A client from the West Indies refuses to participate in a group because of the presence of a per-son who "can put spells on him." The nurse recognizes a priority need to explore this client's:
1. Health-illness beliefs
2. Economic status
3. Home environment
4. Educational background
ANS: 1
Culture influences beliefs about health and illness, including causes of illness. What the nurse might label as delusional might be a culturally determined belief about illness causation. The oth-er assessments do not relate to the situation as directly.
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