fundamentals potential questions

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

If a nurse experiences a problem reading a physician's medication order, the most appropriate action will be to: A. call the physician to verify order. B. call the pharmacist to verify order. C. consult with other nursing staff to verify. D. withhold the medication until physician makes rounds.

A. call the physician to verify order.

The nurse manager of a community clinic arranges for staff in-services about various complementary therapies available in the community. What is the purpose of this training? (Select all that apply.) A) Nurses have a long history of providing some of these therapies and need to be knowledgeable about their positive outcomes. B) Nurses are often asked for recommendations and strategies that promote well-being and quality of life. C) Nurses play an essential role in patient education to provide information about the safe use of these healing strategies. D) Nurses appreciate the cultural aspects of care and recognize that many of these complementary strategies are part of a patient's life. E) Nurses play an essential role in the safe use of complementary therapies. F) Nurses learn how to provide all of the complementary modalities during their basic

ABCDE

Eardrop instillation technique (adult versus child)

Adult: Up & Back Child: Down & Back

What role do patients have in complementary and alternative therapies? A) Submissive to the practitioner B) Actively involved in the treatment C) Allow practitioner to experiment D) Total believer in what is being taught

B) Actively involved in the treatment

A nurse is caring for a patient experiencing a stress response. The nurse plans care with the knowledge that systems respond to stress in what manner? (Select all that apply.) A) Always fail and cause illness and disease B) Cause negative responses over time C) React the same way for all individuals D) Protect an individual from harm in the short term

B) Cause negative responses over time D) Protect an individual from harm in the short term

In addition to an adequate patient assessment, when a nurse uses one of the nursing-accessible complementary therapies, he or she must ensure that which of the following has occurred? A) The family has provided permission. B) The patient has provided permission and consent. C) The health care provider has given approval or provided orders for the therapy. D) He or she has documented that the patient has a complete understanding of complementary and alternative medicine.

B) The patient has provided permission and consent.

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

Nurses are legally required to document medications that are administered to patients. The nurse is mandated to document which of the following? A. Medication before administering it. B. Medication after administering it. C. Rationale for administering it. D. Prescriber rationale for prescribing it.

B. Medication after administering it.

Several nurses on a busy unit are using relaxation strategies while at work. What is the desired workplace outcome from this intervention? (Select all that apply.) A) Improved health among the staff B) Increased patient safety C) Improved staff satisfaction D) Improved staff relationships E) Fewer overtime assignments

C) Improved staff satisfaction D) Improved staff relationships

While planning care for a patient, a nurse understands that providing integrative 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 patients and their families D) Muscles, nerves, and spine disorders

C) Mind-body-spirit of patients and their families

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

C) Progressive relaxation D) Breathwork and guided 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)

A nursing professor is teaching a nursing student about caring patients who use herbal preparations in addition to prescribed medications. Which of the following statements made by the student indicates that the student understands herbal preparations? A) "Herbal preparations are regulated by the Food and Drug Administration (FDA); therefore I need to tell patients that they are completely safe." B) "They are natural products and therefore are safe as long as you use them for the conditions that are indicated." C) "These preparations are covered by insurance, including Medicare, Medicaid, and private payers." D) "We need to treat herbal preparations as though they are "drugs" because many have active ingredients that can interact with other medications and change physiological responses."

D) "We need to treat herbal preparations as though they are "drugs" because many have active ingredients that can interact with other medications and change physiological responses."

Meditation may compound the effects of which of these medications? A) Prednisone and antibiotics B) Insulin and vitamins C) Cough syrups and aspirin D) Antihypertensive and thyroid-regulating medications

D) Antihypertensive and thyroid-regulating medications

A patient who has been using relaxation wants a better response. The nurse recommends the addition of biofeedback. What is the expected outcome related to using this additional modality? A) To eat less food B) To control diabetes C) To live longer with acquired immunodeficiency syndrome (AIDS) D) To learn how to control some autonomic nervous system responses

D) To learn how to control some autonomic nervous system responses

When planning patient education, it is important to remember that patients with which of the following illnesses often find relief in complementary therapies? A. Lupus and diabetes B. Ulcers and hepatitis C. Heart disease and pancreatitis D. Chronic back pain and arthritis

D. Chronic back pain and arthritis

An athletic young woman has just fractured her leg while training for a marathon. The use of meditation has many physiological properties that will help the young woman to: A. raise blood pressure. B. increase mood swings. C. increase oxygen consumption. D. lower muscle tension.

