(Fund Ch 28) PrepU
The client who is newly diagnosed with diabetes mellitus type 2 is concerned about eating products with sugar in them. What information does the nurse explain to the client regarding the use of sugar? a. Sugar increases natural bacterial flora in the GI tract. b. Excess sugar increases demand on the pancreas. c. Sugar assists with cellular absorption of nutrients. d. Healthy amounts of sugar are usually consumed.
b. Excess sugar increases demand on the pancreas. Excess sugar increases demand on the pancreas; therefore, less sugar should be consumed. The client who has diabetes mellitus type 2 may have a compromised pancreas. Further stress to the pancreas can cause further injury to the organ.
Ayurvedic medicine has its roots in which of the following areas? a. Japan b. China c. India d. Southeast Asia
c. India Ayurvedic medicine has its roots in India.
Massage therapy is being used on clients during chemotherapy treatments. How does massage therapy help these patients? a. It relaxes muscles to increase circulation and release tension. b. It uses slow, gentle physical movements to cleanse the body. c. It physically moves joints into proper alignment to relieve stress. d. It uses pressure to balance and increase flow of energy.
a. It relaxes muscles to increase circulation and release tension. Massage therapy relaxes muscles to increase circulation and release tension. Acupressure uses pressure to balance and increase the flow of energy. Chi gong uses slow, gentle physical movements to cleanse the body. Chiropractic therapy physically moves joints into proper alignment to relieve stress.
A client's family member asks the nurse if he or she may bring essential oils for use in the hospital room for the client. What action should the nurse take? a. Provide education and determine if there is a sensitivity to the oils b. Inform the client and family that all essential oils are the same c. Tell the family member that essential oils are not proven to be effective treatment d. Refuse the use of essential oils in the client's room, because they may be a hazard
a. Provide education and determine if there is a sensitivity to the oils The essential oils of plants can be used as a therapy to improve physical, emotional, and spiritual well-being. The fragrance of these oils is believed to ultimately affect the very sensitive amygdala of the limbic system in the brain, where emotional memories are stored and released. Laboratory and animal studies have shown that certain oils have antibacterial, antiviral, antifungal, calming, and energizing effects. Commonly used essential oils in a health care setting are ginger or peppermint for nausea and lavender or chamomile for insomnia. Essential oils vary in quality and potency depending on the manufacturing processes. If specific essential oils are approved for use in an inpatient setting, the nurse provide education on these oils. Some people are highly sensitive to strong fragrances, particularly concentrated essential oils. This might preclude their use for specific clients.
The nurse is certified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform initially? a. Requesting the client's permission to touch the body b. Moving the hands 2 to 6 in (5 to 16 cm) away from the client's skin surface c. Embracing the client for energy d. Calling to rebalance the soul
a. Requesting the client's permission to touch the body Prior to touching the client, the nurse should request permission and explain the process of therapeutic touch. All other interventions would be performed after this occurs.
A nurse is caring for a client admitted for a prolonged stay on a medical-surgical unit. The client has been having difficulty sleeping and appears depressed. Applying the holistic health model, which action taken by the nurse would be most appropriate? a. Document the observations, and encourage the client that he or she will feel better once going home b. Ask the client's family to bring some items from home, such as a blanket, pillow, or pictures c. Suggest the client try some meditation and contact the health care provider to request medication to help with sleep d. Reassure the client how lucky he or she is to have family visit often and reassure the client that he or she will be going home soon
b. Ask the client's family to bring some items from home, such as a blanket, pillow, or pictures Holism is a theory and philosophy that focuses on connections and interactions between parts of the whole, as well as the body's interaction with the environment. Holism recognizes that a person's environment and habits are part of who the person is. The holistic model is not necessarily a counterpoint to the biomedical model. While a focus on the mind is congruent with holism, this does not preclude treatment of bodily symptoms. Reassurance and encouragement may seem necessary but are not components in holistic care and can often feel ingenuine to clients. Suggesting meditation may help the client but is not the most appropriate measure.
