A nurse should recognize the relevance of which of these factors ...

[crobinson2013]

A nurse should recognize the relevance of which of these factors when antihypertensive medication is prescribed for an African American client?
 
  a. A higher dose must be given to produce the same effect as in European Americans.
  b. The drug may need to be administered more frequently due to increased metabolism.
  c. Lukewarm tap water is preferred when taking medications.
  d. The drug may be refused because of belief that God will heal through prayer and faith.

Question 2

When a nurse is caring for an Native American client, which of these practices should be considered?
 
  a. Medicine, surgery, or blood transfusions may be refused.
  b. Reject the germ theory as a cause of illness.
  c. Communion may be requested before beginning medical treatment.
  d. A special garment symbolizing dedication to Allah should be removed during care.

[TheNamesImani]

Answer to Question 1

A
Biological variation refers to the ways in which one cultural or racial group differs from another. Skin color, eye shape, and body structure are among the obvious variations. Susceptibility to disease and enzymatic differences are among the less obvious variations. Given the increased relevance in hypertension in African American, a higher dose must be given to produce the same effect as in European Americans.

Answer to Question 2

B
Native Americans believe that medicine and religion are strongly interwoven. They believe that health results from being in harmony with nature and the universe, and reject the germ theory as a cause of illness.