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

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Sample Questions Posted Below

Giger: Transcultural Nursing, 6th 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