A nurse is providing care to a client who has come to the outclient clinic for chemotherapy. The client tells the nurse that to cope with the stress of chemotherapy, he uses a technique in which he "goes to my happy place, the beach, and I picture myself lying there under the warm sun, with the sound of the waves lapping at the shore." The nurse interprets this as which technique? a. Tai chi b. Guided imagery c. Yoga d. Meditation
b. Guided imagery Guided imagery focuses on evoking pleasant images to replace negative or stressful feelings and to promote relaxation. It involves using all five senses to imagine an event or body process unfolding according to a plan. During a painful or stressful event, the client can "go to a favorite place" and imagine being there with all the pleasant experiences related to that space. Meditation refers to a group of techniques in which the person learns to focus attention. Tai chi is a martial art, mind-body practice that involves physical movement, mental focus, deep breathing and relaxation. Yoga is a mind-body practice that involves the combination of physical movements, breathing practices, and relaxation techniques.
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. Homeopathy b. Holism c. Complementary therapy d. Integrative care
b. Holism Holism is a theory and philosophy that focuses on connections and interactions between parts of the whole. Complementary therapy can be used to complement traditional medical interventions. Integrative care often incorporates sharing the responsibility in coordinating the best possible treatment plan for a client, including the client's choices for care and the provider's expertise. Homeopathy is based on the belief of supporting the body while the symptoms are allowed to "run their course."
A nurse who has incorporated complementary and alternative medicine (CAM) into nursing practice is caring for a client in a short-term care facility. Which examples of nursing interventions are based on CAM? Select all that apply. a. The nurse schedules diagnostic tests for the client. b. The nurse investigates herbs that may stimulate the client's immune system. c. The nurse teaches the client how to meditate. d. The nurse uses guided imagery to relieve client anxiety. e. The nurse administers pain medication prescribed by the primary care provider. f. The nurse encourages the client to join a yoga class.
b. The nurse investigates herbs that may stimulate the client's immune system. f. The nurse encourages the client to join a yoga class. c. The nurse teaches the client how to meditate. d. The nurse uses guided imagery to relieve client anxiety. The term complementary and alternative medicine refers to interventions that are complementary therapies (CAM—they can be used with traditional medical interventions and thus complement them) as well as alternative modalities (not included in the scope of conventional medical care). Herbal remedies, yoga, meditation, and guided imagery are all forms of CAM. Administering pain medication and scheduling diagnostic tests are traditional allopathic (biomedicine) therapies.
A nurse who "unblocks" and "clears" congested areas of energy in a client's body to promote comfort is applying the phenomenon known as: a. "Unruffling" touch b. Therapeutic Touch (TT) c. Interpersonal touch d. Tactile manipulation
b. Therapeutic Touch (TT) Therapeutic Touch (TT) involves "unruffling," or clearing, congested areas of energy in the body and redirecting this energy. After assessing a client's "energy field," the nurse uses therapeutic touch to promote comfort, relaxation, healing, and a sense of well-being.
A nurse is interviewing a client who has come to the clinic for an evaluation. During the visit, the client tells the nurse that she also sees a provider who practices traditional Chinese medicine. The client describes treatment using acupuncture with the burning of an herb above the acupuncture needle. The nurse interprets this as: a. healing touch. b. moxibustion. c. shamanism. d. homeopathy.
b. moxibustion. Moxibustion is the burning of an herb above an acupuncture needle and is associated with traditional Chinese medicine. Healing touch involves the placing of hands on or near the body in patterns. Homeopathy believes that when symptoms are suppressed, such as with medication, the condition penetrates deeper into the body making it more difficult to cure. Shamanism involves the belief that illness and other forms of distress are thought to originate in the spirit world.
