A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurse's planning?
These patients are:
a. members of cultural groups that have a different view of time.
b. immature and irresponsible in health care matters.
c. acting out feelings of anger toward the system.
d. displaying passive-aggressive tendencies.
ANS: A
Hispanic Americans and Native Americans traditionally treat time in a way unlike the Western culture. They tend to be present-oriented; that is, they value the current interaction more than what is to be done in the future. If engaged in an activity, for example, they may simply continue the activity and appear later for an appointment. Understanding this, the nurse can avoid feelings of frustration and anger when the nurse's future orientation comes into conflict with the patient's present orientation.
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