Answer to Question 1
3
Rationale: Nursing competencies must include the ability to actively and effectively work with culturally diverse clients. Look for opportunities for meaningful dialogue and relationship building across cultures. You may seek out practicing nurses of a particular cultural background to serve as resource consultants. You may mentor nurse colleagues from other cultures who work in your setting. You may read transcultural journals (e.g., Journal of Transcultural Nursing, Journal of Cultural Diversity, etc.) to familiarize yourself with critical culture-based issues and opportunities, and develop and expand your psychiatricmental health nursing practice by continuing to familiarize yourself with global mental health issues.
Answer to Question 2
4
Rationale: Knowledge deficits regarding appropriate community resources, self-medication, or other independent responsibilities are common issues during the termination phase. Clients who are ambivalent regarding the termination of a therapeutic relationship may exhibit regressive behaviors and revert to previous self-defeating behaviors in an attempt to prolong treatment and avoid separation. Examples of regressive behaviors may indicate powerlessness, hopelessness, self-care deficits, and ineffective coping.
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