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MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and sayshe drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.Culture' refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups (CDC, 2015). The cultural differences of a patient play a major role in the way we care for them. It is important to understand a persons background and beliefs in order to properly care for them. Their belief system influences the way that they may seek care. Indian youth have the highest rates of alcohol use of any racial group in the country, according to the National Institutes of Health. Alcohol can be used to mask other