The nurse should be particularly alert to somatization of psychological distress among clients whose
cultural beliefs include the idea that (more than one answer may be correct)
A. mental illness reflects badly on a family.
B. mental illness is a significant moral weakness.
C. everyone should plan for the future.
D. mind, body, and spirit are merged.
E. intergenerational conflict is to blame.
ANS:
A, B, D
Rationale: Physical symptoms are seen as more acceptable in cultural groups in which
interdependence and harmony of the group are emphasized. Mental illness is often perceived as
reflecting a failure of the entire family. In groups in which mental illness is seen as a moral
weakness and both the individual and family are stigmatized, somatization of mental distress is
better accepted. In groups in which mind, body, and spirit are holistically perceived, somatization of
psychological distress is readily effected. Option C: Somatization is seen among clients with both
future and present orientation to time. Option E: Intergenerational conflict has not been noted as a
risk factor for somatization.
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