Chapter 20 Complementary and Alternative therapies

The patient has a bone infection in the lower leg. Which patient education brochure is the nurse most likely to prepare for the patient? a. antibiotic therapy and surgery for osteomyelitis b. how to effectively use tea tree oil for infections c. risks and benefits of chiropractic therapy d. advantages and disadvantages of energy field therapy

a. antibiotic therapy and surgery for osteomyelitis

The patient suffered a traumatic event as a child; however, the event is not something the patient ever thinks or talks about. Which therapy would be most likely to trigger a memory that would require psychological intervention? a. biofeedback b. reflexology c. yoga d. accupressure

a. biofeedback

The nursing student has severe test anxiety. She is using guided imagery to help reduce anxiety just before the beginning of each test. What is the desired outcome of this type of therapy? a. controls response to stimuli by regulating expectations and perceptions b. learns to deep breaths and include all senses during times of stress c. visualizes warmth entering the body on inspiration and tension leaving on expiration d. creates an image of self successfully passing the exam

a. controls response to stimuli by regulating expectations perceptions

The NCCIH funds research that relates to complementary and integrative therapies. Which criteria are considered when studies are selected for funding? SELECT ALL THAT APPLY. a. current evidence supports further research b. goals of research are attainable if the study is correctly designed c. study outcomes will change patient health practices d. manufacturers will profit if research supports product efficacy e. study addresses an important need for information f. consumers trust products that have been investigated by research

a. current evidence supports further research b. goals of research are attainable if the study is correctly designed c. study outcomes will change patient health practices e. study addresses an important need for information

Why do herbal products have the potential to cause problems for consumers? SELECT ALL THAT APPLY a. do not have the same rigorous study as pharmaceuticals b. reduced level of accountability for the manufacturers c. not required by law to demonstrate safety, efficacy, or quality of products d. wide variations in potency, quality, and chemical content e. no standardized dosages have been established for most herbs f. more potent that pharmaceuticals because the whole plant is used

a. do not have the same rigorous study as pharmaceuticals b. reduced level of accountability for the manufacturers c. not required by law to demonstrate safety, efficacy, or quality of products d. wide variations in potency, quality, and chemical content e. no standardized dosages have been established for most herbs

All patients should be advised to discuss use of complementary and alternative therapies with their health care provider; however, which patient needs extra encouragement to check with the provider before trying reflexology? a. has type 2 diabetes b. is in the first trimester of pregnancy c. has chronic pulmonary disease d. had fractured ankle in childhood

a. has type 2 diabetes

The nurse is collecting data for the health history of a new patient. What is the best rationale for directly asking the patient about the use of complementary and alternative medicine therapies? a. many patients use unconventional therapies but hesitate to tell the HCP b. a complete health history is essential for every patient c. alternative therapies must be listed for insurance coverage d. nurses should be advocates for holistic care for patients

a. many patients use unconventional therapies but hesitate to tell the HCP

What are the advantages of animal-assisted therapy? SELECT ALL THAT APPLY a. research indicates that animals have a calming effect b. animals can stimulate mental activity through interaction c. most families have a pet that will be families to the patients d. everyone likes animals because they decrease loneliness e. patients who like animals are usually not allergic to them f. being around an animal can reduce blood pressure and anxiety

a. research indicates that animals have a calming effect b. animals can stimulate mental activity through interaction f. being around an animal can reduce blood pressure and anxiety

What is the most common element of relaxation strategies? a. rhythmic breathing b. control of muscle groups c. awareness of environment d. meditation

a. rhythmic breathing

Which patient should be cautioned that inhalation of essential oils could exacerbate symptoms? a. takes as needed (PRN) medication for asthma b. recently diagnosed with major depression c. currently experiences excessive stress related to work d. underwent chiropractic treatments for back pain

a. takes as needed (PRN) medication for asthma

Which patient statement indicates understanding of therapy that could help with smoking cessation? a. "i could consult an herbalist and smoke herbal leaf instead of tobacco" b. "acupuncture stimulates acupoints and has been used to treat addictions" c. "inhalation of lavender oil relieves stress and decreases craving for a cigarette" d. "biofeedback would increase my awareness about my physiologic cravings"

b. "acupuncture stimulates acupoints and has been used to treat addictions"

For most patients, magnet therapy has neither beneficial or detrimental effects; however, for which patient would magnet therapy be contradicted? a. the patient has rheumatoid arthritis b. the patient has a pacemaker c. the patient had a knee replacement surgery d. the patient has terminal ovarian cancer

b. The patient has a pacemaker

Which patient would not be a candidate for therapeutic massage? a. a pregnant woman who would like to have a foot massage b. a postsurgical patient who wants the legs massaged to relieve cramps c. an older patient who has an ache in the upper back after prolonged sitting d. a school aged child who has been confined to bed for several days

b. a postsurgical patient who wants the legs massaged to relieve cramps

The nurse is working in a long term care center and recognizes that older residents are at risk for "skin hunger" What would the nurse do to address this problem? a. ensure that herbal lotion enriched with vitamins and protein is applied after bathing b. identify residents who are comfortable with hugging and touching by staff members c. consult with a holistic nutritionist for the skin d. apply herbal sunscreens to protect the skin and take residents into the sun

b. identify residents who are comfortable with hugging and touching by staff members

In 2018, the Food and Drug Administration approved Epidiolex (cannbidiol). Which patient is the most likely candidate to get a prescription for this new drug? a. patient has cancer and experiences severe nausea and vomiting after chemotherapy b. patient has severe form of epilepsy that has not responded to other medications. c. patient has severe pain and desires to avoid the addictive properties related to opioids d. patient has choice of treatment for marijuana abuse as an alternative to incarceration

b. patient has severe form of epilepsy that has not responded to other medications.

