A nurse in a mental health clinic is conducting a staff education session on schizophrenia

When working in mental health settings, the nurse recognizes that the Standards of Nursing Practice guide practice in what ways? Select all that apply.

• Clearly state the responsibilities of the nurse providing care • Provide a framework to direct the focus of the nursing care given • Supply a means to evaluate appropriateness of nursing care provided • Help define realistic public expectation of provided nursing care

The geriatric psychiatry nurse understands that the DSM-5 describes all mental disorders with specific criteria. Which are the purposes of the the DSM-5? Select all that apply.

To provide a standardized nomenclature and language for all mental health professionals. • To present defining characteristics or symptoms that differentiate specific diagnoses. • To assist in identifying the underlying causes of disorders.

The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR) classifies mental illness based on which of the following?

• Descriptive symptomatology

A parent is trying to teach a child good manners. Every time the child performs a desired behavior, the parent rewards the child with praise. What type of reinforcement is the parent using?

What is the primary benefit of the DSM-5 to the student nurse's practice with the mentally ill population?

Encourages the building of a knowledge base about the nature of psychiatric illnesses.

Which defense mechanism is being used when a student decides not to think about a parent's illness but to rather concentrate on studying for an upcoming test?

When discussing a client's mental health condition with someone other than the health care team, the nurse must be aware of which of the following?

Breach of confidentiality

Short-term use of restraints is permitted only in which situation?

The client is imminently aggressive and a danger to the self or others

Religion can result in negative consequences for physical or mental health if it does what?

Encourages an avoidance of traditional treatment

It is important for psychiatric–mental health nurses to understand the basis of the various religious beliefs of their clients due to which of the following?

• Clients' religious beliefs often influence their approach to mental health care and mental illness.

Which drug classification is the primary medication treatment for schizophrenia?

Which of the following is a primary concern with clients taking antidepressants?

A group of nursing students are reviewing information related to drug therapy for mood disorders. The students demonstrate understanding of the information when they identify which agent as the gold standard for treating bipolar disorder?

Upon admission to hospital, which of the following is paramount between the nurse and client?

• Establishing a trusting relationship

Which of the following is the highest priority for admission to inpatient care?

• Safety of self or others

a significant lack of emotional responsiveness

exaggerated belief in ones own, a significant lack of emotional responsiveness importance and powers

A mixture of words and phrases, often-including neologisms, that lack comprehensive meaning or logical coherence

• In thinking, the association of words by sound rather than meaning, often resulting in nonsensical rhymes and puns

• the coinage of new words, often by condensing several other words, each of which has a special meaning for the person

Which aspect of the mental status exam refers to information about how the client's thoughts connect to one another?

When initiating an assessment, the nurse should use which type of questioning?

Which is one of the most common reasons clients are often concerned about confidentiality of treatment for mental health problems?

They are worried about the opinions of people who know them outside the hospital, due to shame produced by societal views of mental illness.

The nurse-client relationship is classified as which type of relationship?

After spending 15 minutes talking with a client, the client leaves the interaction feeling defensive. This is evidence that the communication can be described as what?

the fabrication of stories in response to questions about situations that are not recalled.

What is the ultimate goal of expanding nursing knowledge through nursing research?

• Learn improved ways to promote and maintain health

A nurse is teaching a family about the fraudulent aspects of quackery. The nurse includes which of the following statements in the teaching plan?

• The practice of quackery gives false hope to genuinely suffering people

The nurse's primary commitment is to the health, safety, and welfare of people placed in his or her care, as well as to the public. This commitment is provided through evidence-based care. What does the term evidence-based care mean?

Care that integrates the best available evidence from research with clinical expertise

As competent and moral practitioners, nurses are obligated to provide evidence-based care. What does the term "evidence-based care" mean?

Care that involves making decisions by integrating the best available evidence from research with clinical expertise

A child is being seen in the office for severe neglect by his father. The child cries when even talking about the father. This child may be diagnosed with which of the following DSM-IV-TR diagnoses?

• Reactive attachment disorder (RAD)

Which of the following is a possible side effect of ECT?

Which of the following indications is the primary use for ECT?

Major depression with psychotic features

Phototherapy is used as a treatment of which of the following mood disorders?

