Cultural Domain in Nursing Care
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Questions and Answers

What is a common comorbidity associated with a psychiatric diagnosis?

  • Cardiovascular disease (correct)
  • Neurological disorders
  • Infectious diseases
  • Chronic pain
  • What is a barrier to receiving treatment for psychiatric patients with physical health issues?

  • Lack of health insurance
  • Difficulty with transportation
  • Providers' focus on mental illness
  • All of the above (correct)
  • What is the primary focus of the Biological Domain in the Murphy-Moller wellness model?

  • Maintaining a patient's emotional well-being
  • Promoting a patient's spiritual growth
  • Maintaining a patient's body system function (correct)
  • Ensuring a patient's social connections
  • Which of the following is NOT a factor contributing to poor health outcomes in psychiatric patients?

    <p>Regular exercise</p> Signup and view all the answers

    What is the primary goal of a holistic wellness approach to mental health care?

    <p>Improving overall health outcomes</p> Signup and view all the answers

    Which of the following is an area to assess and intervene in the Biological Domain?

    <p>Exercise and nutrition</p> Signup and view all the answers

    What is a challenge in providing care to psychiatric patients with physical health issues?

    <p>Providers' focus on mental illness only</p> Signup and view all the answers

    Why is a holistic wellness approach essential in mental health care?

    <p>To improve treatment outcomes</p> Signup and view all the answers

    What is a consequence of psychiatric patients experiencing barriers to receiving treatment?

    <p>Complex and undesirable health conditions</p> Signup and view all the answers

    Study Notes

    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.

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    Description

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

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