question

A nurse is teaching clients about various techniques for stress management. Which of the following client statements indicates the correct use of a stress management technique?

answer

"Imagining myself on a beach and listening to the waves makes me fall asleep at night."

question

The nurse is providing information about warfarin (Coumadin) to a client who takes herbal products. The nurse states, "Some herbs interfere with the effectiveness of warfarin. Do you take

answer

ginkgo biloba"

question

A nurse practitioner uses integrative care in his practice. What does this mean?

answer

He uses both allopathic medicine and CAM.

question

A patient with a diagnosis of bladder cancer has recently been given a poor prognosis following the results of her latest computed tomography (CT) scan. When speaking with the nurse, the patient has alluded to the harmful role of malicious spirits. Which of the following systems of CAM most highly prioritizes the role of the spirit world?

answer

Shamanism

question

Within your geriatric practice, your 89-year-old female client insists that she laughs her way to health. She devotes 30 minutes per day reading funny stories or jokes and indicates she has practiced this ritual for forty years. What type of CAM modality is she using?

answer

Mind-body medicine

question

A client is asking for the nurse to explain acupuncture. What would you tell the client?

answer

Acupuncture is used to correct disharmony.

question

A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of

answer

Alternative medicine

question

St. John's wort is an herbal product for:

answer

Depression

question

A patient wishes to integrate CAM into her treatment regimen for ovarian cancer. Which of the following modalities requires the most careful consideration by her healthcare team due to the potential for harm?

answer

Herbal remedies

question

Interviewing the clients in your general medicine physician group, you find a trend among a certain age demographic which demonstrates a high use of alternative medicine. After further questioning, you find several reasons why they implement CAM in their lives. Why do some of your clients use CAM?

answer

Increasing instances of chronic conditions

question

Interviewing the clients in your general medicine physician group, you find a trend among a certain age demographic which demonstrates a high use of alternative medicine. After further questioning, you find several reasons why they are more likely to use CAM in their lives. Why do some of your older, adult clients use CAM?

answer

All options are correct

question

All except which of the methodologies below have been identified as one of the major domains of complementary and alternative medicine (CAM)?

answer

Psychoanalysis

question

Acupuncture is thought to heal through the mechanism of:

answer

Using a metal conductor (needle) to impact energy flow in the body

question

Knowing that a large number of your home care clients are quite concerned about bowel health, you have frequent discussions with them regarding regularity and what dietary items can promote bowel health. Which of the following supplements are instrumental in maintaining bowel health?

answer

Prebiotics

question

A client is using a probiotic to manage digestive distress. Which of the following substances does the nurse expect the client is using?

answer

Lactobacillus acidophilus

question

A nurse is conducting a health history and asks the patient about use of complementary and alternative therapies (CAT) to treat her chronic headaches. What response would require further questions?

answer

"I take herbs to treat my headaches."

question

An 87-year-old client in your home care practice takes several supplements on a daily basis. She reports, "They make me feel stronger, more energetic, and I can't get through my day without them!" As her nurse, what is your role in educating this client about her supplements?

answer

Supporting her choices as long as they are not potentially harmful

question

A patient interested in acupuncture asks a nurse, "Just exactly what does it do?" What would the nurse explain?

answer

"It changes the flow of energy and helps healing."

question

A client reports using an herbal remedy to facilitate weight loss. Which of the following would the nurse expect that the client is using?

answer

Ephedra

question

A client who believes that his recent bout of diverticulitis is the result of an imbalance affecting his chi subscribes to which of the following medicine systems?

answer

Chinese medicine

question

A client is using manipulative and body-based therapies to improve health and restore body functions. Which of the following modalities would the nurse expect that the client is using? Select all that apply.

answer

• Massage therapy • Chiropractic • Shiatsu

question

Addie Fawcett, an 87-year-old client in your home care practice, takes several supplements on a daily basis. She reports, "They make me feel stronger, more energetic and I can't get through my day without them!" As her nurse, what is your role in educating Addie about her supplements?

answer

Supporting her choices as long as they are not potentially harmful

question

A nurse is teaching clients about various techniques for stress management. Which of the following client statements indicates the correct use of a stress management technique?

answer

"Imagining myself on a beach and listening to the waves makes me fall asleep at night."

question

Within your geriatric practice, your 89-year-old female client insists that she laughs her way to health. She devotes 30 minutes per day reading funny stories or jokes and indicates she has practiced this ritual for 40years. What type of CAM modality is she using?

