FON Exam 4 Quizzes: Weeks: 11,12,13

A client has been diagnosed with diabetes and requests information about complementary therapies that could do along with the prescribed treatment plan. What would be the nurse's best response to this client? "It is best to adhere only to the treatment plan your health care provider has prescribed." "There are no complementary therapy available for the disease that you have. ""Complementary therapies are not covered by your insurance plan." "Healing is slow in complementary therapy, it involves the whole person, and care is individualized. "

"Healing is slow in complementary therapy, it involves the whole person, and care is individualized. "

A client tells the nurse, "I am an atheist. I do not believe in God." What would be an appropriate response by the nurse? "Well, I believe in God and you should, too." "I respect what you choose to believe in." "How can you deny the existence of God?" "What makes you think you are an atheist?"

"I respect what you choose to believe in."

A nurse is conducting a health history and asks the client about use of complementary and alternative medicine (CAM) to treat her chronic headaches. Which response would require further questions? "I practice meditation." "I take herbs to treat my headaches." "I use relaxation to help me go to sleep." "Each week, I have a total body massage."

"I take herbs to treat my headaches."

A client is discussing weight loss with a nurse. The client says, "I will not eat for 2 weeks, then I will lose at least 10 lb (4.5 kg)." What would the nurse state to the client? "What a good idea. Go ahead. That will jump start your weight loss!" "Many people find that to be an ideal way to lose weight quickly and easily." "That will increase your metabolic rate and help you lose weight." "That will decrease your metabolic rate and make weight loss more difficult."

"That will decrease your metabolic rate and make weight loss more difficult."

The home health nurse is admitting a client to the service for complications related to multiple sclerosis (MS) and the client asks the nurse to explain the use of complimentary health approaches. The client states, "All of the medication I am taking is making me sicker. There has to be a better way." What is the best response by the nurse? "We can discuss with your health care provider some helpful complimentary therapies." "Insurance will not pay for anything other than traditional medicine." "The government regulates all of these therapies and they are hard to obtain." "This type of therapy should only be used if there is nothing else traditional medicine can do."

"We can discuss with your health care provider some helpful complimentary therapies."

While reviewing the chart for an assigned client before beginning care, a nursing student notes that the client does not belong to a specific religion. Based on this information, what should the nursing student interpret about the client? A person may be deeply spiritual but not profess a religion. Belonging to an organized religion is essential to spirituality. The nursing student will not have to consider the spiritual dimension. The client should be referred for spiritual counseling.

A person may be deeply spiritual but not profess a religion

Which of the following nutritional guidelines should a nurse provide to a client who is entering the second trimester of her pregnancy? A) "You'll need to eat more calories and to make sure you eat a balanced diet high in nutrients." B) "Try to eat your normal number of calories, but aim to eat a diet that's higher in fruits and vegetables." C) "The more food energy you consume, the greater the chances that you will have a healthy pregnancy." D) "Maintain your regular calorie intake, but take some supplements and emphasize organic foods."

A) "You'll need to eat more calories and to make sure you eat a balanced diet high in nutrients."

Which of the following are signs and symptoms of poor nutritional status? A) Flaky facial skin, facial edema, pale skin color B) Tongue is a deep red in color with surface papillae present. C) Firm, pink nailbeds D) Firm hair that is resistant to plucking

A) Flaky facial skin, facial edema, pale skin colorHealthy skin is uniform in color and not swollen.

Which of the following statements best explains the actions of therapeutic touch (TT)? A) Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's biofield B) Intentionally heals specific diseases or corrects certain symptoms C) Is overwhelmingly effective in many conditions D) Is completely safe and does not warrant any special precautions

A) Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's biofield

In addition to standard precautions, the nurse would initiate droplet precautions for which patients? Select all that apply. A. A patient diagnosed with rubella. B. A patient diagnosed with diphtheria C. A patient diagnosed with varicella D. A patient diagnosed with tuberculosis E. A patient diagnosed with MRSA F. An infant diagnosed with adenovirus infection

A, B, & F. - Rubella, diphtheria, and adenovirus infection are illnesses transmitted by large-particle drops and require droplet precautions in addition to standard precautions. Airborne precautions are used for patients who have infections spread through the air with small particles; for example, tuberculosis, varicella and rubeola. Contact precautions are used for patients who are infected or colonized by a multidrug resistant organism such as MRSA

