The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include: (Select all that apply.)
a. mental illness reflects badly on the family.
b. mental illness shows moral weakness.
c. food choices influence one's health.
d. the mind, body, and spirit are merged.
e. intergenerational conflict is common.
A, B, D
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 common. Somatization and food are not commonly related. Intergenerational conflict has not been noted as a risk factor for somatization.
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