chap 7 Flashcards
Cultural factors that must be taken into account when prescribing include(s):
- Who the decision maker is in the family regarding health-care decisions
- The patient’s view of health and illness
- Attitudes regarding the use of drugs to treat illness
- All of the above
- All of the above
Ethnic differences have been found in drug:
- Absorption
- Hepatic metabolism
- Filtration at the glomerulus
- Passive tubular reabsorption
- Hepatic metabolism
The National Standards of Culturally and Linguistically Appropriate Services are required to be implemented in all:
- Hospitals
- Clinics that serve the poor
- Organizations that receive federal funds
- Clinics that serve ethnic minorities
- Organizations that receive federal funds
According to the National Standards of Culturally and Linguistically Appropriate Services, an interpreter for health care:
- May be a bilingual family member
- May be a bilingual nurse or other health-care provider
- Must be a professionally trained medical interpreter
- Must be an employee of the organization
- Must be a professionally trained medical interpreter
According to the U.S. Office of Minority Health, poor health outcomes among African Americans are attributed to:
- The belief among African Americans that prayer is more powerful than drugs
- Poor compliance on the part of the African American patient
- The genetic predisposition for illness found among African Americans
- Discrimination, cultural barriers, and lack of access to health care
- Discrimination, cultural barriers, and lack of access to health care
The racial difference in drug pharmacokinetics seen in American Indian or Alaskan Natives are:
- Increased CYP 2D6 activity, leading to rapid metabolism of some drugs
- Largely unknown due to lack of studies of this population
- Rapid metabolism of alcohol, leading to increased tolerance
- Decreased elimination of opioids, leading to increased risk for addiction
- Largely unknown due to lack of studies of this population
Pharmacokinetics among Asians are universal to all the Asian ethnic groups.
- True
- False
- False
Alterations in drug metabolism among Asians may lead to:
- Slower metabolism of antidepressants, requiring lower doses
- Faster metabolism of neuroleptics, requiring higher doses
- Altered metabolism of omeprazole, requiring higher doses
- Slower metabolism of alcohol, requiring higher doses
- Slower metabolism of antidepressants, requiring lower doses
Asians from Eastern Asia are known to be fast acetylators. Fast acetylators:
- Require acetylization in order to metabolize drugs
- Are unable to tolerate higher doses of some drugs that require acetylization
- May have a toxic reaction to drugs that require acetylization
- Require higher doses of drugs metabolized by acetylization to achieve efficacy
- Require higher doses of drugs metabolized by acetylization to achieve efficacy
Hispanic native healers (curanderas):
- Are not heavily utilized by Hispanics who immigrate to the United States
- Use herbs and teas in their treatment of illness
- Provide unsafe advice to Hispanics and should not be trusted
- Need to be licensed in their home country in order to practice in the United States
- Use herbs and teas in their treatment of illness