Complementary and Alternative Therapies

Upon discharge, Akeem evaluates the client's learning. Which complementary therapy could the client safety use in addition to anti-anxiety medications? Select all that apply. Progressive relaxation Aloe supplements Meditation Therapeutic touch Guided imagery

Progressive relaxation Meditation Therapeutic touch Guided imagery

Highlight the client that requires immediate intervention by the healthcare professional. Akeem Omar (preferred pronouns he, him) is a healthcare professional at an acute care facility. Today, he is caring for four clients: ​ Adult female client with high cholesterol who is taking garlic supplements​. Adult male client with severe anxiety who is taking valerian root supplements and antihistamines​. Adult female client with dementia who is taking ginkgo biloba supplements​. Adult female client admitted with influenza who is taking echinacea supplements.

Adult male client with severe anxiety who is taking valerian root supplements and antihistamines​.

Which of the following are included in complementary and alternative medicine (CAM) approaches to wellness and healing? Select all that apply. Therapeutic touch Aromatherapy Meditation Acupuncture Herbs

All are correct

A client suffers from an anxiety disorder and does not want to take medications. Which therapy teaches the client self-regulation and voluntary self-control over specific physiologic responses?

Biofeedback

Aloe

Common use: Accelerated wound healing​ Potential drug interaction: Interferes with furosemide and other loop diuretics

Garlic

Common use: Elevated blood cholesterol levels​ Potential drug interaction: Anticoagulants (enhances effects)​

Ginkgo biloba​

Common use: Improved memory​ Potential drug interaction: Anticoagulants and non-steroidal anti-inflammatories (enhances effects)​

Ginseng

Common use: Increased physical endurance, improved immune function​ Potential drug interaction: Anticoagulants, non-steroidal anti-inflammatories, and MAO inhibitors (enhances effects)​

Valerian root​

Common use: Sleep disorders, anxiety (promotes CNS depression)​ Potential drug interaction: Barbiturates, other sleep medications, and antihistamines (enhances effects)​

Echinacea

Common use: Stimulate the immune system​ Potential drug interaction: Interferes with anti-rejection medications used in organ transplants and antiretrovirals used to treat HIV/AIDS​

A client is admitted to the intensive care unit for treatment of a deep vein thrombosis. As part of treatment, the client is started on an anticoagulant called heparin. When reviewing the client's history of supplement use, which potential interaction should be reported to the healthcare provider?

Ginseng

Which complementary therapies can be used by a healthcare professional without any additional training? Select all that apply. Guided imagery Guided meditation Acupuncture Progressive relaxation Spinal manipulation

Guided imagery Guided meditation Progressive relaxation

Which are common problems associated with the use of herbal supplements? Select all that apply. May contain carcinogenic properties All are unsafe May contain pesticides May interfere with prescribed medications Amount of ingredient varies by manufacturer

May contain carcinogenic properties May contain pesticides May interfere with prescribed medications Amount of ingredient varies by manufacturer

Thomas Taylor (preferred pronouns he, him) injured his back during a fall at work several weeks ago and was treated in the occupational health clinic. Six weeks later, he continues to report intermittent pain that is becoming more difficult to manage despite taking anti-inflammatory and pain medications. He also states that the pain medications cause nausea and constipation. Mr. Taylor is concerned that he is still unable to work. He presents to the clinic today and wants to discuss other pain management options, such as tai chi and meditation. The healthcare professional recommends relaxation for Mr. Taylor. Which type of relaxation would be most appropriate?

Passive

Akeem understands that including herbal supplements when assessing current medication use is essential. What is the rationale for assessing a client's use of herbs?

The nurse must determine if any drug, food, or herbal supplements could interact

If Mr. Taylor wants to stop pain medications and only use tai chi and meditation, he is practicing ________ therapy.

alternative

Which statement is correct about valerian and anxiety?​ There is not enough evidence to support the effectiveness or safety of valerian use to treat anxiety. Valerian is proven effective in helping clients manage severe anxiety.

There is not enough evidence to support the effectiveness or safety of valerian use to treat anxiety.

Which statement is correct about melatonin and insomnia? Melatonin is proven effective in promoting and maintaining restful sleep in clients with chronic insomnia. There is not enough strong evidence to support the effectiveness or safety of melatonin for chronic insomnia.

There is not enough strong evidence to support the effectiveness or safety of melatonin for chronic insomnia.

Which best describes integrative healthcare?

Traditional and complementary therapies coordinated by a multidisciplinary team.

Ephedra​

Used as a bronchodilator, cardiac stimulant, and in weight loss products. Unsafe forclients with hypertension, diabetes, or thyroid disease. Do not consume with caffeine. ​

Calamus

Used as a fever reducer and digestive aid. Contains carcinogenic properties.May damage kidneys and cause seizures.

Liferoot

Used as a menstrual flow stimulant. May cause hepatoxicity.

Chaparral​

Used as an anticancer supplement and found in many weight-loss products.May cause severe liver toxicity and uterine contractions during pregnancy. ​

Comfrey

Used for wound healing and anti-inflammatory effects. Contains carcinogenic properties. May be hepatotoxic.

Akeem contacts the healthcare provider and recommends that the _________ be discontinued immediately.

Valerian

A client with hypertension is taking anti-hypertensive medications while attending daily yoga classes. This client is using ________ therapy. A client with chronic low back pain meditates daily but declines a prescription for anti-inflammatory medication. This client is using ________ therapy.

complementary; alternative

Valerian root _________ the central nervous system (CNS) effects of antihistamines. Akeem's client is at risk for developing severe _______.

enhances; severe CNS depression