• Seasonal affective disorder (SAD)

A client with depression has been admitted for a medical workup preliminary to electroconvulsive therapy (ECT) treatments. While teaching the client and family about what to expect immediately after the ECT, which of the following nursing statements would be appropriate?

“The client will likely experience some confusion and disorientation after the treatment.”

The most common therapy for seasonal affective disorder includes which of the following?

What is electroconvulsive therapy the most effective treatment available for?

Major depression that has not responded to medication

You are working with a 56-year-old female who is a candidate for ECT. The client states, “I would think about doing this ECT, but I heard that I won't remember anything after I wake up, and that scares me very much.” The most therapeutic nursing response to the client's statement is what?

• “I understand your concern. You may experience some short-term memory loss right after the procedure, but it is not a long-term effect.”

A client with a diagnosis of depression has not seen her mood and affect improve with the use of antidepressants, and the worsening of her symptoms has prompted her physician to order ECT. Which of the nurse's following teaching points about the procedure is most accurate?

“Even though the exact way that ECT helps depression isn't known, the therapy has been shown to be safe and effective.”

You are the team leader on the unit during the 7 PM to 7 AM shift. The staff members on your unit enjoy their work and have good working relationships with each other. Often they are heard laughing loudly while walking down the hall. Which of the following actions on your part provides for the most effective and quality patient care?

• Remind the staff to keep volume at a minimum, considering most patients are trying to sleep.

Clients suffering from which sleep disorder may be helped by losing excess weight and using oral appliances during sleep?

Obstructive sleep apnea–hypopnea syndrome (OSAHS)

Narcolepsy, a disorder characterized by excessive daytime sleepiness and cataplexy (sudden bilateral loss of postural muscle tone), is effectively treated with ...

administration of methylphenidate (Ritalin).

A child is diagnosed wtih a parasomnia occurring during the non-REM stage of sleep. The child's history reveals emotional experiences that are frightening. Which condition would the nurse most likely suspect?

When performing a nursing history with a client reporting a sleep disturbance, it is important to assess for which potential contributing factor to sleep difficulties?

A patient with schizophrenia is managing his illness with the antipsychotic Clozaril (clozapine). During his clinic visit he complains of not feeling rested during the day. As the nurse seeing patients on an outpatient basis, you would encourage the patient to do which of the following?

Take his dose of Clozaril at bedtime.

During an admission interview, a client informs you that she has been taking an over-the-counter sleeping pill. She asks you if the pill will interact with any medications. You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. You made this statement based on the knowledge that most OTC sleeping pills contain which of the following?

In order to evaluate a client's understanding of the effects of a newly prescribed psychotropic medication, the nurse should assess the client's knowledge level for which information? Select all that apply.

Reason for taking the medication • Possible adverse reactions to the medication • Possible medication substitutions that can be made as needed • Consequences of nonadherence to the medication

With regard to the principles of psychotropic medication management and administration with children and adolescent clients,

• the principles are the same for both.

A psychiatric-mental health nurse practitioner is conducting a class on the pharmacodynamics of psychiatric medications for a group of psychiatric-mental health nurses. The nurse practitioner determines that additional education is needed when the group identifies which as a site of action?

A nurse is preparing a continuing education presentation about various psychopharmacologic agents for a group of psychiatric–mental health nurses. The nurse is planning to discuss selective serotonin reuptake inhibitors. Which agents would the nurse include in this group? Select all that apply.

When attempting to ensure the client's long-term compliance with care plan interventions for PTSD, the nurse should employ which of the following interventions?

• Determine what motivates the client

An individual tells the nurse, "I have to check each door in the house before I go to bed each night so that I can go to sleep." Which interpretation by the nurse would be most appropriate?

The client has a routine that would not likely be considered pathologic

During the admission assessment, a client with a history of obsessive-compulsive disorder (OCD) denies performing any compulsive handwashing rituals for several months. However, the nurse observes that the client's hands appears reddened and raw. What is the nurse's best action?

Ask the client if this can be confirmed by family members

Cold temperatures and loud noises are stressors to one person but not another. Why does this occur?

Although the perception is the same, the response is individualized.

