Why is the study of culture so important for psychiatric nurses ...

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Why is the study of culture so important for psychiatric nurses in the United States? Select all that apply.
 
  a. Psychiatric nurses often practice in other countries.
  b. Psychiatric nurses must advocate for the traditions of the Western culture.
  c. Cultural competence helps protect patients from prejudice and discrimination.
  d. Patients should receive information about their illness and treatment in terms they understand.
  e. Psychiatric nurses often interface with patients and their significant others over a long period of time.

Question 2

The nurse administers medications to a culturally diverse group of patients on a psychiatric unit. What expectation should the nurse have about pharmacokinetics?
 
  a. Patients of different cultural groups may metabolize medications at different rates.
  b. Metabolism of psychotropic medication is consistent among various cultural groups.
  c. Differences in hepatic enzymes will influence the rate of elimination of psychotropic medications.
  d. It is important to provide patients with oral and written literature about their psychotropic medications.

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Answer to Question 1

ANS: C, D, E
One purpose of cultural competence is for the psychiatric nurse to relate and explain information about the patient's illness and treatment in an understandable way, incorporating the patient's own beliefs and values. A fundamental aspect of nursing practice is advocacy. Cultural competence promotes recognition of prejudices in care, such as stigma and misdiagnosis. Psychiatric nurses often interface with patients and families over years and in community settings.

Answer to Question 2

ANS: A
Cytochrome enzyme systems, which vary among different cultural groups, influence the rate of metabolism of psychoactive drugs. Renal function influences elimination of psychotropic medication; hepatic function influences metabolism rates. Information about medication is important but does not apply to pharmacokinetics.

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