A nurse is instructing a client who has diabetes mellitus about foot care. Which of the following guidelines should the nurse include? (Select all that apply.) A. Inspect the feet daily. B. Use moisturizing lotion on the feet. C. Wash the feet with warm water and let them air dry. D. Use over-the-counter products to treat abrasions. E. Clients who have diabetes mellitus are at increased risk for infection and diminished sensitivity in the feet, so they should inspect them daily. Wear cotton socks

A. Clients who have diabetes mellitus are at increased risk for infection and diminished sensitivity in the feet, so they should inspect them daily. B. The client should use moisturizing lotions (but not between the toes) to help keep the skin smooth and supple. C. The client should wash the feet with lukewarm water and dry the feet thoroughly. D. Over-the-counter products often contain harmful chemicals that can cause skin impairment. E. The client should wear clean cotton socks each day.

A nurse is planning care for a client who develops dyspnea and feels tired after completing her morning care. Which of the following actions should the nurse include in the client's plan of care? Schedule rest periods during morning care. Discontinue morning care for 2 days. Perform all care as quickly as possible. Ask a family member to come in to bathe the client

A. Planning for rest periods during morning care will help prevent fatigue and continue to foster independence. Fatigue and dyspnea do not eliminate the need for morning care. Performing all of the client's care quickly might affect the client's self-esteem and reduce his independence. Having a family member bathe the client reduces his self-esteem and independence, and does not reduce the client's fatigue.

A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and his family? (Select all that apply.) Talk to the interpreter about the family while the family is in the room. Ask the family one question at a time. Look at the interpreter when asking the family questions Use lay terms if possible Do not interrupt the interpreter and the family as they talk

A. Talking to the interpreter about the family while the family is in the room would hinder communication between the family and the nurse/interpreter. B. Asking the family one question at a time will promote effective communication between the family and the nurse/interpreter. C.Looking at the interpreter instead of the family while the family is in the room would hinder communication between the family and the nurse/interpreter. D. Using correct lay terms will promote effective communication between the family and the nurse/interpreter. E. Not interrupting will promote effective communication between the family and the nurse/interpreter

A nurse is beginning a complete bed bath for a client. After removing the client's gown and placing a bath blanket over him, which of the following areas should the nurse wash first? A. Face B. Feet C. Chest D. Arms

A. The greatest risk to a client during bathing is the transmission of pathogens from one area of the body to another. The nurse should begin with the cleanest area of the body and proceed to the least clean area. The face is generally the cleanest area, and washing it first follows a systematic head to toe approach to client care. The client is at risk for infection from pathogens on the client's feet. Therefore,, the nurse should wash another area first. The client is at risk for infection from pathogens on the client's chest. Therefore, the nurse should wash another area first. The client is at risk for infection from pathogens on the client's arms. Therefore, the nurse should wash another area first.

A nurse is performing mouth care for a client who is unconscious. Which of the following actions should the nurse take? Turn the client's head to the side. Place two fingers in the client's mouth to open. Brush the client's teeth once per day. Inject a mouth rinse into the center of the client's mouth.

A. The nurse should position the client's head on the side, unless contraindicated, to reduce to risk of aspiration. The nurse should not insert fingers into the client's mouth because the client might bite down on the fingers. The nurse should brush the client's teeth at least twice per day. The nurse should gently inject a mouth rinse into the side of the client's mouth to reduce the risk of aspiration.

Ani inflammatory diet Ginger Turmeric

Ani inflammatory diet mediterranean eating, whole grains, fresh fruits, leafy vegs, fish, olive oil Ginger a root that inhibits pain causing molecules Turmeric a spice that reduces inflamattion

Effect of Medications on Stool Aspirin, anticoagulants: pink to red to black stool Iron salts: black stool Bismuth subsalicylate (Pepto-Bismol and Kaopectate) used to treat diarrhea can also cause black stools. Antacids: white discoloration or speckling in stool Antibiotics: green-gray color Enema TYPES to KNOW 31. A physician orders a retention enema for a client to destroy intestinal parasites. Which of the following enemas would be indicated for this client? A) Oil retention enema B) Carminative enema C) Anthelmintic enema D) Nutritive enema

Ans: C Feedback: Anthelmintic enemas are administered to destroy intestinal parasites. Oil retention enemas help to lubricate the stool and intestinal mucosa, making defecation easier. Carminative enemas help to expel flatus from the rectum and relieve distention. Nutritive enemas are administered to replenish fluids and nutrition rectally.