A nurse is caring for a client who has been diagnosed with OCD. The nurse is preparing a plan of care. Which is a safety priority for the nurse to observe?

eating, drinking, and elimination

The nurse is interviewing a client who is being treated for obsessive-compulsive disorder (OCD). The client's compulsions involve cleanliness rituals, which the client justifies by describing potential contaminants in great detail. The nurse interprets the client's statement as implying that:

• the client may lack insight into the diagnosis.

A client has been diagnosed with hypochondriasis. The client begins to complain of sudden chest pain. Which of the following actions should the nurse take initially?

• Ask the client to calm down

Motivated by research findings, when interviewing a female teenager who recently announced her homosexuality, the nurse best assesses for safety risks when asking ...

• "How do you think your mother is accepting your sexuality?"

The primary reason for considering cultural issues when caring for the client with somatization disorders is what?

Somatization disorders differ in type and frequency of symptoms and depend on the culture in which they are expressed.

A client believes that his teeth are too large and that no one finds him attractive. Which type of somatoform disorder is this client most likely suffering from?

Which medication classification has been shown to be effective in some cases of somatoform disorders?

• Serotonin reuptake inhibitors (SSRIs)

A client is admitted to the mental health unit because the client was found trying to inject diluted feces into the client's hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect what?

Munchausen's syndrome by proxy

Which is a dental complication associated with purging?

• Erosion of dental enamel

During an initial interview at a clinic, a young client states that there is nothing wrong with the client. Which would indicate to the nurse that this client might have anorexia nervosa?

Severe weight loss due to self-imposed dieting

A nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, “This is a stupid waste of time!” Which response by the nurse would be most appropriate?

"You sound irritated; tell me about what is bothering you."

A client has an eating disorder characterized by consuming an amount of food much larger than a person would normally eat. Afterward, the client often purges the food or exercises excessively. Between binges, the client often eats low-calorie foods or fasts. What is the client’s most likely diagnosis?

A mental health nurse is caring for a client who is obsessed with a blemish on the client's face and states, “I am so ugly.” The client has been unable to work for the past 2 days. The client is suffering from which medical problem?

A client is being seen in the health clinic. During the nursing assessment, the client states that she has amenorrhea for the last 6 months. She weighs 80 pounds and is 5'2” tall. She states that she usually eats salads so that she does not gain weight. The nurse suspects that the client most likely has ...

All of the following nursing diagnoses are appropriate for the care of a client with anorexia nervosa. Which nursing diagnosis has the priority?

Imbalanced nutrition: less than body requirements

A 21-year-old client admits to recently using diuretics and laxatives to lose weight quickly. The client doesn't want to feel fat in a bathing suit on vacation. The client's sodium level is 150 mEq/L; potassium level is 3.2 mEq/L. The client is 5 feet tall, weighs 100 pounds, and has lost 15 pounds in 3 weeks. Which goal is a priority at this time?

Stabilize electrolyte levels.

Clients with anorexia nervosa become totally absorbed in their quest for weight loss and thinness. An exacerbation of anorexia nervosa results from the client's effort to ...

Gain control of one part of her life

A client states, "I'm worthless, and I don't deserve to live." This theme in the client's expressed thought may signal a maladaptive response to which disorder?

According to the biochemical theory of mood disorders, a client with a diagnosis of depression is likely to have alterations in the levels and function of which neurotransmitters?

Serotonin, norepinephrine, and dopamine

The nurse is conducting an admission assessment for a client with major depressive disorder. Which is the priorityassessment for the nurse?

A client with depression is admitted to an inpatient psychiatric unit. The nurse provides a unit orientation. While observing the client's unpacking, the nurse can expect the client to exhibit what?

• Slow movements and flat affect

When developing the plan of care for a client with major depression, which is the priority?

A client's physician has prescribed paroxetine for the treatment of the client's depression. Which teaching points should the nurse include in the client education related to this treatment?

• “Make sure that you don't change the quantity or timing of your medication without first consulting your doctor.”

A client diagnosed with depression is being treated with Phenelzine (Nardil). The nurse should teach the client to avoid which of the following foods?

A 27-year-old woman has a 4-month-old baby. For the past 3 months, the client has been experiencing intense sadness, anxiety, and hopelessness. After having thoughts of killing her baby, she decided to seek help. What is the likely the cause of this client's experience?