Which outcome statement indicates that the prescribed dronabinol is a successful therapy for a patient with cancer? a. the tumor is reduced in size and pressure on surrounding tissues is reduced b. the patient reports decreased nausea and an improvement in appetite c. the patient reports sleeping longer and resting more comfortably d. fever and pain are reduced, and white cell count is improving

b. the patient reports decreased nausea and an improvement in appetite

The nurse is seeking evidence-based practice information related to complementary and alternative medicine therapies for cancer patients. What would be the best source of this information? a. consult an updated comprehensive medical-surgical textbook b. use the internet to search for cancer and CAM therapies c. access national center for complementary and integrative health website (NCCIH) d. talk to the local chapter of the American Cancer Society

c. Access national center for complementary and integrative health website (NCCIH)

A university student says, "Me and some of my friends have occasionally been vaping THC, just for fun. It's safer than getting drunk and it's legal on campus." Which action would the nurse take first? a. offer the student a brochure on safety issues of vaping and e-cigarettes b. tell the student that he should talk to his parents about his behavior c. ask the student about what he knows about THC and vaping. d. notify the supervising RN and HCP about the student's comment

c. ask the student about what he knows about THC and vaping.

The patient says, "I take an anticoagulant because I have atrial fibrillation and I like to use ginseng because I heard it can prevent diabetes" Based on the patient's comments, what is the most important data set for the nurse to follow up? a. look at the patient's current and previous blood glucose levels b. put the patient on the cardiac monitor and compare previous tracings c. check the patients current and previous clotting times d. take a full set of vital signs and compare current values to previous

c. check the patient's current and previous clotting times

The patient has heart failure and takes digoxin. He tells the nurse that he is thinking about taking Ginkgo biloba because it is supposed to improve memory by increasing circulation to the brain. What is the best response? a. "you sound like you might be worried about memory loss" b. "dixogin has a lot of herb drug and drug-drug interactions c. "let me contact your provider so you can discuss this with him" d. "i will get you some additional information about Gingko biloba"

c. let me contact your provider so you can discuss this with him"

Which patient statement indicates a correct understanding of the patient teaching information about using herbal preparations? a. "herbal preparations are made from plants and are natural and safe" b. "these are the over the counter products so they don't have dangerous side effects" c. "if I follow the package instructions on dosage, i'll be okay" d. "the herbs should be discontinued at least 2 weeks before any surgery"

d. "the herbs should be discontinued at least 2 weeks before any surgery"

Which nurse is correctly using a complementary and alternative therapy to assist older residents in a long term care center to evoke memories of past Christmas holidays? a. Nurse A puts up strings of red, white, and green lights to create a positive energy field b. Nurse B uses biofeedback and monitors respiratory rate as people listen to Christmas music c. Nurse C applies animal-assisted therapy by showing a movie about Santa's reindeer d. Nurse D uses an aromatic infuser filled with pine scent and the residents decorate a tree

d. Nurse D uses an aromatic infuser filled with pine scent and the residents decorate a tree

A 42 year old female patient has a family history of osteoporosis and would like advice about the use of CAM for prevention of osteoporosis. Which therapy would the nurse provide information about? a. acupuncture b. chiropractic therapy c. reflexology d. T'ai chi

d. T'ai chi

The older patient disrobes to take a shower. The young nursing student who is assigned to assist with hygiene is shocked and repulsed by the appearance and condition of the patient's skin. What should the student do? a. quickly excuse herself and step out into the hall to recover composure b. smile and avoid looking at the patient directly, but continue to assist with care c. apologize to the patient and then seek out the instructor for advice d. make eye contact, smile, and assist the patient to maintain safety in the shower

d. make eye contact, smile, and assist the patient to maintain safety in the shower

Currently, which patients are most likely to be prescribed and benefit from THC? a. patients with fibromyaligia or chronic fatigue syndrome b. patients with clinical depression or anxiety disorders c. patients with addictions to alcohol or opiod analgesics d. patients with cancer or acquired immunodeficiency syndrome

d. patients with cancer or acquired immunodeficiency syndrome

Which outcome statement indicates that valerian is being used appropriately and is a successful therapy for the patient? a. the patient reports that his upper respiratory infection resolved much faster than expected b. the patient states he feels more alert and has better mental concentration after several doses c. the patient reports that the nausea is relieved, and the abdominal pain has subsided d. the patient feels that he is sleeping more soundly, and quality of sleep seems much better

d. the patient feels that he is sleeping more soundly, and quality of sleep seems much better