A client asks the nurse for information about Traditional Chinese Medicine. The client specifically asks how Traditional Chinese Medicine might help manage one's chronic migraines. Which response by the nurse is best? a. "You might want to consider the use of botanicals, which can take the place of your prescribed medications." b. "Therapeutic Touch balances qi, which is part of vital life force, thus relaxing the muscles and increasing relief of migraine headaches." c. "Acupuncture uses fine needles inserted in the skin to stimulate natural painkillers and has proven to be beneficial in treating chronic migraines." d. "Meditation is the only alternative medicine that is recommended for chronic migraines."
c. "Acupuncture uses fine needles inserted in the skin to stimulate natural painkillers and has proven to be beneficial in treating chronic migraines." Diagnosis in Traditional Chinese Medicine is based in the balance, or lack thereof, of Yin and Yang. Yin and Yang are both aspects of qi, which is considered a vital life force. Acupuncture has been shown to be an effective way to manage chronic migraine headaches. Meditation is not the only therapy that can be used to treat chronic migraines, and Therapeutic Touch is not part of Traditional Chinese Medicine. The nurse should not recommend botanicals in place of prescribed medications.
When obtaining information for a database, which of the following represents a nurse commitment and interest in reflected integrative medicine (CAM)? a. "Which diseases do you suffer from and what are your allergies?" b. "Which prescription medications do you take daily?" c. "Do you take any vitamins or minerals, and if so, what?" d. "Which types of foods do you consume in 24 hours?"
c. "Do you take any vitamins or minerals, and if so, what?" Starting with the initial contact with a client, the nurse includes a basic assessment of the client's use of CAM in an intake interview. The nurse asks about vitamins and supplements as well as any healing practices.
When the nurse is obtaining a health history on an elderly client who has had a previous myocardial infarction, the daughter states, "I have been giving my father ginkgo biloba every day, as he is beginning to have some memory loss." How does the nurse respond to the daughter's statement? a. "Stop giving your father the herbal drug immediately." b. "This may interfere with other medications your father is taking." c. "How much of the herbal drug are you giving your father every day?" d. "Did you ask your health care provider before giving him the herbal drug?"
c. "How much of the herbal drug are you giving your father every day?" The nurse's response should be "How much of the herbal drug are you giving your father every day?" as this statement assesses the situation first. "Stop giving your father the herbal drug immediately" this statement is a directive statement and the nurse needs to use the nursing process to assess the situation. "Did you ask your health care provider before giving him the herbal drug" is accusatory and puts the client's family on the defensive side as they may not understand how the herbal drug works. "This may interfere with other medications your father is taking" is a true statement as the nurse understands that herbal medications can interfer with other medications. The nurse should default to assessing and then teaching if necessary.
Which question or statement to a client conveys acceptance? a. "What helpful herbal supplements are you taking?" b. "Have you ever discussed taking vitamins and supplements with your doctor?" c. "Will you please share with me the prescription medicines and vitamins you take?" d. "You know supplements can be harmful. Do you take any supplements?"
c. "Will you please share with me the prescription medicines and vitamins you take?" Conveying an open and nonjudgmental attitude is a key to accurate collection of this information. This begins with the initial contact with a client and includes a basic assessment of the client's use of CAM. A basic question asking to share information about prescription and supplements conveys acceptance. If the nurse ask about discussion with a health care provider, the client may infer either approval or disapproval of supplement use. If the nurse states that supplements can be harmful, the client may infer disapproval of their use. Conversely,if the nurse states that supplements are helpful, the client may infer approval.
Which principle does not encompass the basic goals of integrative medicine? a. Facilitate the body's innate healing abilities. b. Establish a partnership between client and practitioner. c. Reject allopathic medicine and embrace CAM practices. d. Focus on promoting health and preventing illness, as well as treating disease.
c. Reject allopathic medicine and embrace CAM practices. Integrative medicine is healing-oriented medicine that takes account of the whole person (body, mind, spirit, and community), including all aspects of lifestyle. It does not reject allopathic medicine and CAM practices. It includes establishing a partnership between client and practitioner, facilitating the body's innate healing abilities, and focusing on promoting health and preventing illness, as well as treating disease.