Tell whether the following statement is true or false. When collecting stool using the technique "timed specimen," the nurse should consider the first stool passed by the patient as the start of the collection period. A. True B. False

Answer: A. True Rationale: When collecting stool using the technique "timed specimen," the nurse should consider the first stool passed by the patient as the start of the collection period.

Which of the following direct visualization tests uses a long, flexible, fiberoptic-lighted scope to visualize the rectum, colon, and distal small bowel? A. Esophagogastroduodenoscopy B. Colonoscopy C. Sigmoidoscopy D. UGI series

Answer: B. Colonoscopy Rationale: A colonoscopy visualizes the rectum, colon, and bowel using a lighted scope. An esophagogastroduodenoscopy examines the esophagus, stomach, and upper duodenum through an optic scope. A sigmoidoscopy examines the distal sigmoid colon, rectum, and anal canal through a flexible or rigid sigmoidoscope. UGI series involves fluoroscopic examination of the esophagus, stomach, and small intestine after ingestion of barium sulfate.

Which food is a recommended for an older adult who is constipated? A. Cheese B. Fruit C. Cabbage D. Eggs

Answer: B. Fruit Rationale: Fruits and vegetables have a laxative effect on the system. Cheese and eggs have a constipating effect and cabbage, although a vegetable, produces gas in the system.

Which enema would be used for a patient with intestinal parasites? A. Oil-retention enema B. Carminative enema C. Nutritive enema D. Anthelmintic enema

Answer: D. Anthelmintic enema Rationale: Antihelmintic enemas destroy intestinal parasites. Oil-retention enemas lubricate the stool and intestinal mucosa, making defecation easier. Carminative enemas help expel flatus from the rectum. Nutritive enemas administer fluids and nutrition rectally.

Understanding one's dosha, or basic constitution, is central to which type of whole medical system? a) Ayurveda b) Traditional Chinese medicine c) Chiropractic medicine d) Naturopathy

Ayurveda Explanation: Central to Ayurvedic medicine is understanding the client's basic constitution, or dosha. People can display one dosha predominantly or can be a combination of two or three doshas.

To promote health of the fetus, the nurse should instruct the woman in the first trimester of pregnancy to do which of the following? A) Eliminate high-fiber foods B) Eat foods high in folic acid C) Consume saturated fats D) Consume milk products in the last trimester

B) Eat foods high in folic acid

A nurse has documented that a client has anorexia. What does this term mean? A) Eating more than daily requirements B) Lack of appetite C) Vitamin C deficiency D) Fluid deficit

B) Lack of appetite

Traditional Chinese medicine (TCM) is used by many patients. Which statement most accurately describes intervention(s) offered by TCM providers? A) Uses acupuncture as its primary intervention modality B) Uses many modalities based on the individual's needs C) Uses primarily herbal remedies and exercise D) Is the equivalent of medical acupuncture

B) Uses many modalities based on the individual's needs

Which of the following health care practices may be influenced by a young woman's religion? (most common) Yearly mammograms Annual physicals Birth-control measures Health assessments

Birth-control measures

Which client will have an increased metabolic rate and require nutritional interventions? A) A healthy young adult who works in an office B) A retired person living in a temperate climate C) A person with a serious infection and fever D) An older, sedentary adult with painful joints

C) A person with a serious infection and fever

A client visits a health care facility with complaints of loss of appetite following a prolonged illness. How should the nurse document the client's condition? A) Emaciation B) Cachexia C) Anorexia D) Nausea

C) Anorexia

The nurse understands that providing holistic care includes treating which of the following? A) Disease, spirit, and family interactions B) Desires and emotions of the patient C) Mind-body-spirit of the patient and their families D) Muscles, nerves, and spine disorders

C) Mind-body-spirit of the patient and their families

Which complementary therapies are most easily learned and applied by the nurse? (Select all that apply.) A) Massage therapy B) Traditional Chinese medicine C) Progressive relaxation D) Breath work and imagery E) Therapeutic touch

C) Progressive relaxation D) Breath work and imagery

A nurse is planning care for a group of patients who have requested the use of complementary health modalities. Which patient is not a good candidate for guided imagery? A) Pregnant patient B)Hypertensive patient C)Patient with posttraumatic stress disorder (PTSD) D)A pediatric patient

C)Patient with posttraumatic stress disorder (PTSD)

What name is given to the rhythmic biologic clock that exists in humans? Sleep-wake cycle Alert-unaware process Circadian rhythm Yo-yo theory

Circadian rhythm

A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the client "I will make sure the menu includes kosher options." "I will discuss the daily schedule with the client to make sure the client will have time for prayer." "I will make sure to use direct eye contact when speaking with this client." "I will make sure daily communion is available for this client."

