The nurse in the outpatient medication clinic has a full appointment book. A Hispanic American

client misses his 10 AM appointment, arriving at 12:30 PM, and a Native American client does not
keep her appointment at all.

What understanding on the part of the nurse will lead to satisfactory
planning? These culturally diverse clients are
a. members of cultural groups that have a different view of time.
b. immature and irresponsible in health care matters.
c. displaying passive-aggressive tendencies.
d. acting out feelings of anger toward the system.


ANS: A
Hispanic Americans and Native Americans traditionally treat time in a way unlike the "American"
culture. They tend to be present-oriented; that is, they value the current interaction more than what is
to be done in the future. Thus, if engaged in an activity, they may simply continue the activity and
appear hours or days 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 client's present
orientation.

Nursing

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