The nurse in the outpatient medication clinic has a full ...

[tichca]

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.

Question 2

A client with blindness related to conversion disorder tells the nurse I'm really popular here in the
  hospital. Lots of doctors and nurses stop by to check on my blindness and the other patients are
  really interested in it, too.
 
  Too bad people outside the hospital don't find me so interesting.. On the
  basis of this statement, the nurse should continue to gather assessment data to support the nursing
  diagnosis of
  a. social isolation.
  b. chronic low self-esteem.
  c. interrupted family processes.
  d. ineffective health maintenance.

[Jadwiga9]

Answer to Question 1

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.

Answer to Question 2

ANS: B
The client mentions that her symptoms make her more interesting to people, inferring that she is
uninteresting and unpopular without the symptoms, thus supporting the nursing diagnosis of chronic
low self-esteem. Defining characteristics for the other nursing diagnoses are not present in the
scenario.

[tichca]

Excellent

[bdobbins]

Gracias!