The medical-surgical nurse working with a client who has a ...

[jlmhmf]

The medical-surgical nurse working with a client who has a somatoform disorder will find planning
  is facilitated by the understanding that the client will probably
 
  a. readily seek psychiatric counseling.
  b. be difficult to convince to seek psychiatric help.
  c. attend psychotherapy sessions without encouragement.
  d. be eager to discover the true reasons for his or her physical symptoms.

Question 2

A clinical specialist supervises therapy for a 26-year-old African American client originally from
  Haiti who was admitted for depression.
 
  A staff nurse tells the clinical specialist that  The client
  can't seem to express her feelings when I ask about them. She just looks down.. The nurse adds,
  But I've seen her talking to a young African American client, and she seems quite spontaneous..
  What remark by the clinical specialist would help the staff nurse develop cultural competence?
  a. Why not ask the other client to tell you what your client tells him. Once you
  have an opening, your client will become more spontaneous with you..
  b. Don't take it personally. African Americans often have a resentful attitude that
  takes weeks to overcome..
  c.  She may have difficulty communicating her feelings in standard English. Have
  you considered using a cultural translator?
  d. Most African Americans depend on the African American church for support.
  Why not ask her pastor to come in to pray with the two of you for the success of
  her treatment?

[jaymee143]

Answer to Question 1

ANS: B
Clients with somatoform disorders go from doctor to doctor trying to establish a physical cause for
their symptoms. When a psychological basis is suggested and a referral for counseling is offered,
these clients reject both. Thus, options A, C, and D are incorrect.

Answer to Question 2

ANS: C
Society expects a culturally diverse client to accommodate and use standard English. This may be
virtually impossible during episodes of mental illness. Cultural translators can be helpful with
language and helping the nurse to understand the Haitian worldview and cultural nuances.