You are working as an on-call emergency mental health clinician in a large American city. You are called to the emergency department to assess a second-generation American of an immigrant family
To provide culturally competent care, your assessment needs to be based on all EXCEPT which of the following? a. the culture of origin
b. the culture of the society where treatment is being initiated
c. your own cultural norms related to mental illness and treatment
d. client's display of objective signs of mental illness as defined by the DSM-IV
D
The nurse's assessment would not be based on displays of objective signs of mental illness as defined by the DSM-IV due to differing cultural norms for behavior. What may be seen as a clear sign of mental illness in one culture (e.g., talking to spirits, spontaneous chanting) could be perfectly normal in the client's culture. The nurse must use all of the information available, including knowledge of the client's culture, to make an assessment.
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A client who is a Jehovah's Witness is scheduled to undergo a total hip replacement. Which of the following could affect this client's recovery?
a. Because she does not eat meat, it will be difficult for her to get enough protein for healing. b. If a blood transfusion is needed, she will probably refuse it because her religious group is opposed to blood transfusions. c. She must receive Holy Communion before surgery, which may delay the surgery. d. Any removed body parts or tissue must be buried.
The nurse is writing a client goal for the new elderly client just admitted. The nurse is using which part of the nursing process?
a. assessment c. implementation b. evaluation d. planning
Encourage patient independence with activities of daily living.
Answer the following statement true (T) or false (F)
When describing the minority status of men in nursing, which fact would be the most appropriate to include?
A) Often results in advantages, including hiring and promotion that help rather than hinder their careers, unlike women in male-dominated professions B) Often results in an economic disadvantage to male nurses, with male nurses earning up to 10% less than their female counterparts C) Is difficult to change because traditional health care organizations were organized and managed along the lines of matriarchal family structures favoring female dominance D) Is likely to improve because men are leaving nursing due to job dissatisfaction at a proportionately lower rate than are women