A parent of four small children lost a spouse in an automobile accident 3 months ago and is admitted to the hospital with severe depression. Since the spouse's death, the client's mood has been somber; until now, the client has refused treatment. What is this client at high risk for?

The nurse is caring for a client diagnosed with bipolar disorder. During a manic episode, which takes priority?

A client with bipolar disorder is admitted to the psychiatric unit. The client is talking loudly, walking back and forth rapidly, and exhibiting a short attention span. Which of the following would the nurse do first?

Decrease the client's environmental stimuli

In response to a change in the community health nurse, a client has recently discontinued use of lithium. As a result of the discontinuation of the medication, the client has began to exhibit early signs of mania. The client is brought to the emergency department at the hospital for assessment. Which is the best nursing approach for this client?

• Setting limits, providing a low-stimulation environment, and maintaining a neutral attitudeDefinition

The client suffers from bipolar disorder. The client is experiencing a downward spiral. For which drug should the nurse expect the client to require serum level monitoring?

A client has been on lithium for 3 weeks now. The client approaches the nurse, saying, "I feel like I'm going to throw up, and I can't even hold this cup of coffee straight. Why can't I do the crossword puzzle? I usually can do them in about 5 minutes." What is the appropriate nursing intervention at this time?

• Further assess the client's symptoms, call the physician, hold the client's next dose of lithium, and have a blood level drawn because the client is showing symptoms of toxicity.

A client whose mania is related to a medical condition asks why the physician has prescribed carbamazepine instead of lithium. Which is the nurse's best response?

"This drug is best for clients who do not respond to lithium or whose mania is related to a medical condition, as is yours."

The nurse is assessing a 42-year-old client who is experiencing depression. The client's mother died by suicide 20 years ago. Which statement regarding this client's risk for suicide is correct?

• The client has a greater risk for suicide than the general population.

A nurse providing community education for parents regarding adolescent suicide should include in the teaching session that the most frequent cause or motive for suicide in this age group is what?

Feelings of alienation or isolation

A client on the inpatient psychiatric–mental health unit was discovered attempting to asphyxiate himself or herself using a blanket. Which measure should the care team prioritize in the client's immediate care?

Placing the client under constant observation

A 50-year-old client who has recently been diagnosed with a chronic degenerative illness has announced to the nurse the intention to commit suicide in order to prevent future suffering. Which fact should underlie the nurse's response to this client?

The nurse is obliged to protect the client from self-harm.

A nurse is caring for a white, 30-year-old man whose wife has recently died. The client has been diagnosed with clinical depression and is demonstrating insufficient coping skills. Which action by the nurse would be most important?

• Ask the client whether he is thinking about killing himself.

A 16-year-old client is highly disruptive in class and has been in trouble at home. The client's parent recently found the client torturing a cat. When the parent questioned the client about how the client could hurt an animal, the client laughed. Which condition will the client most likely be diagnosed with?

A nurse is seeing a female client who has been mandated to counseling sessions after shoplifting numerous times. Which disruptive behavior disorder is the client most likely experiencing?

The nurse is planning an initial therapy session with a client age 20 years whose parents had alcoholism. The nurse anticipates that the client would most likely exhibit:

Teaching for parents of children with pervasive developmental disorder should include which of the following?

Maintaining a structure in the child's daily activities to minimize disruption

After educating the parents of a child diagnosed with ADHD on the disorder and its treatment, the nurse determines that the education has been effective when the parents state which of the following?

• “We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention.”

A nurse is seeing an adolescent with a diagnosis of conduct disorder for the first time to establish goals for treatment. During the first meeting, the adolescent yells a profanity at the nurse and states, "This is pointless." What is the nurse's best response?

• "I want to continue to work with you but I don't accept the language you have chosen."

The nurse is conducting a health history of a 35-year-old male client with a history of intermittent explosive disorder, diagnosed in adolescence. The nurse should include an assessment of which health issue?

• increased blood pressure

A nurse is studying the brain images of children with attention deficit hyperactivity disorder (ADHD). In these images, the nurse would find abnormalities related to which area of the brain?

When assessing a client with borderline personality disorder (BPD), which behaviors would the nurse expect to find? Select all that apply.

• Repeated, frequent crisis episodes • Self-directed anger • Learned helplessness • Deceptive competence

An individual with a personality disorder is having intense ranges of emotions that are often inappropriate. In what category of personality symptoms would these manifestations fall?