During a client interview, the client tells the nurse about using ginkgo biloba to improve memory. When reviewing the client's medication history, which medication if used by the client would be a cause for concern? a. Guaifenesin b. Acetaminophen c. Warfarin d. Azithromycin
c. Warfarin Ginkgo biloba, the most widely sold herb in Europe and used by many to improve memory, affects platelet function and thus should not be used concurrently with warfarin or aspirin. It apperars that acetaminophen, guaifenesin, and azithromycin would not be a concern.
Which of the following forms of medicine combines health promotion, establishment of a partnership with the client and practitioner, and captures an evolving model of health care? a. homeopathic health care and medicine b. holistic health care and medicine c. integrative health care and medicine d. palliative health care and medicine
c. integrative health care and medicine Integrative medicine is the establishment of a partnership between the client and practitioner, and focuses on promoting health and preventing illnesses, as well as treating disease. Integrative health care more accurately reflects the cross-disciplinary reality and progressive acceptance of a broader aspect of care.
On the advice of friends, a client on a palliative care unit has requested acupuncture. What it is the goal of this form of CAM? a. altering the client's perception and acceptance of reality b. allowing accumulated toxins to be released from the body c. restoring a healthy flow of energy along the meridians of the body d. reconnecting the client's body, spirit, and emotions
c. restoring a healthy flow of energy along the meridians of the body Acupuncture either increases or decreases the flow of qi along the meridians of the body. It does not directly address the relationships between body, spirit, and emotions, nor does it aim to release toxins or change an individual's perception of reality.
The nurse is caring for a client diagnosed with pancreatic cancer. The client would like to use integrative care as a health care choice. What is the best response by the nurse? a. "The health care provider will make a plan for your care and inform you what that will be. It is not advisable for you to participate in any type of therapy outside of this plan." b. "You should consider using dietary supplements and botanicals, because this approach to your care can prove to have a healing effect on the body." c. "It is not proven that complementary health approaches have any value in treating terminal illnesses such as pancreatic cancer. It is best to avoid those types of therapies." d. "There are several alternative medicine modalities that could help with pain and relaxation during your treatment. I will get you some information on them."
d. "There are several alternative medicine modalities that could help with pain and relaxation during your treatment. I will get you some information on them." A person who uses integrative care uses some combination of allopathic medicine and complementary therapy approach. This integrated process gives the client the best opportunity for therapeutic effective care. Complementary therapy is a valid and research-based alternative to traditional medicine and can be a very effective option in conjunction with traditional medicine. Dietary supplements and botanicals may be beneficial, but the nurse should be cautious in suggesting this without the health care provider's approval, becauses some botanicals and herbal supplements can interact with other medications, nor will they "heal" the client. The health care provider and the client will form a plan of care together.
A client who is receiving chemotherapy and experiencing significant nausea asks the nurse about using aromatherapy to help alleviate the nausea. Which essential oil would the nurse most likely suggest to address the client's nausea? a. Lavender b. Chamomile c. Cedarwood d. Ginger
d. Ginger Ginger or peppermint is an appropriate essential oil choice for addressing nausea. Chamomile, lavender, and cedarwood are used for insomnia.
A nurse is applying healing touch to a postoperative client's wound. What benefit of healing touch should the nurse emphasize to the client's family? a. It will decrease the need for fluids after surgery. b. It will improve the nurse-client relationship. c. It will enhance family relationships. d. It will help the wound heal.
d. It will help the wound heal. Healing touch uses a collection of energy techniques to assess and treat the human energy system. It can be used for a variety of purposes, including stimulating wound healing. The healing touch will not assist with the nurse client relationship or enhance family relationships. Fluids are not affected by the healing touch on the wound healing process.
