Which interview question demonstrates cultural competency when ...

[Jipu 123]

Which interview question demonstrates cultural competency when conducting an admis-sion interview for a Jewish patient being admitted for severe depression?
 
  a. Is there a history of depression in your family?
  b. Do you find comfort in your religious beliefs?
  c. Has been being Jewish contributed to your depression?
  d. How has your family responded to you since you have been depressed?

Question 2

Which nursing intervention by a community mental health nurse demonstrates an under-standing of the potential health risks that psychotropic medications present?
 
  a. Discussing the risk of food interactions when taking buspirone (BuSpar)
  b. Monitoring the blood glucose levels of a patient prescribed risperidone (Risperdal)
  c. Stressing the importance of using alprazolam (Xanax) only as a short-term therapy
  d. Evaluating a patient's understanding of the possible weight gain resulting from escitalopram oxalate (Lexapro) therapy

[jomama]

Answer to Question 1

ANS: D
Every cultural group has traditions and beliefs about the acceptance of mental illness and the ability and willingness to trust health care providers. Members of the Jewish community gen-erally view severe mental illness as a stigma. The other options do not directly address this culturally stigma.

Answer to Question 2

ANS: B
The onset of type 2 diabetes is one of the less known side effects of commonly used anti-psychotic medications. Diabetes associated with psychotropic medications has been demon-strated to be more frequent with risperidone (Risperdal).
Weight gain is a possible side effect of the antidepressant escitalopram oxalate (Lexapro). Drugs used to treat anxiety, including buspirone (BuSpar), have known food interactions such as grapefruit. Benzodiazepines, like alprazolam (Xanax), are prescribed for depression and anxiety but should not be used on a long-term basis.

[Jipu 123]

Excellent

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TYSM