2242 Exam 1
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of
the following statements by the nurse indicates an understanding of the teaching? (Select all
that apply)
"To assess cognitive ability, I should ask the client to count backwards by sevens."
"To assess affect, I should observe the client's facial expression."
"To assess language ability, I should instruct the client to write a sentence."
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological interventions?
Monitor the client for adverse effects of medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client review.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
Identify the client's perception of their mental health status.
A nurse is planning a peer group discussion about the diagnostics and statistics manual of
mental disorders, 5th Edition (DSM-5). Which of the following information is appropriate to
include in the discussion? (Select all that apply)
The DSM-5 establishes diagnostic criteria for individual mental health disorders.
The DSM-5 assists nurses in planning care for client's who have mental health disorders.
The DSM-5 indicates expected assessment findings of mental health disorders.
Which Western cultural feature may result in establishing unrealistic outcomes for patients of
other cultural groups?
Direct confrontation to solve problems
A psychiatric nurse leads a medication education group for Hispanic clients. This nurse holds a
Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After
the group, the clients are most likely to believe
the nurse was uncaring.
to provide culturally competent care, the nurse should focus on what action?
Identifying strategies that fit within the cultural context of the client.
A black client, originally from Haiti, has a diagnosis of major depressive disorder. A colleague
tells the nurse, "This client often looks down and is reluctant to share feelings. However, I've
observed the client spontaneously interacting with other clients of color." Select the nurse's best
response.
"The client may have difficulty communicating in English. Have you considered using a cultural
broker?"
A Haitian client diagnosed with major depressive disorder tells the nurse, "There's nothing you
can do. This is punishment. The only thing I can do is see a healer." The culturally aware nurse
assesses that the client is demonstrating what?
The believe that distress is the result of a curse or spell.
, A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A client, who was
recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this
behavior?
The military culture values timeliness. The client does not want to be late.
A nurse in the clinic has a full appointment schedule. A Hispanic American client arrives at 1230
for a 1000 appointment. A Native American client does not keep an appointment at all. What
understanding about the clients will improve the nurse's planning?
They are members of cultural groups that have a different view of time.
The sibling of an Asian American client tells the nurse, "My sister needs help for pain. She cries
from the hurt." Which understanding regarding persons of an Asian American heritage will help
the nurse contribute to culturally competent care for this client?
They often express emotional distress with physical symptoms.
Which communication strategy would be most effective for a nurse to use during an assessment
interview with an adult Native American client?
Soft voice, break eye contact occasionally; general leads and reflective techniques.
A Native American client sadly describes a difficult childhood. The client abused alcohol as a
teenager but stopped 10 years ago. The client now says, "I feel stupid and good for nothing. I
don't help my people." How should the treatment team focus planning for this client?
Use a holistic approach, including mind, body, and spirit.
A Native American client describes a difficult childhood and dropping out of high school. The
client abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago.
The client now says, "I feel stupid. I've never had a good job. I don't help my people." Which
nurse diagnosis applies?
Chronic low self-esteem
Which viewpoint of an Asian American family will most affect decision making about care?
The father is the authority figure.
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a
hospitalized Asian American client diagnosed with a mental illness?
Involving the client's family to assist with activities of daily living.
A nurse speaks with family members of a Chinese American parent recently diagnosed with
major depressive disorder. Which comment by the nurse will the family find most comforting?
"The nursing staff will take good care of your parent."
A client in the emergency department shows a variety of psychiatric symptoms, including
restlessness and anxiety. The client says, "I feel sad because evil spirits have overtaken my
mind." Which worldview is most applicable to this individual?
Indigenous/harmony
A nurse prepares to teach important medication information to a client of Mexican heritage. How
should the nurse manage the teaching environment?
Stand very close to the client while teaching.
A Chinese American client diagnosed with an anxiety disorder says, "My problems began when
my energy became imbalanced." The nurse asks for the client's ideas about how to treat the
imbalance. Which comment would the nurse expect from this client?
"My family will bring special foods to help me get well."
A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of
the following statements by the nurse indicates an understanding of the teaching? (Select all
that apply)
"To assess cognitive ability, I should ask the client to count backwards by sevens."