Clients of the Jewish culture, not Islam, require their food to be kosher. B. "I will discuss the daily schedule with the client to make sure the client will have time for prayer." American culture appreciates direct eye contact. In the Middle Eastern cultures, direct eye contact can be perceived as rude, hostile, or sexually aggressive. Daily communion is a ritual for a Catholic client, not for a Muslim client.

The nursing instructor informs a student nurse that a client she is caring for has a chronic neurologic condition that decreases the client's peristalsis. What nursing diagnosis is the most likely risk for this client? Constipation Diarrhea Deficient Fluid Volume Excessive Fluid Volume

Constipation

A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions should the nurse take? Contact the hospital's spiritual services. Ask him what is making him cry. Provide quiet times for these moments Turn on the television for a distraction

Contacting the hospital's spiritual services presumes there is a problem. Asking the client about the crying could be interpreted as discounting or being disrespectful of the client's beliefs. C. Providing privacy and time for the reading of religious materials supports the client's spiritual health. Providing a distraction could be interpreted as discounting or being disrespectful of the client's beliefs.

A nurse is feeding a client. Which of the following statements would help a person maintain dignity while being fed? A) "I am going to feed you your cereal first, and then your eggs." B) "I wish I had more time so I could feed you all of your meal." C) "I know you don't like me to feed you, but you need to eat." D) "What part of your dinner would you like to eat first?"

D) "What part of your dinner would you like to eat first?"

A nurse is discussing infant care with a woman who just had a baby girl. What type of nutrition would the nurse recommend for the infant? A) Solid foods after the first month B) No solid foods until age 1 year C) Bottle feeding with cow's milk D) Breast-feeding or formula with iron

D) Breast-feeding or formula with iron

While reviewing an adult client's chart, a nurse notes average daily intake of fluids as 2,000 mL/day. What will the nurse do based on this information? A) Change the plan of care to include forcing fluids. B) Ask the client to drink more water during the day. C) Post a sign limiting fluids to 1,000 mL every 24 hours. D) Continue with care; this is a normal fluid intake.

D) Continue with care; this is a normal fluid intake.

How often would a nurse recommend a client eat or drink a source of vitamin C? A) Once a week B) Once a month C) Three times a week D) Every day

D) Every day

A staff nurse is talking with the nursing supervisor about the stress that she feels on the job. The supervising nurse recognizes that: A) Nurses who feel stress usually pass the stress along to their patients. B) A nurse who feels stress is ineffective as a nurse and should not be working. C) Nurses who talk about feeling stress are unprofessional and should calm down. D) Nurses frequently experience stress with the rapid changes in health care technology and organizational restructuring.

D) Nurses frequently experience stress with the rapid changes in health care technology and organizational restructuring.

The nurse caring for patients in a hospital setting instates CDC standard precaution recommendations for which category of patients? A. Only patients with diagnosed infections. B. Only patients with visible blood, body fluids, or sweat C. Only patients with nonintact skin D. All patients receiving care in hospitals.

D. CORRECT - Standard precautions apply to all patients receiving care in hospitals, regardless of their diagnosis or possible infection status. These recommendations include blood; all body fluids, secretions, and excretions except sweat; nonintact skin; and mucous membranes.

The nurse caring for a client for several days has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake? Encourage his daughter to prepare food at home and bring it to the client. Serve large meals and encourage the client to eat as much as possible. Provide distractions while the client is fed so that he will eat more. Provide bland meals.

Encourage his daughter to prepare food at home and bring it to the client.

What independent nursing intervention can be implemented to stimulate appetite? A) Administer prescribed medications. B) Recommend dietary supplements. C) Encourage or provide oral care .D) Assess manifestations of malnutrition.

