You are working as an on-call emergency mental health clinician ...

[Yi-Chen]

You are working as an on-call emergency mental health clinician in a large American city. You are called to the emergency department to assess a second-generation American of an immigrant family.
 
  To provide culturally competent care, your assessment needs to be based on all EXCEPT which of the following? a. the culture of origin
  b. the culture of the society where treatment is being initiated
  c. your own cultural norms related to mental illness and treatment
  d. client's display of objective signs of mental illness as defined by the DSM-IV

Question 2

A young adult woman comes to the outpatient clinic to see the nurse therapist because she states that she cannot manage her job, be a single parent, and take care of her mother who is chronically ill.
 
  During a session with both the client and her mother, the nurse finds herself feeling angry at the client's mother. Based on psychoanalytic theory, this is an example of: a. unexpressed anger
  b. transference
  c. countertransference
  d. sympathy

[bbburns21]

Answer to Question 1

D
The nurse's assessment would not be based on displays of objective signs of mental illness as defined by the DSM-IV due to differing cultural norms for behavior. What may be seen as a clear sign of mental illness in one culture (e.g., talking to spirits, spontaneous chanting) could be perfectly normal in the client's culture. The nurse must use all of the information available, including knowledge of the client's culture, to make an assessment.

Answer to Question 2

C
This is an example of countertransference . Countertransference occurs when the nurse experiences strong emotional feelings toward the client. These feelings are most like the feelings the nurse probably felt toward her own mother or some other significant person in the nurse's life.

[Yi-Chen]

Gracias!

[Alyson.hiatt@yahoo.com]

TYSM