answer

Mind−body medicine

question

On the advice of friends, a patient on a palliative care unit has requested acupuncture. What it is the goal of this form of CAT?

answer

Restoring a healthy flow of energy along the meridians of the body

question

The nurse is obtaining health history from an elderly client with short-term memory loss, who reports using gingko biloba and aspirin. What potential adverse reactions should the nurse discuss with this client?

answer

Bleeding

question

After interviewing the clients in your general medicine physician group, you find a trend among a certain age demographic that demonstrates a high use of alternative medicine. After further questioning, you find several reasons why they are more likely to use CAM in their lives. Why do some of your older adult clients use CAM?

answer

All options are correct.

question

In your frequent discussions with clients about dietary supplements and herbal therapy used in treating illness, many times the point is made that herbal medications are safer because they are "more natural." You point out that a significant number of prescription drugs are derived from plants also. What is the percentage of plant-derived pharmaceuticals?

answer

25%

question

Your client, a vibrant, energetic, 78-year-old female is presenting to your clinic for her annual physical. She reports good health and attributes it to her homeopathic regimen. What type of CAM modality does she follow?

answer

Whole medical system

question

Knowing that a large number of your home care clients are quite concerned about bowel health, you have frequent discussions with them regarding regularity and what dietary items can promote bowel health. Which of the following supplements are instrumental in maintaining bowel health?

answer

Prebiotics

question

A nurse is conducting a health history and asks the patient about use of complementary and alternative therapies (CAT) to treat her chronic headaches. What response would require further questions?

answer

"I take herbs to treat my headaches."

question

Your client, a 68-year-old male with history of hypertension returns to your cardiac practice for his quarterly exam. He is currently engaged in CAM to lower his blood pressure through voluntary control using a machine to register success with his technique. Which CAM is he utilizing?

answer

Biofeedback

question

During his annual physical, a client tells the nurse about a new herbal supplement he has been considering because it will increase his physical endurance during marathon training. However, because the supplement is new to the market, the client wants to make sure it is safe for him to use. Which of the following is the best response for the nurse to give the client?

answer

Check the Office of Dietary Supplements website for a fact sheet on this supplement.

question

Within your geriatric practice, your 89-year-old female client insists that she laughs her way to health. She devotes 30 minutes per day reading funny stories or jokes and indicates she has practiced this ritual for forty years. What type of CAM modality is she using?

answer

Mind-body medicine

question

A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of

answer

Alternative medicine

question

Your client, a vibrant, energetic, 78-year-old female, is presenting to your clinic for her annual physical. She reports good health and attributes it to her homeopathic regimen. What type of CAM modality does she follow?

answer

Whole medical systems

question

A client must take anticoagulant therapy. She is interested in taking ginko as a memory enhancer. What would the nurse advise the client?

answer

"You will increase your risk for spontaneous bleeding if you take ginko."

question

Your client, a 68-year-old male with history of hypertension returns to your cardiac practice for his quarterly exam. He is currently engaged in CAM to lower his blood pressure through voluntary control using a machine to register success with his technique. Which CAM is he utilizing?

answer

Biofeedback

question

A nurse caring for a patient who is in pain following abdominal surgery investigates the use of CAT for pain. Which of the following modalities could be used to relieve this patient's pain? Select all that apply.

answer

• massage • acupuncture • guided imagery

question

Recently a 40-year-old woman has become interested in alternative therapy as a means to maintain and enhance her state of health. However, she has developed hypertension and will be prescribed an antihypertensive agent. The nurse's health history reveals that the patient eats a balanced diet, swims regularly, and occasionally takes an over-the-counter medication for allergies. A priority assessment for the nurse will be to determine:

answer

if the patient is taking herbal or botanical medications regularly.

question

A patient is taking ginkgo biloba, a botanical supplement. She asks the nurse if it would be safe to take aspirin for her arthritis at the same time. The nurse's response is based on what knowledge?

answer

Ginkgo biloba affects platelet function and should not be taken with aspirin.

question

The use of alternative therapies in America has:

answer

Risen steadily in the last 30 years

question

Why is obtaining information from a patient related to the use of herbal supplements during a nursing assessment important?

answer

Some herbs or supplements may interact with a patient's prescribed medications.

question

You are preparing a client on your unit for discharge when he confides to you that he is afraid of being home alone. Upon further discussion, you learn that he is "simply afraid of being inside the house" by himself and has felt this fear ever since his wife died. Which of the following CAM interventions might be beneficial for this client to overcome his fear?