An occupational therapist conducts daily relaxation exercises with clients who are receiving treatment on the psychiatric unit of a hospital. Stimulation of which of the following components of the nervous system will result in relaxation for the clients? a. Autonomic nervous system b. Central nervous system c. Sympathetic nervous system d. Parasympathetic nervous system
d. Parasympathetic nervous system Stimulation of the parasympathetic nervous system results in an alleviation of stress. Direct stimulation of the sympathetic nervous system increases stress. The autonomic nervous system encompasses both the sympathetic and parasympathetic divisions. The central nervous system consists of the brain and spinal cord; neither is stimulated to facilitate relaxation.
The nurse is teaching a class on methods of relaxation to be used for stress management. Which methods should the nurse teach the participants? Select all that apply. a. Biofeedback b. Acupuncture c. Focused breathing d. Imagery e. Meditation
e. Meditation a. Biofeedback d. Imagery c. Focused breathing Methods of relaxation that can be used for stress management are: meditation, biofeedback, imagery, and focused breathing. Acupuncture is used for pain relief, minimizing nausea and vomiting, and substance use recovery adherence.
The nurse is educating a client on how to use herbs and supplements as part of an integrated treatment plan. Which teaching points would the nurse include? Select all that apply. a. Use the Internet to buy herbs and supplements. b. Be knowledgeable about the product and its therapeutic actions. c. Take a higher than recommended dose of herbs to initiate the therapeutic effect. d. Give the product adequate time to work. e. Whenever possible, buy products with more than one ingredient. f. Buy herbs and supplements that are standardized.
f. Buy herbs and supplements that are standardized. d. Give the product adequate time to work. b. Be knowledgeable about the product and its therapeutic actions. In the United States, FDA classifies herbs as a food and not a drug. This is important because herbs are not regulated for quality and potency as drugs are, and herbal formulas can be sold without being studied to see if they are helpful or harmful. For these reasons, herbs that have a certain degree of standardization should be purchased. There needs to be adequate time given for levels to accumulate in the client's system. Some herbs are either contraindicated or cause a synergistic effect when ingested with certain medications. The Internet is not a reliable source for purchasing herbal supplements. Products should not have more than one ingredient, for if the product contains several ingredients and the client has a reaction or positive response, it would be difficult to know which ingredient was the causative agent. Only the recommended dose should be ingested in order to prevent complications or toxicity.
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. Imagery b. Hypnosis c. Humor d. Biofeedback
a. Imagery Imagery is a physiologic technique that uses the mind to visualize a positive physiologic effect. When using imagery, clients conjure up mental images of their body waging and winning a battle with the disease process. Hypnosis is a therapeutic intervention that facilitates a physiologic change through the power of suggestion. Humor would not be appropriate in this situation. Biofeedback is a technique in which a person voluntarily controls one or more physiologic functions.
Which would be the least consistent with the Native American/Canadian Indigenous view of disease? a. Violation of a taboo b. Disharmony with Mother Earth c. A result of negative thinking d. Balance of yin and yang
d. Balance of yin and yang The Native American/Canadian Indigenous view disease as a disharmony with Mother Earth, a result of negative thinking, or violation of a taboo. Chinese medicine proposes that health is the outcome of balancing yin and yang.
In prenatal classes, the nurse teaches pregnant clients to use meditation during labor contractions to ease the pain. Which elements of meditation are important for the nurse to emphasize? Select all that apply. a. Massaging abdomen b. Closed attitude c. Focus of attention d. Comfortable position e. Quiet environment
d. Comfortable position e. Quiet environment c. Focus of attention There are four elements common to most types of meditation: comfortable position, quiet environment, focus of attention, and open attitude. Closed attitude and massaging abdomen are not elements of meditation.