When assessing a client diagnosed with a Cluster B personality disorder, the psychiatric nurse recognizes that the client is likely to have experienced (Select all that apply.)

• Substance abuse • Suicidal ideations • Poor impulse control

Clinical manifestations of borderline personality disorder (BPD) begin in which period?

A client is diagnosed with paranoid personality disorder. Which would the nurse expect to assess? Select all that apply.

• Anger as a emotional response • Distancing self from others • Tendency to be rigid and controlling Definition

When documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use which terms?

• Impulsive, self-destructive, unstable

A 30-year-old client who has not paid rent in 4 months is being evicted from an apartment. The client is brought to the hospital after the client uses a kitchen knife to cut the client's wrist in response to the stress of the eviction. The client's behavior is consistent with what?

Borderline personality disorder

Which of the following clusters of personality disorders is represented by individuals who appear anxious or fearful and includes avoidant, dependent, and obsessive-compulsive personality disorders?

Which of the following is a combination of jumbled words and phrases that are disconnected or incoherent and make no sense to the listener?

During a client interview, a client states that "God has sent me a special message. I'm the only one who can carry out his plan." The nurse interprets this statement as suggesting which type of delusion?

A client had been withdrawn in the client's room for 3 days, not eating or sleeping, prior to his admission to the inpatient unit. Upon interview, the client demonstrates difficulty answering questions, appears to have no facial expressions, and cannot follow simple instructions. This cluster of symptoms can be described as what?

The most defining characteristic of undifferentiated schizophrenia is which of the following?

Displays both positive and negative symptomology

What are the signs and symptoms of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders?

Schizophrenia lasts at least 6 months and includes at least 1 month of 2 or more active-phase symptoms.Schizophrenia lasts at least 6 months and includes at least 1 month of 2 or more active-phase symptoms.Definition

The client's diagnosis of schizoaffective disorder is supported when the nurse documents what?

The client reports "hearing voices" for the last 3 months

Which medication is used to prevent Wernicke-Korsakoff syndrome?

A nurse observes a colleague who has unsteady gait and slurred speech. The nurse suspects that the colleague, a nurse, is impaired. Which would be the appropriate action to take?

Report the colleague's behavior to the supervisor.

A client is being treated on the inpatient unit for alcoholism. Disulfiram (Antabuse) has been prescribed for a client receiving treatment for alcoholism. Which of the following should be included in the client's plan of care?

• Avoid all products containing alcohol

While at a nightclub, an adolescent male consumed a pill handed to him by a friend. His friends brought him to the emergency room after he collapsed at the club. When the nurse takes his temperature, a reading of 105°F is obtained. The pill was most likely which of the following?

The nurse is performing a history and physical examination on a client with chronic alcoholism. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Which of these conditions are attributable to the client's history of alcohol abuse?

All the conditions are attributable to the alcohol abuse

After educating a group of nurses about caffeine, the group leader determines that the education was successful when the group identifies which finding as indicating intoxication? Select all that apply.

• Restlessness • Nervousness • Excitement • Insomnia • Urinary retention

A nurse is describing the effects of inhalants to a group of high school students attending a substance abuse prevention class. Which effects would the nurse include in the description? Select all that apply.

• Slurred speech • Hallucinations • Euphoria • Dizziness

An adult client has been an abusing alcohol for the past 30 years. Recently, he has been experiencing difficulty with memory and judgment. He has lost his job due to his problems with memory. What condition is the client most likely experiencing?

When educating the public concerning marijuana use, the nurse should emphasize that heavy and regular use of marijuana is likely to result in which of the following problems?

Psychological dependence with an increased risk for self-harm

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

When interacting with a client in the day room, the nurse determines that a violent outburst is imminent. Which of the following should the nurse do first?

A nurse is working with a client on strategies to help disrupt the pattern associated with the escalation of his aggression. Which of the following would the nurse most likely include in the education plan? Select all that apply.

"Try counting to 10 when you begin to have those feelings." • "Attempt to do something different, like watch television to help distract you." • "Remove yourself from the situation when you start to have the feelings."

When assessing a client's anger, which of the following must be assessed first?

Underlying cause of the anger

Nurses who work with children should be on alert for which physical signs of child abuse?

