The hospice nurse planning care for four culturally diverse clients, each of whom has terminal
cancer, should anticipate that the client who will wish to engage in end-of-life planning (such as
making a will, a living will, and funeral
arrangements) will be the client who is
a. a single Native American who had worked as a forest ranger.
b. a female immigrant from China who is an acupuncturist.
c. a refugee laborer from a war-torn Western African country.
d. a fourth-generation New England native who is an accountant.
ANS: D
This client would hold a Western worldview and value autonomy, independence, and self-reliance.
He would see time as linear and would have an internal locus of control. Self-action would be a high
priority. Options A and C: The clients would hold indigenous worldviews. Option B: The client
would hold an Eastern worldview. For options A, B, and C, the concept of person is defined more in
relationship to others, and the locus of control is self-rooted in tradition or in natural forces. The
need for independence and self-reliance is far less. Tradition, fate, or other forces are seen as being
in control.
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