18696. HYPERTENSION IN AFRICAN AMERICAN ADULTS. This paper uses a nursing perspective to discuss the disproportionate occurrence of hypertension among African American clients. Researchers have found that the risk factors may be related not only to physiological factors but also to environmental stress, including the stress caused by being a victim of racism. The evidence pertaining to hypertension among African Americans results in various implications for nurses. KEYWORDS: medicine nursing hypertension stress racism African Americans high blood pressure race ethnicity. APA Style. 5 pages, 8 footnotes, 3 bibliographic sources. 1,317 words.