A nurse has conducted a thorough assessment of a new client's cultural context prior to creating a care plan. Why is understanding a client's cultural context most important to a mental health worker?
A) Because it influences perceptions of health and illness
B) Because it influences the adoption of traditional gender roles
C) Because it helps the care provider avoid offending the client
D) Because it helps the care provider determine the client's prognosis
Ans: A
Feedback:
Culture can influence perceptions of health and illness greatly, as well as how, when, and why people seek treatment for health problems. Culture influences many aspects of psychiatric care, including self-perception, roles and relationships, family dynamics and interactions, attitudes toward medications, values, and community supports. An understanding of the client's cultural context also is necessary to appreciate the client's attitude toward the provider. Avoiding offence and accommodating gender roles are important, but perceptions of health and illness are paramount considerations.
You might also like to view...
During a therapy session, a patient cries as the nurse explores the relationship of the patient and her now-deceased mother. The patient sobs, "I shouldn't be blubbering like this." A response by the nurse that will hinder communication is:
a. "The relationship with your mother is very painful for you." b. "I can see that you feel sad about this situation." c. "Why do you think you are so upset?" d. "Crying is a way of expressing the hurt you're experiencing."
The Intensive Care Unit nurse is performing a cardiac assessment on a newly admitted 72-year-old client and notes the following findings: peripheral edema, jugular venous distention of 5 cm above the sternal angle when the client is at a 45
degree angle, and an enlarged liver. These findings are most consistent with which of the following disorders? 1. Pulmonary edema 2. Left-sided heart failure 3. Myocardial infarction 4. Right-sided heart failure
The nurse caring for a patient with AIDS who is taking cidofovir (Vistide) for a cytomegalovirus retinitis will modify the care plan to include:
a. provision of cool baths to reduce skin ir-ritation. b. provision of milk-based drinks to reduce gastritis. c. teaching direction in the use of an incen-tive spirometer to reduce pleural effusion. d. increasing fluid intake to reduce possible nephrotoxicity.
A client is complaining of pain in the lower left quadrant of the abdomen. The nurse prepares to percuss the abdomen and notes that the client has a great deal of hair on the lower abdomen. The nurse should:
1. Shave the client's abdomen. 2. Discontinue using percussion. 3. Moisten the abdominal hair. 4. Document that the client has hirsutism.