Quiz #1: Social, Cultural And Spiriutal Context Of Psychiatric Nursing Care

Question 1

Disparities in Mental Health Care in Minorities

Answer 1

• Striking disparities are found for racial, ethnic and sexual minorities.
• Greater burden of mental illness on minorities
• Cultural competency is a necessary step in the elimination of these disparities and treatment of mental illness.

Question 2

Functions of Culture include

Answer 2

• Perception
• Motives
• Behavior
• Identity
• Values
• Communication
• Emotions

Question 3

Perception of Reality

Answer 3

Based on a cultural interpretation

Question 4

Motives for behavior are conditioned by

Answer 4

Values of a culture

Question 5

Personal behavior reflects

Answer 5

Integration of cultural norms

Question 6

Cultural Desire

Answer 6

Motivation of nurse to want to engage in becoming culturally competent

Question 7

Cultural Awarenss

Answer 7

Conscious self-examination and in-depth exploration of one’s own personal biases, stereotypes, prejudices and assumptions about people who are different.

Question 8

Cultural Knowledge

Answer 8

Seeking and obtaining a sound educational base about different cultures

Question 9

Cultural Skill

Answer 9

Collecting relevant cultural data regarding patient’s presenting problem and perform culturally based assessment

Question 10

Cultural Encounters

Answer 10

Face-to-face interactions with culturally diverse patients

Question 11

Sociocultural Stressors Include

Answer 11

1. Disadvantagement: Lack of socioeconomic resources
2. Discrimination: Differential treatment not based on merit
3. Intolerance
4. Prejudice: Preconceived, unfavorable belief about individuals or groups that disregards thought or reason
5. Racism
6. Stereotype
7. Stigma: Attribute or trait by the person’s social environment as unfavorable

Question 12

Implications to Assessment, Diagnosis and Treatment

Answer 12

• Using sociocultural information is NOT stereotyping. Knowledge, thought, reason, and common sense/intuition need to be used though
• Central responsibility of the nurse is to understand what the illness means to the patient
• Therapeutic nurse-patient interactions
• Support adaptive patient beliefs and strive to incorporate them into nurse-patient interactions

Question 13

Psychopharmacology and Culture

Answer 13

• Patient’s ethnicity, gender, beliefs, and age can impact pharmacokinetics, pharmacodynamics, effectiveness, and side-effect risks
• Herbal medicines and alternative therapies are used extensively by many different people in the U.S. (e.g., St. Johns Wart)

Question 14

Risk and Protective Factors

Answer 14

• Risk: individual characteristics that increase potential for illness onset, decrease the potential for recovery or both (i.e poverty)
• Protective: can decrease potential for illness onset, increase the potential for recovery or both. (I.e spirituality, religion, social support)