A psychiatric–mental health nurse working in a Veterans Administration medical center is meeting with a military wife who is Asian American. The woman will be joining a support group for wives of veterans who have posttraumatic stress disorder
When asking the wife to describe her husband's mental health problems, which response would the nurse most likely expect?
A) "Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family."
B) "I know the war messed his mind up. He'll never be the same."
C) "Sometimes he hallucinates that he is back in Vietnam."
D) "He just stays to himself; he never talks to me about what is bothering him."
Ans: A
Generally, Asian cultures have a tradition of denying or disguising the existence of mental illness. In many of these cultures, it is an embarrassment to have a family member treated for mental illness, which may explain the extremely low utilization of mental health services. The response about the war messing up his mind, or the statement about hallucinations, reflects some acknowledgement of a mental health problem. The response about staying to himself and never talking about what is bothering him also indicates some understanding of an underlying problem.
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