Transcultural Nursing Assessment and Intervention, 6th Edition by Joyce Newman Giger - Test Bank

Transcultural Nursing Assessment and Intervention, 6th Edition by Joyce Newman Giger – Test Bank

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Giger: Transcultural Nursing, 6 th Edition
Giger & Davidhizar’s Culturally Competent Test Bank: NCLEX-RN Review
Chapter 5: Time
MULTIPLE CHOICE
1. In providing discharge teaching to a patient with future-time orientation, the
culturally competent nurse is aware the patient is likely to:
A
.
Rely on current status.
B
.
Take precautions related to a future goal.
C
.
Be focused on the future with little thought of present actions.
D
.
Be attentive to the nurse out of respect.
ANS: B DIF: Cognitive Level: Application
KEY: Nursing Process: Planning
MSC: NCLEX Category: Health Promotion and Maintenance
2. The nurse assesses a client and determines that the patient has future-time orientation.
With this information the client is more likely to:
A
.
Have little motivation for developing goals.
B
.
Have difficulty adhering to schedules.
C
.
Return for follow-up visits.
D
.
Live for the present.
ANS: C DIF: Cognitive Level: Application
KEY: Nursing Process: Planning
MSC: NCLEX Category: Health Promotion and Maintenance
3. In planning discharge instruction, the nurse is aware that the client who is most likely
to be compliant will demonstrate:
A
.
Future orientation.
B
.
Past orientation.
C Present orientation.
.
D
.
Tempered orientation.
ANS: A DIF: Cognitive Level: Application
KEY: Nursing Process: Planning
MSC: NCLEX Category: Health Promotion and Maintenance
4. The nurse in the outpatient medication clinic has a full appointment book. A Hispanic
American client arrives at 12:30 PM for a 10 AM appointment, and a Native American
client does not show up for the appointment. 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 DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Psychosocial Integrity
5. The nurse is teaching an American Indian client about the importance of taking a
prescription medication at the time ordered. Which of the following shows the greatest
understanding of the implications of social versus clock time?
A
.
A person who is social time oriented is likely to take medication on time.
B
.
A person who is social time oriented is more likely to have a clock.
C
.
A person who is clock oriented is more likely to be attentive to the times that
medication is ordered.
D
.
A person who is clock oriented is more likely to be past time oriented.
ANS: C DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Health Promotion and Maintenance
6. A person is more likely to be compliant with a practice related to long-term health
promotion if the individual is:
A
.
Past and present oriented.
B Present and future oriented.
.
C
.
Past and future oriented.
ANS: B DIF: Cognitive Level: Knowledge
KEY: Nursing Process: Assessment
MSC: NCLEX Category: Health Promotion and Management
7. Time takes on different meanings from one culture to another. To explore the
relationship of time to nursing interventions, the nurse should:
A
.
Avoid using set times to do procedures, if possible.
B
.
Be flexible in attitudes and don’t become emotionally upset when the client de-
sires procedures to be done at “awkward times.”
C
.
Encourage clients to set their own times when they would like the nurse to per-
form nursing care activities, regardless of the nurse’s schedule.
D
.
Disregard the usual adherence to time schedules for medications.
ANS: B DIF: Cognitive Level: Application
KEY: Nursing Process: Implementation
MSC: NCLEX Category: Health Promotion and Maintenance
8. Dr. T.W. is frequently bothered when patients arrive at the clinic late for appoint-
ments. He is so irritated by this behavior that he often finds it hard to provide appropriate
care to these individuals. What should Dr. T.W. do first in trying to overcome his diffi-
culty?
A
.
Identify the meaning of health to the patient
B
.
Allow the patients to arrive late and build this into his schedule
C
.
Understand that these cultural practices are helpful to the patient
D
.
Examine his own culturally based values, beliefs, attitudes, and practices
ANS: D DIF: Cognitive Level: Analysis
KEY: Nursing Process: Analysis
MSC: NCLEX Category: Safe, Effective Care Environment