answer

Hypnosis

question

Your client, a 72-year-old female with history of DVTs on daily oral anticoagulant therapy, asks about her continuing her herbs because they make her feel "healthier." She provides a list of her current supplements, and you instruct her to terminate the use of one of the herbs on the list because of its anticoagulant properties. Which herbal supplement is problematic?

answer

Ginseng

question

A client diagnosed has been diagnosed with early-stage dementia and is inquiring about herbal remedies to treat the disease. The nurse would expect the physician to suggest which of the following herbal remedies?

answer

Gingko

question

A nurse practitioner uses integrative care in his practice. What does this mean?

answer

He uses both allopathic medicine and CAM.

question

A client is discussing with the nurse the use of an herbal remedy for anxiety. Which of the following homeopathic remedies would the nurse recognize as an anxiolytic herb available without a prescription?

answer

Kava-kava

question

A nurse is using a technique that involves visualizing the recovery from an upcoming surgical procedure. What type of technique is the nurse teaching the patient to use?

answer

Imagery

question

On the advice of friends, a patient on a palliative care unit has requested acupuncture. What it is the goal of this form of CAT?

answer

Restoring a healthy flow of energy along the meridians of the body

question

Many complementary and alternative medicine (CAM) therapies have their origin in which of the following countries?

answer

China

question

What philosophy underlies the use of CAM?

answer

The mind, body, and spirit function as a unified whole.

question

The nurse would recognize which of the following as inconsistent as an intervention of mind-body medicine?

answer

ECT

question

Which of the following integrative therapies rely on natural substances such as herbs, diet, and nutritional supplements?

answer

Biologically based practices

question

Your client tells you that she has been under additional stress lately and attributes it to bouts of insomnia and generally "feeling scattered." She asks for your suggestions on possible CAM modalities that might help her feel more centered. Which of the following would be the best choice for her to explore further?

answer

Hatha yoga

question

Traditional Chinese medicine is based on the principle of:

answer

Internal balance and harmony.

question

In your frequent discussions with clients about dietary supplements and herbal therapy used in treating illness, many times the point is made that herbal medications are safer because they are "more natural". You point out that a significant number of prescription drugs are derived from plants, also. What is the percentage of plant-derived pharmaceuticals?

answer

25%

question

Increasingly, dietary supplements are being used to promote health and decrease the severity of illness. The use of dietary supplements demonstrates which CAM?

answer

Biologically based practice

question

Your client, a 72-year-old female with history of DVTs on daily oral anticoagulant therapy, asks about her continuing her herbs since they makes her feel "healthier". She provides a list of her current supplements and you instruct her to terminate the use of one of the herbs on the list due to its anticoagulant properties. Which herbal supplement is problematic?

answer

Ginseng

question

Practitioners of which of the following forms of energy medicine employ the practice of laying on of hands when treating their clients?

answer

Reiki

question

What is it called when therapies or practices are used in conjunction with traditional healthcare modalities?

answer

Integrative therapy

question

Recently a 40-year-old woman has become interested in alternative therapy as a means to maintain and enhance her state of health. However, she has developed hypertension and will be prescribed an antihypertensive agent. The nurse's health history reveals that the patient eats a balanced diet, swims regularly, and occasionally takes an over-the-counter medication for allergies. A priority assessment for the nurse will be to determine:

answer

if the patient is taking herbal or botanical medications regularly.

question

A nurse listens to a tape of humorous stories at least once a week for its therapeutic effect. What system is improved by laughter?

answer

immune system

question

During your subjective assessment of a new client, she explains that she practices yoga each morning to maintain the flow of the prana. To which medical system does the concept of the prana belong?

answer

Ayurvedic medicine

question

Your client, a vibrant, energetic, 78-year-old female, is presenting to your clinic for her annual physical. She reports good health and attributes it to her homeopathic regimen. What type of CAM modality does she follow?

answer

Whole medical systems

question

Which of the following forms of medicine combines the health promotion, establishment of a partnership with the client and practitioner, and captures an evolving model of healthcare?

answer

Integrative health care and medicine

question

A patient is taking ginkgo biloba, a botanical supplement. She asks the nurse if it would be safe to take aspirin for her arthritis at the same time. The nurse's response is based on what knowledge?

answer

Ginkgo biloba affects platelet function and should not be taken with aspirin.

question

A client wants to explore use of aromatherapy and asks the nurse if she understands how the therapy works. Place in order the steps in aromatherapy that the nurse would accurately explain to the client.