Unexplained cuts, bruises, burns, and scars

The primary caregiver for her 78-year-old uncle brings the client into the clinic for a routine physical examination. The client's cognition is intact, but he is frail and cannot perform activities of daily living without assistance. The nurse notes that the primary caregiver quickly answers the interview questions for the client, stating, “He's OK; everything's fine." Findings of the physical examination are unremarkable. Which of the following interventions should the nurse implement?

• Meet with the client privately

Which statement is true regarding children being raised in a home where they have witnessed intimate partner violence?

They are at increased risk for being abused.

The psychiatric nurse assesses for a child's potential risk factors for sexual abuse when (Select all that apply.)

• Questioning the parents concerning their possible substance abuse • Evaluating the child for developmental delays • Determining whether either parent has ever been sexually abused • Questioning parents and child about school attendance

A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused?

The child does not cry when the shoulder is examined.

Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which component is critical to the success of the plan?

• Access to community resources for referral

A nurse is preparing a presentation for a senior center about elder abuse. When describing individuals associated with abusing older adults, which group would the nurse most likely identify? Select all that apply

• Family member • Adults • Children • Spouses

Chris is a 15-year-old boy who shows no propensity toward violence despite living in a poor neighborhood that has a high violence rate. Chris was raised by very supportive parents and he has a high self-esteem. These types of factors are known as what?

What does rape trauma syndrome refer to?

• A process that includes an acute disorganization phase and a long-term reorganization phase

When noted in an assessment of a child, the nurse should suspect child abuse if which common physical findings signaling abuse are present?

Bruises, burns, lacerations, missing teeth, and skeletal injuries

Nurses working with rape trauma victims need to be aware of their own attitudes about rape and sexual assault. Which rationale best explains why?

Giving back the survivor as much control as possible is important.

A nurse working in an urban clinic is gathering data about the use of preventive mental health services by the clinic's clientele. The nurse is surprised that the data reveal more than 80% of the clients using this service are white, while the residential population in the surrounding area is predominantly African American and Asian American. Which statement most likely explains these data?

African Americans and Asian Americans perceive the system as culturally insensitive

Cultural congruence refers to what?

• Personal and cultural validation

A nurse is providing care to a patient who is a member of the Native American culture. Which information about this culture would be most important for the nurse to intergrate into the patient's plan of care? Select all that apply.

Emphasis on reverence for the earth and nature • Use of healers believed to have psychic abilities • Reliance on herbal medicines for healing treatments

Flexibility is a critical skill for nurses in providing culturally competent care. In this context, flexibility means

• the nurse can change his or her expectations, norms, and stereotypes and try out new behaviors.

The nurse is scheduled to begin a clinical rotation at an outpatient mental health clinic that is in a neighborhood with a large number of Asian residents. Since the nurse does not share this cultural background with the potential clients, which is the best way for the nurse to ensure cultural sensitivity in this setting?

Reflect on, analyze, and foster awareness of the nurse's own culture

Which approach to care best reflects cultural competence?

• Assess the culturally mediated beliefs of each client on an individual basis.

Why is understanding a client's cultural context important to a psychiatric mental health nurse?

It influences perceptions of health and illness.

You are providing care to a 19-year-old woman and you ask her if she will be taking medication to help with her mental health condition. She tells you that she has to check with her father before she decides to take medication. In what culture do men typically have total authority over family decisions?

Asian and Pacific Islander

For a client who belongs to an ethnic group that is known to have poor metabolism of psychotropic medications, the nurse should anticipate that the client may be at risk for which problem?

In order to help preserve and maintain a client's cultural belief regarding the need for "hot foods," which action should the culturally competent nurse take?

Educate the staff to help them assist the client in selecting food choices from the client's menu that supports this belief

Evaluating the cultural practices of others according to the nurse's own culture can be counteracted by the nurse's use of which practice?

When conducting an assessment with a client from another country, what can a nurse do to ensure the client receives culturally sensitive care?

Show genuine interest in the client’s culture and personal life experiences.

The nurse who is preparing a Native American client for surgery notes that the client is wearing a medicine bag. What intervention should the nurse implement to best address the client's spiritual needs with respect to presurgical care needs?

Ask the client how the medicine bag can be respected while preparing for surgery.