A nurse is caring for a patient with a major psychiatric illness. That patient comes from a different culture than the nurse. What is the nurse's best rationale for using the Cultural Formulation Interview (CFI) when assessing this patient?
1. It is used to inquire about the patient's health care practices based on the patient's culture and to identify areas of improvement.
2. It is used to guide the nurse to self-reflect his or her own judgments regarding the patient's culture and current mental illness.
3. It is used to elicit the patient's cultural understanding of the mental illness and to clarify the role of social and cultural influences.
4. It is used to guide the nurse to appropriate interventions based on the patient's cultural practices and to clarify the nurse's understanding about the patient's culture.
Answer: 3
Explanation: The Cultural Formulation Interview (CFI) may be used by any clinician, including the nurse, to elicit the patient's cultural understanding of the mental illness and to clarify the role of social and cultural influences on the patient's health status. This tool is used to gain information from and about the patient, not to guide the nurse to self-reflect or to appropriately choose interventions. This tool does not help to identify areas of improvement to the patient's current heath care practices.
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