answer

Scents from botanical oils are released by adding them to bath water or rubbing them on the skin. The olfactory nerves carry the scented molecules to the limbic system. The stimulated limbic system triggers physiologic and psychological responses through neurotransmitters released by the hypothalamus. The neurotransmitters affect nervous, endocrine, and immune system functions.

question

All except which of the methodologies below have been identified as one of the major domains of complementary and alternative medicine (CAM)?

answer

Psychoanalysis

question

A client hospitalized with a leg fracture has a daughter who discloses to the nurse that her mother mostly relies on Chinese herbs and acupuncture to help her stay healthy and deal with illness. How would the nurse respond to the daughter?

answer

"How about if you and I discuss her desire to integrate these practices with her doctor and advocate on her behalf?"

question

A nurse attempts to integrate complementary and alternative therapies (CAT) into nursing practice. Which of the following are basic principles of CAT? Select all that apply.

answer

• Health is a state characterized by a dynamic balance of mind, body, and spirit. • Illness is a manifestation of imbalance or disharmony and is a process. • Healing is a natural, slow process that involves the body, mind, and spirit.

question

St. John's wort is an herbal product for:

answer

Depression

question

A client has digestive problems and reports taking an herb to help them. Which of the following herbs would the nurse expect the client to report use of?

answer

Chamomile

question

Your client, who suffers from chronic lower back pain, tells you she is considering trying acupuncture for pain relief, but she is afraid the tiny needles will hurt. Which of the following nursing actions is appropriate? Select all that apply.

answer

• Find out more information about the use of acupuncture for pain relief. • Find out more about how acupuncture is performed. • Find local resources for certified acupuncturists.

question

Which of the following forms of medicine combines the health promotion, establishment of a partnership with the client and practitioner, and captures an evolving model of healthcare?

answer

Integrative health care and medicine

question

A patient informs a nurse practitioner that she takes St. John's wort for symptoms of depression. The nurse recognizes herbal therapy as belonging to which CAM domain?

answer

Biologically based practices

question

A nurse listens to a tape of humorous stories at least once a week for its therapeutic effect. What system is improved by laughter?

answer

immune system

question

A client is asking for the nurse to explain acupuncture. What would you tell the client?

answer

Acupuncture is used to correct disharmony.

question

The practice of reflexology is mainly concerned with which of the following anatomic structures?

answer

Hands and feet

question

Yoga is best characterized by which of the following?

answer

Using principles of spiritual, mental, and physical energies to promote health.

question

Which of the following nursing actions is an example of using integrative care?

answer

A nurse instructs a laboring woman to use breathing exercises and assists with the administration of an epidural for her pain.

question

What is it called when therapies or practices are used in conjunction with traditional healthcare modalities?

answer

Integrative therapy

question

A patient informs a nurse practitioner that she takes St. John's wort for symptoms of depression. The nurse recognizes herbal therapy as belonging to which CAM domain?

answer

Biologically based practices

question

Understanding about prana and chakras is central to which type of whole medical system?

answer

Ayurveda

question

A client is using tai chi to help ease back pain. This type of alternative therapy is classified as which of the following?

answer

Manipulative practice

question

A client is taking valerian, a remedy for anxiety. The nurse understands that this homeopathic remedy is also used as which of the following?

answer

Sleep medication

question

The concepts of invisible energy flow that circulates through plants, animals, and people, as well as the earth and sky, and the balance of this energy are central to which medical system?

answer

Traditional Chinese medicine

question

The term "alternative therapy" refers to which of the following?

answer

Healthcare practice not considered conventional by Western therapies

question

Which of the following scenarios is the best example of complementary therapy?

answer

Your client who is on medication to treat hypertension schedules regular monthly massages.

question

A nursing student asks an instructor why more people are turning to CAM therapies. Which of the following explanations would the nursing instructor give? Select all that apply.

answer

• Dissatisfaction with conventional medicine • Desire to become more active in decision-making and selfcare • Increasing numbers of people with chronic, incurable conditions • Growth of culturally diverse groups who do not share traditional American health beliefs and practices

question

A client is using manipulative and body-based therapies to improve health and restore body functions. Which of the following modalities would the nurse expect that the client is using? Select all that apply.

answer

• Massage therapy • Chiropractic • Shiatsu

question

A client is using garlic to help control blood pressure. Which of the following side effects would the nurse caution the client to expect?

answer

• Prolonged bleeding time • Intestinal gas

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