A Haitian client who has been diagnosed with depression tells the nurse that "There's nothing you
can do. I'm being punished. The only thing I can do is see Sister Ondine. She's the only one who
can take away curses.".
How might the culturally knowledgeable nurse assess the situation? The
client
a. is feeling hopeless, helpless, and worthless related to some yet-to-be-established
cause.
b. may have a delusion of persecution.
c. has probably been misdiagnosed.
d. may believe her distress resulted from a spell cast upon her.
ANS: D
Culturally diverse individuals of African American or Caribbean cultures who have a fatalistic
attitude about illness may believe they are being punished for wrongdoing or that they are victims of
witchcraft or voodoo. They are usually more reticent to share information about curses with
therapists than the client in this scenario, however. Options A and B: No data are present in the
scenario to support these assessments. Option C: Misdiagnosis more commonly labels a client with
depression as having schizophrenia.
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Congenital adrenal hyperplasia (CAH) is suspected in a newborn because of ambiguous genitalia. The parents are appropriately upset and concerned about their child's gender. In teaching the parents about CAH, what should the nurse explain?
a. Reconstructive surgery as a female is preferred. b. Sexual assignment should wait until genetic sex is determined. c. Prenatal masculinization will strongly influence the child's development. d. The child should be raised as a boy because of the presence of a penis and scrotum.
The labor and birth nurse is admitting a patient. The nurse's assessment includes asking the patient whom she would like to have present for the labor and birth, and what the patient would prefer to wear
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A client is experiencing an acute attack of gout. The nurse should be prepared to provide which of the following medications as prescribed?
1. Allopurinol 2. Colchicine 3. Probenecid 4. Sulfinpyrazone