A nurse in the clinic has a full appointment schedule. A Hispanic American patient arrives at 1230 for a 1000 appointment. A Native American patient does not keep an appointment at all. What understanding will improve the nurses planning? These patients are:

Correct Answer: A

Rationale: Hispanic Americans and Native Americans traditionally treat time in a way unlike the Western culture. They tend to be present-oriented; that is, they value the current interaction more than what is to be done in the future. If engaged in an activity, for example, they may simply continue the activity and appear later for an appointment. Understanding this, the nurse can avoid feelings of frustration and anger when the nurses future orientation comes into conflict with the patients present orientation.

Correct Answer: C

Rationale: In the context of behavioral health nursing, understanding an individual's worldview is crucial for providing culturally competent care. Option C, "How long have you lived at your present residence?" does not directly relate to determining an individual's worldview. The correct answer, therefore, is C. Option A, "What is more important: the needs of an individual or the needs of a community?" is a relevant question as it can provide insights into the individual's values and beliefs regarding collectivism vs. individualism, which are key components of a worldview. Option B, "How would you describe an ideal relationship between individuals?" is also important as it can shed light on the individual's interpersonal dynamics, which are influenced by cultural, social, and personal factors that shape their worldview. Option D, "Of what importance are possessions in your life?" is significant as it can reveal information about the individual's values, priorities, and materialistic tendencies, which are part of their worldview. By asking questions related to values, relationships, and priorities, nurses can gain a comprehensive understanding of an individual's worldview, enabling them to tailor interventions and care plans that align with the patient's beliefs and preferences. This approach fosters trust, enhances communication, and improves outcomes in behavioral health nursing practice.

Correct Answer: C

Rationale: To best assess self-awareness, the nurse should ask 'What experiences have I had with people from ethnic groups, socioeconomic classes, religions, age groups, or communities different from my own?' The nurse should not focus on the patient when examining self-awareness, rather, how the nurse's experiences have shaped attitudes and beliefs.

Correct Answer: D

Rationale: The therapeutic relationship focuses on the needs, experiences, feelings, and ideas of the client only. In the therapeutic relationship, the parameters are clear: the focus is the client's needs, not the nurse's. The nurse should not be concerned about whether or not the client likes him or her or is grateful. A social relationship is focuses on sharing ideas, feelings, and experiences and meets the basic need for people to interact. In social relationships, advice is often given. This should be avoided in therapeutic relationships.

Correct Answer: C

Rationale: During the working phase, the nurse as a teacher instructs the client about medication regimens or coping skills, as seen in this scenario. The advocate role involves acting on the client’s behalf, caregiver meets physical/psychosocial needs, and parent surrogate provides nurturing or limits, none of which apply directly to reviewing medications.