A Haitian patient diagnosed with depression tells the nurse, ...

[stephzh]

A Haitian patient diagnosed with depression tells the nurse, There's nothing you can do. This is a punishment. The only thing I can do is see a healer. How might the culturally knowledgeable nurse assess the situation? The patient:
 
  a. has delusions of persecution.
  b. has likely been misdiagnosed with depression.
  c. may believe the distress is the result of a curse or spell.
  d. is feeling hopeless and helpless related to some unidentified cause.

Question 2

The nurse is meeting with a client suffering from agoraphobia who recently moved to the United States from a country where acts of violence and civil unrest are common.
 
  The theoretical model that links anxiety to the uncontrollable events the client experienced in his previous country is the ________ model. a. Behavioral
  b. Interpersonal
  c. Environmental
  d. Psychodynamic

[ebenov]

Answer to Question 1

C
Individuals of African American or Caribbean cultures who have a fatalistic attitude about illness may believe they are being punished for wrongdoing or are victims of witchcraft or voodoo. They may be reticent to share information about curses with therapists. No data are present in the scenario to support delusions. Misdiagnosis more commonly labels a patient with depression as having schizophrenia.

Answer to Question 2

C
The environmental model ties anxiety with uncontrollable events or situations such as fires, floods, and assaults and human-induced traumas. The behavioral model considers anxiety a learned response, the interpersonal model explains anxiety in terms of interactions with others, and the psychodynamic model states anxiety is a result of conflict between the ego and the id.