The nurse is caring for a patient from the Pacific Islander culture who presented to the emergency department with symptoms of both depression and an acute cardiac event. What mental health problem, unique to the patient's culture, does the nurse suspect?
1. Zar
2. Falling out
3. Wincinko
4. Sinking heart
Answer: 4
Explanation: Individuals from the Pacific Islander culture may present with sinking heart, with symptoms of both depression and an acute cardiac event. Falling out is associated with the African American culture and describes a sudden collapse without warning in response to trauma. Zar is a mental health problem associated with the African American culture that describes an altered state of consciousness in which the person is possessed by a spirit. Wincinko is a term used by the American Indian and Alaskan Native populations to indicate feelings of anger, withdrawal, mutism, and suicide in response to interpersonal disappointment.
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