CAM Therapy Practice Questions

The client asks the nurse how humor therapy affects the client physiologically. Which effects should the nurse explain are attributed to laughter? select all that apply a. Decreases heart rate and blood pressure b. increases salivary immunoglobulin A (S-IgA) c. produces an antagonist response to stress hormones d. decreases the immune response by decreasing t-lymphocytes e. changes temp set point in brain

B

The client tells the nurse that a neighbor recommends the use of bilberry in treating simple diarrhea. The nurse supports the client's use based on the knowledge of which action of bilberry? a. anthocyanosides in the berry decreases peristalsis b. berry contains pectin, which acts as a soluble fiber c. acts to counter act antimicrobial suppression of normal intestinal flora d. works to decrease bacterial or viral causes of diarrhea

B

The nurse instructs the client taking St. John's wort that which food preferred by the client may be safely consumed while taking this herb? a. chocolate b. aged cheese c. beer d. vanilla ice cream

B

The nurse is performing an imagery session with a group of clients. What instruction should the nurse give the clients? a. "try to concentrate on your breathing, letting go of all your stress" b. "Imagine that your body is using its energy to heal itself c. "contract the muscles of your arm and then relax" d. "listen to music of your choice and let the music take you away"

B

The nurse is preparing a presentation for staff about the effects of humor in nursing situations. What feedback would indicate to the nurse that the participants understand the role of humor in the health care setting? a. understanding that humor increases the social distance between people b. noting that humor promotes effective teaching and learning c. anticipating that humor fosters the expression of anger and aggression d. accepting that humor is ineffective as a coping mechanism

B

The nurse is using meditation with a client to help him decrease his pain. Which factor is important to consider when using this type of therapy? a. the type of meditation is best determined by the nurse b. the client's condition will influence the use of meditation c. meditation is best taught when the client is in an outpatient setting d. a certified professional should teach the client how to perform meditation

B

The nurse would include which intervention when planning care for the client who is taking hawthorn? a. monitor blood glucose levels b. monitor blood pressure c. monitor white blood cell count d. monitor temp

B

The pre op waiting area has soft instrumental music playing in the background. What purpose should the nurse recognize in regards to this action? select all that apply a. music produces a hypermetabolic state in the listener b. music reduces physiological stress, pain, and anxiety c. music enhances the functions of the left side of the brain d. music covers up the normal noises found in the hospital setting e. music without words are more effectively enhances relaxation

B, D, E

A nurse is preparing to present information to a woman's group about the cautions associated with aromatherapy. What information is appropriate to include for the audience? select all that apply a. aromatic oils are produced by standard-quality formulas b. the oils should be stored in dark glass containers c. test for allergies by applying a small amount of oil to the skin before use d. essential oils should not be used during pregnancy e. production of essential oils is controlled by the FDA

B,C

The nurse has taught the client about meditation, which statement by the client demonstrates understanding? a. "meditation is a technique used to quiet the mind and focus on the future" b. "meditation involves self-reflection on my religious convictions" c. "meditation is pure concept with one clearly defined technique" d. "meditation involves both relaxation and focus of attention"

D

The nurse is evaluating the effectiveness of guided imagery for a client with preoperative anxiety. Which client statement should indicate to the nurse that the therapy has been successful? a. "I hope that I don't have dreams about the images we used tonight" b. "It is a real challenge to concentrate while I have so much on my mind" c. " I will need to set up some practice time for next week" d. "The images and exercises are selected to reduce anxiety about the surgery"

D

Which assessment data would prohibit the use of imagery with a client? a. no previous history of using imagery techniques b. states anxiety level of 6 on a 0-10 scale c. client feels reluctant to close eyes for the imagery session d. client has history of psychosis

D

The nurse teaches the client about massage therapy. Which statement by the client demonstrates a correct understanding of the benefits of massage? select all that apply a. "Massage reduces blood clot formation" b. "Massage impacts lymphatic drainage" c. "Massage increases lactic acid in muscle" d. "Massage ultimately improves blood flow" e. "Massage creates a sense of wakefulness

A, B, D

A client is using aromatherapy to treat stress. Which assessment data indicates an allergic reaction in a client who has received an aromatherapy session? a. development of a rash b. increased skin turgor c. decreased pigmentation d. peripheral edema

A

A client scheduled for arthroscopic knee surgery has been taking ginger for relief of arthritic pain. The client asks the nurse about the use of ginger after surgery for continued relief of pain and post op nausea. What essential information should the nurse provide? a. ginger cannot be used safely post op b. ginger would not be effective for post op pain or nausea c. ginger may be repeated every 4 hours as needed d. ginger may potentiate the effects of opioid medications

A

The client presents to the clinic with an abrasion to the left knee from a fall. After cleaning the abrasion, the nurse might support the use of which client=chosen herb as adjunct therapy to treat the abrasion? a. echinacea b. ginger c. valerian root d. feverfew

A

A client is taking chlorpromazine. Based on metabolism on this medication, the nurse the concomitant use of which herb? a. valerian root b. ginger c. milk thistle d. hawthorn

C

A client tells the nurse that walking causes right leg pain. The pain is described as muscle cramping or burning that subsides with rest. Based on the symptoms, the nurse supports the use of what herb? a. feverfew b. garlic c. ginkgo d. ginseng

C

The nurse decides to teach a client with HTN the progressive relaxation technique. Which instructions should the nurse give to the client when using this relaxation method? a. sit in an upright position with legs crossed b. place sensors on the forehead to monitor physiological activity c. contract and relax the body's mucles in groups from head to feet d. monitor breathing pattern while repeating a word or phrase out loud

C

The nurse has determined that music therapy may be appropriate for use with a client. Which of the following should the nurse consider when choosing the music? select all that apply a. choose only music with words b. choose music that is 5-7 minutes c. allow client to choose music of his or her choice d. encourage the client to respond to the music e. ask the client not to analyze the music

C

The nurse is using progressive relaxation on a client who is experiencing a great deal of stress. What nursing action is necessary in order to protect client's safety prior to the start of the session? a. Evaluate the client's muscle strength b. Determine if the client is taking sedatives c. Place the client in a totally supported position d. Obtain information regarding client allergies

C

Which therapeutic change in lab values would the nurse anticipate in the client taking garlic? a. increased platelet aggregation b. increased white blood cell count c. decreased serum cholesterol levels d. decreased serum glucose levels

C

The nurse is teaching the client's wife how to perform a back massage on the client. Which observation by the nurse indicates that the spouse understands how to perform the activity? select all that apply a. the client is lying on the bed in his pajamas b. the client's back is being rubbed in large, circular motions c. she places the bottle of lotion in warm water prior to the massage d. she massages the client's back for 3-5 minutes e. she firmly massages reddened areas noted on the client

C, D

Which client would benefit from the therapeutic effects of garlic? select all that apply a. the client with decreased blood pressure b. the client with liver disease c. the client with coronary artery disease d. the client with a bleeding disorder e. the client with peripheral vascular disease

C,E

The female client tells the nurse that she is planning a pregnancy soon. In providing client education related to the use of herbs during pregnancy, which statement by the nurse is most appropriate? a. "most herbs are safe when taken as directed" b. "only herbs in topical form are safe" c. "certain herbs are safe and effective when taken in lower doses" d. "you should discuss the use of any herbs with your HCP"

D