"To assess affect, I should observe the client's facial expression."
"To assess language ability, I should instruct the client to write a sentence."
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological interventions?
Monitor the client for adverse effects of medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client review.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
Identify the client's perception of their mental health status.
A nurse is planning a peer group discussion about the diagnostics and statistics manual of
mental disorders, 5th Edition (DSM-5). Which of the following information is appropriate to
include in the discussion? (Select all that apply)
The DSM-5 establishes diagnostic criteria for individual mental health disorders.
The DSM-5 assists nurses in planning care for client's who have mental health disorders.
The DSM-5 indicates expected assessment findings of mental health disorders.
Which Western cultural feature may result in establishing unrealistic outcomes for patients of
other cultural groups?
Direct confrontation to solve problems
A psychiatric nurse leads a medication education group for Hispanic clients. This nurse holds a
Western worldview and uses pamphlets as teaching tools. Groups are short and concise. After
the group, the clients are most likely to believe
the nurse was uncaring.
to provide culturally competent care, the nurse should focus on what action?
Identifying strategies that fit within the cultural context of the client.
A black client, originally from Haiti, has a diagnosis of major depressive disorder. A colleague
tells the nurse, "This client often looks down and is reluctant to share feelings. However, I've
observed the client spontaneously interacting with other clients of color." Select the nurse's best
response.
"The client may have difficulty communicating in English. Have you considered using a cultural
broker?"
A Haitian client diagnosed with major depressive disorder tells the nurse, "There's nothing you
can do. This is punishment. The only thing I can do is see a healer." The culturally aware nurse
assesses that the client is demonstrating what?
The believe that distress is the result of a curse or spell.
, A group activity on an inpatient psychiatric unit is scheduled to begin at 1000. A client, who was
recently discharged from U.S. Marine Corps, arrives at 0945. Which analysis best explains this
behavior?
The military culture values timeliness. The client does not want to be late.
A nurse in the clinic has a full appointment schedule. A Hispanic American client arrives at 1230
for a 1000 appointment. A Native American client does not keep an appointment at all. What
understanding about the clients will improve the nurse's planning?
They are members of cultural groups that have a different view of time.
The sibling of an Asian American client tells the nurse, "My sister needs help for pain. She cries
from the hurt." Which understanding regarding persons of an Asian American heritage will help
the nurse contribute to culturally competent care for this client?
They often express emotional distress with physical symptoms.
Which communication strategy would be most effective for a nurse to use during an assessment
interview with an adult Native American client?
Soft voice, break eye contact occasionally; general leads and reflective techniques.
A Native American client sadly describes a difficult childhood. The client abused alcohol as a
teenager but stopped 10 years ago. The client now says, "I feel stupid and good for nothing. I
don't help my people." How should the treatment team focus planning for this client?
Use a holistic approach, including mind, body, and spirit.
A Native American client describes a difficult childhood and dropping out of high school. The
client abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago.
The client now says, "I feel stupid. I've never had a good job. I don't help my people." Which
nurse diagnosis applies?
Chronic low self-esteem
Which viewpoint of an Asian American family will most affect decision making about care?
The father is the authority figure.
Which intervention best demonstrates that a nurse correctly understands the cultural needs of a
hospitalized Asian American client diagnosed with a mental illness?
Involving the client's family to assist with activities of daily living.
A nurse speaks with family members of a Chinese American parent recently diagnosed with
major depressive disorder. Which comment by the nurse will the family find most comforting?
"The nursing staff will take good care of your parent."
A client in the emergency department shows a variety of psychiatric symptoms, including
restlessness and anxiety. The client says, "I feel sad because evil spirits have overtaken my
mind." Which worldview is most applicable to this individual?
Indigenous/harmony
A nurse prepares to teach important medication information to a client of Mexican heritage. How
should the nurse manage the teaching environment?
Stand very close to the client while teaching.
A Chinese American client diagnosed with an anxiety disorder says, "My problems began when
my energy became imbalanced." The nurse asks for the client's ideas about how to treat the
imbalance. Which comment would the nurse expect from this client?
"My family will bring special foods to help me get well."
