nursing Process: Assessment

MSC: Client Needs: Psychosocial Integrity a. Psychiatric nurses often practice in other countries. b. Psychiatric nurses must advocate for the traditions of the Western culture. c. Cultural competence helps protect patients from prejudice and discrimination. d. Patients should receive information about their illness and treatment in terms they understand. e. Psychiatric nurses often interface with patients and their significant others over a long period of time.

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

ANS: C, D, E

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.

PTS: 1

REF: Pages 5-15, 16

DIF: Cognitive Level: Understand (Comprehension)

TOP: Nursing Process: Evaluation

MSC: Client Needs: Psychosocial Integrity

3. The nurse should be particularly alert to expression of psychological distress through physical symptoms among patients whose cultural beliefs include (Select all that apply) a. mental illness reflects badly on the family. b. mental illness shows moral weakness. c. intergenerational conflict is common. d. the mind, body, and spirit are merged. e. food choices influence one’s health.

ANS: A, B, D

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.

PTS: 1

REF: Pages 5-10, 11

DIF: Cognitive Level: Understand (Comprehension)

TOP: Nursing Process: Assessment

MSC: Client Needs: Psychosocial Integrity