A Haitian patient diagnosed with depression tells the nurse, "There's nothing you can do. This is a punishment. The only thing I can do is see a healer." The culturally aware nurse assesses that the patient:
a. has delusions of persecution.
b. has likely been misdiagnosed with depression.
c. may believe the distress is the result of a curse or spell.
d. feels hopeless and helpless related to an unidentified cause.
ANS: C
Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be reticent to share information about curses with therapists. No data are present in the scenario to support delusions. Misdiagnosis more often labels a patient with depression as having schizophrenia.
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