Ch. 4: Culture/Ethical/Legal

Question 1

Explain ethnopharmacology

Answer 1

Body of knowledge for understanding the specific impact of cultural factors on patient drug response

Question 2

Explain:
pharmacogenomics
Drug polymorphism

Answer 2

Study of how certain genetic traits affect drug response

effect of a patient’s age, gender, size, body composition, and other characteristics of the pharmacokinetics of specific drugs

Question 3

Which enzyme levels vary between ethnic groups?

Answer 3

P-450 Enzymes

Question 4

What is a Black Box Warning?

Answer 4

Given on a drug if a pattern of adverse drug events emerge- must be presented to patient before administration/prescription

Class I: most serious- associated w/ death/serious events

Class II: Less severe, effects may be temporary or reversible

Class III: least severe, not likely to result in any significant health problems

Question 5

What are controlled substances and what is a Schedule I rating mean?

Answer 5

Have a high risk of abuse

Schedule C-I: high abuse protential, never used medically (herion)

Question 6

Explain Negligence

Answer 6

failure to provide care that a reasonable and prudent nurse would have rendered under similar circumstances

Question 7

Explain malpractice

Answer 7

Special type of negligence/failure of a professional/individual with specialized education and training to act in a reasonable and prudent manner

Question 8

Explain:
Autonomy
Beneficence
Confidentiality
Justice
Nonmaleficence
Veracity

Answer 8

Autonomy: ability to act on one’s own
Beneficence: doing or actively promoting good
Confidentiality: duty to respect privileged info about a pt
Justice: being fair/equal in actions
Nonmaleficence: duty to do no harm
Veracity: duty to tell the truth

Question 9

What 4 things add up to negligence?

Answer 9

Duty
Breach of duty
Causation
Damage

Question 10

Are placebos deceitful?

Answer 10

Only if patient is unaware they are placebos