Which considerations should a nurse include when conducting a mental health assessment on a culturally diverse patient Select all that apply

Question

a. Men and women are equally likely to seek psychiatric health care.
b. The role that spirits and magic play in a patient's belief system is cultural based.
c. Rituals are only deemed obsessive when applied to the patient's cultural stand-ards.
d. Agoraphobia is more difficult to assess in cultures that restrict female socializa-tion.
e. The nurse should consider the universal application of the Diagnostic and Statis-tical Manual (DSM-IVTR).

Answer 1

ANS: B, C, D
Some cultures restrict women's participation in public activities; thus agoraphobia is less commonly diagnosed. Fears of magic and spirits are present in many cultures and are patho-logic only when they are deemed excessive in the context of that culture. Many cultures have rituals to mark important events in people's lives. The observation of these rituals is not in-dicative of OCD unless it exceeds norms for that culture, is exhibited at times or places that are inappropriate for that culture, or interferes with social functioning. Most research that supports the development of the Diagnostic and Statistical Manual, ed 4, text revision (DSM-IVTR) classification occurred in the United States; consequently, symptoms that de-fine disorders are representative of U.S. culture. Overall, women are more likely than men to present for treatment or to come in contact with health care providers.