Cultural Domain in Nursing Care

Cultural Domain

• Focuses on how individuals organize themselves socially, and how nursing care helps patients manage cultural implications of mental illness.
• Helps patients exhibit behavior congruent with their value system, considering language, thoughts, beliefs, values, race, religion, ethnicity, and social groupings.

Spiritual Domain

• Focuses on meaning and purpose in patients' lives, facilitating intellectual, moral, and spiritual enjoyment.
• Helps patients develop hope and forgiveness toward themselves and others, promoting positive attitude, embracing truth, and expressing gratitude.

Critical Aspects of Mental Health Nursing

Safety

• Critical in mental health nursing care, involving patients, family, and staff.
• Patient safety may be threatened by self-harm, restraints, psychiatric medications, fall risk, dangerous articles, command hallucinations, and confidentiality.

Treatment Adherence

• Facilitation of good adherence to treatment is a high priority.
• Non-adherence may be caused by financial considerations, medication side effects, illness denial, and other factors.
• Nurses should understand unique reasons for each patient's treatment adherence difficulties.

Trauma-Informed Care (TIC)

• Considers patients' traumatic experiences, preventing re-traumatization and symptom exacerbation.
• Aims to facilitate patient participation in treatment, regardless of traumatic experience.

Examples of Trauma-Informed Care

• Newly admitted patient with anxiety disorder: aware of traumatic experience, explaining procedures, and considering loud noises in hospital setting.
• Schizophrenic patient: aware of assertiveness, social skills, interaction with other patients, and support network.

Comorbidities

• Overweight, obesity, and cardiovascular risk factors are frequently comorbid with psychiatric diagnoses.
• Poor diet, poor sleep, and higher alcohol consumption are more likely to occur in people with mental illness.

Holistic Wellness Approach

• Needed to care for patients with psychiatric illnesses, maximizing response to treatment and improving overall health outcomes.
• Murphy-Moller wellness model illustrates five major wellness domains: biological, cultural, spiritual, safe, and growth.

Biological Domain

• Focuses on person's overall health, considering nursing care to maintain body system function compatible with life and social position.
• Areas to assess and intervene: exercise, nutrition, each body system in balance, rest, and good health practices.

This quiz covers the cultural domain in nursing care, focusing on social organization, communication, language, and cultural implications of mental illness.