A psychiatric nurse with 3 years of inpatient experience has been assigned to work in a medication
follow-up clinic beginning Monday. The clinic sees culturally diverse clients.
To prepare for work in
the clinic it would be advisable for the nurse to
a. review the literature on cultural differences in client responses to psychotropic
medications.
b. read a handbook on the various health beliefs of members of diverse cultures.
c. contact the clinical nurse specialist for guidelines for cultural competence.
d. take a course in psychopharmacology.
ANS: A
A nurse with 3 years' experience working on a mental health inpatient unit can be assumed to be
familiar with the action and side effects of most commonly prescribed psychotropic medications.
However, because culturally diverse clients are seen in the clinic, reviewing cultural differences in
client response to these medications could be helpful. One such difference is the development of
extrapyramidal side effects at lower drug doses in Asian clients. Options B and C: Neither is
sufficient to produce cultural competence. Option D: This might be helpful in the long run, but the
nurse begins work at the clinic on Monday.
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