The sibling of an Asian American patient tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care for this patient? Persons of an Asian American heritage

Correct Answer: A

Rationale: The correct answer is A because it reflects the cultural understanding that individuals of Asian American heritage often tend to express emotional distress through physical symptoms. This is important for the nurse to recognize in order to provide appropriate care and support for the patient. Choice B is incorrect because assuming that Asian Americans will respond best to an impersonal therapist is a culturally insensitive generalization. Choice C is incorrect as it does not necessarily apply to all Asian Americans and their treatment needs. Choice D is incorrect as it overlooks the importance of understanding the cultural nuances in communication and emotional expression within the Asian American community.

Correct Answer: B

Rationale: The correct answer is B because individuals from a German cultural background often value and prioritize scientific evidence and rational thinking in acquiring knowledge. Germans have a strong tradition of scientific achievements and emphasis on logic and empirical evidence. This worldview aligns with the belief that science is the foundation of knowledge and provides tangible proof of existence. Choices A, C, and D are incorrect because: A: Knowledge acquired through affective senses is more subjective and based on personal feelings, which does not align with the German cultural emphasis on empirical evidence. C: Striving for transcendence of mind and body is more associated with Eastern philosophies like Buddhism or Hinduism, not typical of German cultural perspectives. D: The idea of knowledge evolving from a relationship with a supreme being is more aligned with religious beliefs, which may not necessarily reflect the worldview of a first-generation German-American who values scientific evidence and rational thinking.

Correct Answer: C

Rationale: The correct answer is C because a dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behavior. The client living with parents and relying on public transportation demonstrates an inability to function independently and relies on others for basic needs. Choice A focuses on social needs being met through pets, not necessarily dependence on others for care. Choice B mentions intense relationships, but not necessarily dependence for basic needs. Choice D describes characteristics more aligned with obsessive-compulsive personality disorder, not dependent personality disorder.

Correct Answer: B

Rationale: The correct answer is B because using a behavioral approach involves reinforcing positive behaviors. By contracting with the client to reinforce positive behaviors with unit privileges, it encourages the client to continue displaying appropriate behaviors. Secluding the client (choice A) may worsen feelings of abandonment, teaching about medications (choice C) may not directly address behavioral issues, and journaling (choice D) may not focus on reinforcing positive behaviors. Overall, choice B aligns best with the principles of behavioral interventions for BPD.

Correct Answer: D

Rationale: The correct answer is D. This statement demonstrates impulsivity, a common characteristic of cluster B personality disorders like borderline, histrionic, narcissistic, and antisocial. The individual in this statement acts without considering consequences (taking the ring without money). Choices A, B, and C do not reflect impulsivity or other characteristics typically seen in cluster B personality disorders.