Encourage or provide oral care.

Foods Affecting Bowel Elimination Foods with laxative effect: Gas-producing foods:

Foods Affecting Bowel Elimination Constipating foods: cheese, lean meat, eggs, pasta Foods with laxative effect: ruits and vegetables, bran, chocolate, alcohol, coffee Gas-producing foods: onions, cabbage, beans, cauliflower

A nurse is using a technique that involves the five senses to visualize recovering from an upcoming surgical procedure. What type of technique is the nurse teaching the client to use? Guided imagery Yoga Prayer Aromatherapy

Guided imagery

A client asks the nurse about the use of healing touch. Which statement regarding healing touch is accurate? a) Healing touch does not use injections. b) Healing touch is too expensive for most clients. c) Supplemental music is used during healing touch. d) Aromatherapy is used in healing touch.

Healing touch does not use injections. Explanation: Healing touch has been shown to be effective in helping clients relax and improve the healing process. It is not expensive because it involves no special equipment, including insertion of tubes or injections. Aromatherapy and supplemental music are not routinely used in healing touch

A nurse is caring for a client who is sleeping for abnormally long periods of time. This condition may be caused by injury to which body structure? Spinal cord Pancreas Thyroid Hypothalamus

Hypothalamus

In planning to meet the nutritional needs of a critically ill client in the intensive care unit, which factor will increase the client's basal metabolic rate? Infection Advanced age Prolonged fasting Long periods of sleep

Infection

A nurse is providing care to a client who has a cast on his leg. While teaching the client how to perform quadriceps setting exercises to strengthen the quadriceps muscle, he asks, "what kind of exercise is this?" The nurse identifies this type of exercise as which of the following?

Isometric

An orthopedic client is instructed to tighten the gluteus muscles and relax. This is an example of an

Isometric exercise

A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean? It is an all-natural product. It is not contaminated by other ingredients. It contains a certain amount of an active ingredient. It can be toxic in higher-than-normal doses.

It contains a certain amount of an active ingredient.

A nurse is caring for a client who shares the nurse's religious background. Which of the following information should the nurse anticipate? Members of the same religion share similar feelings about their religion. A shared religious background generates mutual regard for one another. The same religious beliefs can influence individuals differently The nurse and client should discuss the differences and commonalities in their beliefs.

It would be stereotyping to assume that all members of a specific religion had the same beliefs. Feelings and ideas about religion and spiritual matters can be quite diverse, even within a specific culture. Mutual regard dose not necessarily follow a shared religious background. C. Members of any particular religion should be assessed for individual feelings and ideas. Due to boundary issues, the nurse's beliefs are not part of a therapeutic client relationship. It is the client's beliefs that are important.

A nurse is practicing imagery to relieve stress. What might accompany the imagery to even further promote relaxation? Bright lighting Bodywork techniques Talking on the phone Listening to music

Listening to music

The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, 2,500 mL of fluids. What would the nurse tell the client to change? Decrease high-fiber foods. Decrease amount of fluids. Omit fruits if eating vegetables. Nothing; this is a good diet.

Nothing; this is a good diet.

A young adult woman has had orthopedic surgery on her right knee. The first time she gets out of bed, she describes weakness, dizziness, and feeling faint. The nurse correctly recognizes that which condition is likely affecting the client? Thrombophlebitis Anemia Orthostatic hypotension Bradycardia

Orthostatic hypotension

Which essential oil can be used during aromatherapy to treat nausea? Lavender Peppermint Parsley Garlic

Peppermint

What function of the skeletal system is essential to proper function of all other cells and tissues? Supporting soft tissues of the body Protecting delicate body structures Providing storage area for fats Producing blood cells

Producing blood cells

A nurse is caring for a frail older adult client with chronic obstructive pulmonary disease (COPD). The client always remains in a sitting position to help him breathe more easily. Based on the understanding that prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of this client? Back of the skull Elbows Sacrum Heels

Sacrum

An individual awakens from a sound sleep in the middle of the night because of abdominal pain. Why does this happen? Stimuli to the wake center in the cerebral cortex Stimuli from peripheral organs to the RAS Messages from chemoreceptors to the brain Messages from baroreceptors to the spinal cord

Stimuli from peripheral organs to the RAS

A nurse practices holistic client care. Which of the following is a guiding principle of this practice? Holism is focused on reductionism. All living organisms exist independently. The body is a unified, dynamic whole. The body is the sum of its parts.