A nurse is teaching a client experiencing stress about how relaxation helps to reduce the effects of stress on the body. Which underlying concept would the nurse integrate into the explanation about how relaxation works? a. Slows circulation throughout the body b. Increases the body's natural immunity c. Activates natural pleasure centers d. Helps to increase the effects of parasympathetic nervous system on the mind and body
d. Helps to increase the effects of parasympathetic nervous system on the mind and body Relaxation techniques promote parasympathetic nervous system activity, helping to reduce sympathetic activity and restore the balance of the two systems. The ultimate goal is to increase the parasympathetic system influence in the mind-body and thus reduce the effect of stress and stress-related illness on the body. Natural products can boost the body's immunity. Energy healing activates natural pleasure centers. Hands-on techniques such as massage promote circulation throughout the body.
A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of: a. palliative medicine. b. adjuvant medicine. c. allopathic medicine. d. alternative medicine.
d. alternative medicine. The use of conventional therapy as seen with CAM includes the use of herbal medicine, massage, megavitamins, self-help groups, folk remedies, energy healing, and homeopathy.
A client asks the nurse about taking herbal medications. Which of these is the nurse's best response regarding safety of the herbal medications? a. "Name brand products with herbal medications usually are of higher quality." b. "Your effects from herbal medications are quicker than with traditional medicine." c. "You can take combination products to save money on these medications." d. "Herbal medications are natural products so there are not side effects with these."
a. "Name brand products with herbal medications usually are of higher quality." Name brand products with herbal medications tend to be of higher quality so can be best to choose since the industry is not regulated by federal agencies. Herbal medications can have side effects, and many times work slower than traditional medications do, so clients should give them time to help and observe for any side effects. Single products are best, particularly if there are side effects; if there are combinations of medications, it is difficult to tell which caused a problem.
A client is asking for the nurse to explain acupuncture. What would the nurse tell the client? a. Acupuncture is used to correct disharmony. b. Acupuncture is only done in Eastern countries. c. Acupuncture is beneficial to creating a mood of distraction. d. Acupuncture is a dangerous option for the treatment of disease.
a. Acupuncture is used to correct disharmony. Acupuncture can be used to correct disharmony or prevent disharmony from developing.
A client at the clinic is considering the use of acupuncture to assist with smoking cessation. When describing this practice, the nurse would explain that which concept is involved as the focus? a. Qi b. Yang c. Yin d. Alignment
a. Qi Acupuncture addresses a person's qi. Qi (chi in Japanese) is believed to flow vertically in the body through an intricate structure of 12 primary meridians, energy circuits that nourish and support all cells and organs of the body Acupuncture either increases or decreases the flow of qi along the meridian, restoring the balance of yin and yang. Alignment is the focus of chiropractic health care.
A nurse is reading an online journal article about different approaches to health. The nurse is reading about a practice approach that is supported by evidence-based practice and is particularly effective when aggressive treatment is needed in an emergency situation. The nurse is reading about which type of approach? a. Traditional Chinese medicine b. Ayurveda c. Allopathic d. Naturopathy
c. Allopathic Allopathic medicine (or conventional medicine) is evidence-based practice that includes remarkable advances in biotechnology, surgical interventions, pharmaceutical approaches, and diagnostic tools. Allopathic medical care is particularly effective when aggressive treatment is needed in emergency or acute situations. Traditional Chinese medicine uses eight principles to analyze symptoms and categorize conditions, and uses the theory of five elements to explain how the body works. Naturopathy involves the belief that health is a dynamic state of being that provides abundant energy for people to deal with life in our complex society. Ayurveda involves the integration and balance of the body, mind and spirit.
Which is the most important role of the nurse in using complementary and alternative therapies? a. Practicing guided imagery prior to surgery b. Administering herbal supplements for anxiety c. Educating the public about safety and effectiveness d. Providing nutrition supplements for weight gain
c. Educating the public about safety and effectiveness The most important role of the nurse in using CAT is educating the public about the safety and effectiveness of using the therapies. Administering herbal supplements for anxiety and providing nutrition supplements for weight gain may be considered part of a treatment plan but they are not the most important aspects of CAT. Guided imagery is one aspect of treatment included in CAT.
