To provide culturally competent care, the nurse should

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Question 1 of 5

To provide culturally competent care, the nurse should

Correct Answer: D

Rationale: The correct answer is D because providing culturally competent care involves identifying strategies that align with the patient's cultural context. This includes understanding the patient's beliefs, values, and practices to deliver care that is respectful and effective. Choice A focuses on interpretation rather than action. Choice B involves assumptions about individual perceptions. Choice C is about reducing ethnocentrism, which may not be the primary goal of cultural competence.

Question 2 of 5

After teaching a class to a group of nursing students about the historical perspectives of mental health care, the instructor determines that the group has understood the information when they identify which of the following as a common belief about mental illness during the medieval period?

Correct Answer: A

Rationale: The correct answer is A: Mental illness in an individual was the result of being possessed by demons. During the medieval period, mental illness was often attributed to supernatural causes like demons. This belief led to practices such as exorcisms to 'cure' the person. This answer is correct as it highlights a common belief about mental illness during that time. Summary of why other choices are incorrect: B: A person was removed from a contaminated environment to protect him or her - This choice does not align with the historical perspective of mental health care during the medieval period. C: Exorcisms were used as the primary mode of treatment to cleanse the person of his or her sins - While exorcisms were used, the primary belief was that mental illness was caused by demons, not necessarily sins. D: The focus was on moral treatment to promote the individual's safety and comfort - Moral treatment was a later development in mental health care, not a common belief in the medieval period.

Question 3 of 5

The nurse is assessing a patient with anxiety and observes the patient yelling and screaming. The nurse, integrating Peplau's theory, interprets this behavior as which of the following?

Correct Answer: B

Rationale: Step-by-step rationale: 1. In Peplau's theory, the nurse-patient relationship is crucial. 2. Yelling and screaming may indicate the patient is releasing pent-up emotions. 3. Relief behaviors suggest the patient is expressing emotions to alleviate anxiety. 4. This behavior aligns with the nurse providing emotional support. 5. Panic behaviors (A) imply uncontrollable fear, not necessarily related to relief. 6. Empathetic linkage (C) involves connecting with patient emotions, not just observing. 7. Social distance (D) is about maintaining boundaries, not addressing emotional distress. Summary: Choice B is correct because it reflects the patient's expression of relief, which aligns with Peplau's theory of nurse-patient relationship. Choices A, C, and D are incorrect as they do not address the specific emotional dynamics observed in the scenario.

Question 4 of 5

A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient's brief psychiatric hospitalization. The nurse decides to use an 'exception question.' Which question would the nurse most likely use?

Correct Answer: B

Rationale: The correct answer is B: When do you not feel depressed? In Solution-Focused Brief Therapy, the focus is on identifying exceptions to the problem rather than exploring the problem itself. The nurse asking about when the patient does not feel depressed helps to highlight moments when the patient's depression is not as prevalent, allowing them to identify coping strategies and potential solutions. Choice A is incorrect because it focuses on the onset of depression rather than the exceptions. Choice C is incorrect as it delves into the contributing factors of depression rather than identifying moments of respite. Choice D is incorrect because it focuses on the conditions for feeling depressed rather than exploring when the depression is not present.

Question 5 of 5

A psychiatric mental health nurse is assessing a woman for possible factors related to suicide. Which of the following would the nurse be least likely to identify?

Correct Answer: A

Rationale: The correct answer is A: Smoking. The nurse would be least likely to identify smoking as a factor related to suicide because smoking is not directly linked to suicidal behavior. Poor self-rated health, low education, and drug use are all known risk factors for suicide, as they can contribute to feelings of hopelessness, isolation, and coping difficulties. Smoking, while harmful to physical health, is not typically considered a direct risk factor for suicide. Therefore, the nurse would focus more on exploring the other options to assess the woman's risk for suicide.

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