The body is a unified, dynamic whole.

The nurse reviews information about defecation with a group of nursing students in preconference prior to their clinical experience for the day. What response by the students indicate that the information given by the nurse is understood? Defecation refers to the emptying of the small intestine. The center in the medulla and another center in the spinal cord govern the reflex to defecate. When stimulation of the sympathetic nervous system occurs, the internal anal sphincter relaxes and the colon contracts, sending fecal content to the rectum. Rectal distention leads to a decrease in the pressure in the rectum and this causes the muscles to stretch and thereby stimulate the defecation reflex.

The center in the medulla and another center in the spinal cord govern the reflex to defecate.

Which philosophy underlies the use of CAM? The mind, body, and spirit function as a unified whole. The mind and the body are separate and distinct. Parts of an organism rarely interact or change. Traditional medicine is most effective for chronic illnesses.

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

A nurse is preparing to perform denture care for a client. Which of the following actions should the nurse plan to take? Pull down and out at the back of the upper denture to remove. Brush the dentures with a toothbrush and denture cleaner. Rinse the dentures with hot water after cleaning them. Place the dentures in a clean, dry storage container after cleaning them.

The nurse remove the upper dentures with a gloved hand, pulling down and out at the front of the upper denture. B. Brushing the dentures thoroughly with a toothbrush and denture cleaner removes debris that accumulates on and between the teeth. Using hot water to rinse dentures can damage some denture materials. The nurse should use tepid water to rinse dentures. Dentures should be moist when not in nurse to prevent warping and to facilitate insertion. The nurse should store them in water in a denture cup with the client's identification on the cup.

A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses should the nurse make? "I believe in this case you should really make an exception and accept the blood transfusion." "I know your family would approve of your decision to have a blood transfusion." "Why does your religion mandate that you cannot receive any blood transfusions?" "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."

The nurse should not impose her opinion onto the client and ask him to go against his religious beliefs. The nurse should not make an assumption on behalf of the client's family. Asking "why" question can appear judgmental or accusatory. D. Involving the client's religious and spiritual leaders is a culturally responsive action at this point. Alternative forms of blood products can be discussed, and a plan reasonable to all can be reached.

A nurse practitioner uses integrative care in his practice. What does this mean? The nurse uses allopathic medicine to treat all clients. The nurse uses both allopathic medicine and CAM. The nurse uses CAM, a physician-prescribed medication. The nurse provides care for clients of all age groups.

The nurse uses both allopathic medicine and CAM.

While caring for an infant who is breast-fed, the nurse assesses the characteristics of the stools. The nurse is teaching the mother about infant care. What are characteristics of the stool the nurse would expect to assess and teach the mother in breast-fed infants The stool will be yellow to golden and loose. The stool with be dark brown and firm in texture. The stool will be a yellow-brown color and pasty. The stool with be green and have much mucus present.

The stool will be yellow to golden and loose.

A trained nurse uses the technique of "Rolfing" to break up tension in client body structures. What type of CAM is being used by this nurse? Therapeutic Touch (TT) Therapeutic massage Acupuncture Healing touch

Therapeutic massage

A client scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the client? These behaviors are expected before major surgery. These behaviors are signs of spiritual distress. Family members live far away and the client is lonely. The client is naturally emotional and reactive.

These behaviors are signs of spiritual distress.

A nurse who is a traditional Chinese medicine practitioner is providing home care to a client who also uses traditional Chinese medicine for health care. What specific assessments would the nurse make? Tongue and pulses Abdominal muscles and respirations Muscle tone and cranial nerves Vision and hearing

Tongue and pulses

A nurse is caring for a client with a history of cardiac and vascular disease. Which of the following fats should the nurse allow in the client's diet for his condition? A) Unsaturated fats B) Trans fats C) Saturated fats D) Hydrogenated fats