A client with stage IV colon cancer reports back pain and appears to be anxious. What response should the nurse provide when asked if therapeutic touch may be beneficial? a. "Therapeutic touch is based on the concept of qi and uses energy fields from the heavens and earth to restore a healthy state, but it will not cure your illness." b. "How often are you prepared to engage in therapeutic touch as it is an ongoing pain relief therapy?" c. "What do you currently know about therapeutic touch and why do you think this type of therapy will help?" d. "Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety."
d. "Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety." Therapeutic touch involves "unruffling," or clearing, congested areas of energy in the body and redirecting this energy. After assessing a client's "energy field," the nurse uses therapeutic touch to promote comfort, relaxation, healing, and a sense of well-being. The nurse should not dismiss or belittle the use of alternative therapies. Questioning the client's choice may appear dismissive or challenging which can cause the client to shut-down and not trust the nurse.
A nurse is caring for a hospitalized client who states: "I feel so sick all the time; my aura must be disturbed by all of these bad force fields." What is an appropriate NANDA-I diagnosis for this client? a. Disturbed energy field b. Social isolation c. Impaired coping d. Hopelessness
a. Disturbed energy field Defining characteristics of the disturbed energy field relate to movement, sounds, temperature change, visual changes, and disruption. The aura the client is referring to in this scenario is a vague, luminous glow surrounding something that may be an information-containing electromagnetic field, which can be likened to the data contained within a computer. Social isolation would refer to a client who is feeling isolated from others. Impaired coping refers to a client who is having difficulty dealing with a particular situation. Hopelessness refers to a client who feels there is no hope for improvement from an illness or in life in general.
A client is extremely anxious while awaiting the results of a biopsy. What action by the nurse will assist the client with progressive relaxation techniques? a. Have the client tighten and release different muscle groups. b. Apply pressure to the temple area to increase the flow of energy. c. Have the client walk around the waiting room d. Have the client talk about the procedure
a. Have the client tighten and release different muscle groups. Relaxation is to progressively tighten and release different muscle groups to relax. This is called progressive relaxation. To visualize is the use of guided imagery to mentally challenge one's physical reality. To focus the mind is meditation. To apply pressure is using acupressure to balance and increase flow of energy.
While assessing a client, the client tells the nurse that he is a follower of traditional Chinese medicine and the concept of qi. Based on the nurse's understanding of this concept, which treatment modality would the nurse expect the client to mention? a. Physiotherapy b. Acupuncture c. Allopathy d. Therapeutic Touch (TT)
b. Acupuncture Acupuncture is based on energy regulation of qi through meridians. It is a core principle in traditional Chinese medicine. Therapeutic Touch (TT) is not a form of traditional Chinese medicine and is based on the consciously directed process of energy exchange. Physiotherapy and allopathy are not based on the concept of qi.
A nurse can best help a client who is undergoing chemotherapy and using guided imagery with this by doing which of the following? a. Explaining to the client that it is not a good idea to record their own imagery tape. b. Assisting the client to find an appropriate imagery tape to use. c. Helping the client learn about the different poses that can be performed. d. Promoting the client's use of imagery only after a stressful event occurs.
b. Assisting the client to find an appropriate imagery tape to use. Clients use imagery to help with relaxation and this can use all five senses. Many times, clients use a guided imagery tape that includes a script to help with imagery; clients also can record their own tape. Clients do not necessarily use poses with this; this would be more related to use of yoga. Guided imagery can help both during and after a stressful event to help the client relax.
Which changes in diet would the nurse recommend for a client who is considering use of a holistic diet? Select all that apply. a. Increased intake of milk and cheese. b. Avoidance of processed food. c. Reduction in intake of soft drinks. d. Use of artificial sweetener instead of sugar. e. Use of a vegetarian diet.
b. Avoidance of processed food. e. Use of a vegetarian diet. c. Reduction in intake of soft drinks. Clients who use a holistic diet are bringing a more natural approach to eating. This involves avoidance of processed food and soft drinks, as well as reduction in the intake of dairy products, including milk and cheese. A person observing a vegetarian diet and eating natural foods without preservatives is also incorporating a holistic approach to choice of food.
