A 31-year-old Middle Eastern female presents to establish care. She recently relocated to the United States with her husband and is struggling with living in an environment so different from that in which she grew up. She shares that her husband seems more comfortable because he is working and integrating outside of the home, but she does not have that experience and feels very isolated from everything she knows. She is in her first trimester of pregnancy with their first child, and clearly struggling with the cultural shift  of living in the United States. 

The PMHNP recognizes that the best approach to this patient includes: 

A. Assisting with the integration of her cultural values into her those of her new home

B. Encouraging the patient that maintenance of her native cultural values should remain the mainstay of her life 

C. Referring the patient to a culturally-similar therapist who can help her maintain her cultural identity 

D. Facilitating her shift into the cultural mores and folkways most compatible with her new living circumstances 

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