Unsaturated fats

Which client likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep? a client who receives IV antibiotics every 3 hours a client whose opioid analgesics result in central nervous system depression a client who requires blood glucose checks 4 times daily a client whose physical therapy has been scheduled for 4:30 p.m

a client who receives IV antibiotics every 3 hours

Which of the following would be the least consistent with the Native American medicine view of disease? a) Balance of yin and yang b) A result of negative thinking c) Violation of a taboo d) Disharmony with Mother Earth

a) Balance of yin and yang

The primary difference between complementary and alternative medicine is that only a) Complementary medicine combines nonconventional practice with conventional health and medical care b) Alternative medicine includes the used of herbal therapies c) Alternative medicine is reimbursed by government-funded health insurance programs d) Complementary medicine is taught in conventional medical schools

a) Complementary medicine combines nonconventional practice with conventional health and medical care

Integrative health care more accurately reflects the cross-disciplinary reality and progressive acceptance of a broader aspect of care. Which of the following characterizes integral medicine? a) Incorporates all dimensions of healing b) Incorporates traditional Chinese medicine c) Incorporates Western medicine d) Incorporates all types of meditations

a) Incorporates all dimensions of healing

Traditional Chinese medicine is a complete healing system and includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and meditation. Which of the following is at the core of traditional Chinese medicine? a) Qi b) Body c) Mindd ) Environment

a) Qi

Traditional Chinese medicine is based on the principle of: a) internal balance and harmony. b) aromatherapy to restore health. c) energy fields that regulate human states of being. d) the body knowing how to maintain health and to heal itself.

a) internal balance and harmony.

Complementary medicine is best defined as a) unconventional medical practices that are used in combination with typical medical care. b) techniques used by nurses and case managers but very rarely by physicians. c) medicine that helps the client to enhance self-esteem. d) medicines that are integrated routinely into medical school training and yet are not used widely.

a) unconventional medical practices that are used in combination with typical medical care.

During defecation, the client experiences decreased cardiac output related to the Valsalva maneuver. After the Valsalva maneuver, the nurse assesses the client's vital signs and expects to observe which of the following? a decrease in the client's blood pressure an increase in the client's blood pressure a decrease in the client's respiratory rate an increase in the client's respiratory rate

an increase in the client's blood pressure

Complementary medicine is often also termed a) atypical. b) integrative. c) alternative. d) unconventional.

b) integrative.

Most complementary and alternative medicine (CAM) therapies have their origin in which of the following countries? a) Japan b) France c) China d) Russia

c) China

Which of the following are alternative and complementary therapies used to control pain? (Select all that apply.) a) Opioids b) NSAIDS c) Guided imagery d) Acupuncture e) Hypnosis

c) Guided imagery d) Acupuncture e) Hypnosis

A home care nurse delivers care that incorporates a philosophy that focuses on connections and interactions between parts of the whole. Which term best describes this philosophy? a) Complementary therapy b) Integrative care c) Holism d) Homeopathy

c) Holism

Which of the following has been known to achieve benefits for clients with cancer through the use of the mind to visualize a positive physiologic effect? a) Humor b) Biofeedback c) Imagery d) Hypnosis

c) Imagery

Yoga is best characterized by which of the following? a) Slow exercise and blunt low force b) Choreographed, slow movements performed with coordinated breathing c) Using principles of spiritual, mental, and physical energies to promote health d) Manipulation of soft tissue in the body

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

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy? carbohydrates, protein, and lipids vitamins, minerals, and water carbohydrates, protein, and water lipids, vitamins, and minerals

carbohydrates, protein, and lipids

A client with terminal cancer is taking high doses of a narcotic for pain. The nurse will teach the client or family about which common side effect of opioids? inability to change positions problems with communication diarrhea constipation

constipation

Despite the presence of a large number of older adult residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. The nurses at the facility should recognize this as an example of: cultural blindness. stereotyping. cultural assimilation. cultural imposition.

cultural blindness.

A hospitalized client has been n.p.o. with only intravenous fluid intake for a prolonged period. What assessments might indicate protein-calorie malnutrition? fever, joint pain, dehydration poor wound healing, apathy, edema sleep disturbances, anger, increased output weight gain, visual deficits, erythema of skin

poor wound healing, apathy, edema

Which consideration should a nurse prioritize relating to the use of herbs and supplements by a client? potential interactions with drugs the client's cultural background and beliefs the client's previous use of herbal supplements pharmacologic alternatives to herbs and supplements

potential interactions with drugs

Which type of stool would the nurse assess in a client with an illness that causes the stool to pass through the large intestine quickly? hard, formed black, tarry soft, watery dry, odorous

soft, watery