The nurse in a medical unit is collecting a client's history and asks the client about the use of complementary and alternative therapies. The client asks why the nurse needs to know about this. What is the nurse's best response? a. "I want to make sure you understand all the risks of these treatments." b. "I am just curious on what types of treatments are used by people." c. "It's important that we list all your home care needs for the hospital." d. "It will help me so that I can recommend use of these for other clients."
c. "It's important that we list all your home care needs for the hospital." Nurses need to include complementary and alternative therapy in assessment of the client's current treatments to ensure an understanding of the safety and effectiveness of the treatments, particularly if the client is also receiving allopathic treatment. The nurse would want to be positive with this questioning so that the client is not defensive regarding any complementary and alternative treatments.
The pregnant client with hyperemesis is not obtaining relief from medications. Which alternative therapy can the nurse advocate for the client to use? a. Homeopathy b. Qi Gong c. Acupuncture d. Shamanism
c. Acupuncture Acupuncture is used to minimize nausea and vomiting caused by pregnancy. It uses tiny needles placed at particular acupoints on the body to increase or decrease the flow of energy to contribute to healing. Shamanism is the use of a medicine man/woman to access the spirit world. Homeopathy is the use of substances for healing. Qi Gong is exercises or meditations that enhance systemic health. They are designed to restore the healing system, the body's innate intelligence, so it knows how to correct and heal itself.
The nurse is caring for a client whose treatment has been based on the Ayurveda medical system. Which nursing intervention incorporates this client's beliefs into the nursing plan? a. Including the client's shaman in the plan of care b. Basing practice on the yin-yang theory c. Helping the client to balance his or her dosha d. Preparing the client for exercises that help him or her regulate qi
c. Helping the client to balance his or her dosha Central to Ayurvedic medicine is an understanding of th client's basic constitution, or dosha. The three doshas in Ayurvedic medicine are vata (changeable), pitta (intense), and kapha (relaxed). Yin-yang and qi are associated with traditional Chinese medicine. A shaman is associated with shamanism (involves the spirit world).
A nurse practitioner is conducting a presentation at a local community center about complementary health approaches. One of the participants asks the nurse practitioner, "Everybody is talking about relaxation. Just how does relaxation help a person?" The nurse responds, integrating which effect as being associated with relaxation? Select all that apply. a. Lowered immune response b. Improved sense of well-being c. Reduced muscle tension d. Better sleep and rest e. Less anxiety
d. Better sleep and rest e. Less anxiety c. Reduced muscle tension b. Improved sense of well-being Explanation: Relaxation can be useful whether a client is experiencing a single stressful event, such as surgery, or chronic stress. Client benefits include reduced anxiety, reduced muscle tension and pain, improved functioning of the immune system, enhanced sleep and rest, and an improved overall sense of well-being.
The nursing instructor is discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students? a. Holism perspective b. Integrative perspective c. Allopathic perspective d. Medical system perspective
a. Holism perspective The instructor is describing the definition of holism. Integrative perspective is combining allopathic and complementary and alternative therapy (CAM). The medical system perspective is based on a philosophy and theory about health and illness along with specific types of treatment that may be based in culture. The allopathic perspective is based in biomedicine. Holism is the only perspective that is looking at parts interacting with each other and the environment.
According to survey results, who are the most prevalent users of complementary or alternative therapies? a. Women, ages 35-50, with college degree, former smokers b. Men, ages 50-65, with some high school, who smoke c. Women, ages 25-40, with high school degree, who smoke d. Men, ages 30-45, with college degree, who recently stopped smoking
a. Women, ages 35-50, with college degree, former smokers The most prevalent users of CAT are women, ages 35-50, with higher levels of education, who are former smokers.