D. lower muscle tension.

. A postoperative patient is receiving morphine sulfate via patient-controlled analgesia (PCA). The nurse assesses that the patient's respirations are depressed. The effects of the morphine sulfate can be classified as: A. allergic. B. idiosyncratic. C. therapeutic. D. toxic.

D. toxic.

You are caring for a patient who has diabetes complicated by kidney disease. You need to make a detailed assessment when administering medications because this patient may experience problems with: A. absorption. B. biotransformation. C. distribution. D. excretion.

D: Excretion

for reassessing medications... PO and IV Oral __ -__ minutes IV __-__ minutes

Oral Reassess in 30-60 minutes for oral route IV- within 15-30 minutes

When holistically assessing a client of a culturally diverse background, the psychiatric nurse best identifies the client's use of alternative and complementary treatments best by asking a) "Are you currently using any home remedies to treat your arthritis?" b) "What are you and your doctor doing to manage your arthritis? c) "Is your arthritis being managed will by your doctor?" d) "Does your culture believe in home remedies for conditions like arthritis?"

a) "Are you currently using any home remedies to treat your arthritis?"

Which of the nurse's following statements most clearly expresses the philosophy of holism? a) "Every system in your body is in constant interaction with the others, as well as with the environment that surrounds you." b) "There is no point in treating your body; we need to focus on your mind." c) "There is an invisible but very tangible life-force that permeates every part of your being." d) "The western-based, biomedical model of medicine has a number of shortcomings that aren't usually acknowledged."

a) "Every system in your body is in constant interaction with the others, as well as with the environment that surrounds you."

A psychiatric-mental health client has a long history of insomnia that is characterized by an inability to fall asleep at bedtime. Which of the following complementary and alternative therapies has the greatest potential to promote sleep? a) Aromatherapy b) Acupressure c) Therapeutic touch d) Chiropractic

a) Aromatherapy

Which of the following integrative therapies rely on natural substances such as herbs, diet, and nutritional supplements? a) Biologically based practices b) Energy medicine c) Mind-body medicine d) Manipulative and body-based practices

a) Biologically based practices

The nurse is taking the health history of an elderly client with short-term memory loss. The nurse documents that the client is taking ginkgo biloba and aspirin. What potential adverse reactions should the nurse discuss with this client? a) Bleeding b) Mania c) Anaphylaxis d) Central nervous system (CNS) depression

a) Bleeding

While reviewing medication history, the nurse notices that a client is taking valerian. The nurse should caution the client that this particular herbal remedy carries the potential of which of the following adverse effects? a) Central nervous system (CNS) depression b) Headache c) Muscle cramps d) Bleeding

a) Central nervous system (CNS) depression

When practicing holistic nursing, the psychiatric nurse may suggestion alternative and complementary therapies when caring for a client experiencing (Select all that apply.) a) Cognitive decline b) Chronic pain c) Depression d) Insomnia e) Auditory hallucinations

a) Cognitive decline b) Chronic pain c) Depression d) Insomnia

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

A 73-year-old client is receiving radiation therapy as treatment for breast cancer. The nurse understands that this type of treatment is categorized as which of the following? a) Energy medicine b) Homeopathy c) Mind-body medicine d) Manipulative practice

a) Energy medicine

A patient wishes to integrate complementary and alternative therapies into her treatment regimen for anxiety. Which of the following modalities requires the most careful consideration by her healthcare team due to the potential for harm? a) Herbal remedies b) Therapeutic touch (TT) c) Yoga d) Healing touch

a) Herbal remedies

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

Which of the following is a common complementary and alternative medicine (CAM) modality used in the treatment of depression? a) Light therapy b) Traditional Chinese medicine c) Aromatherapy d) Music therapy

a) Light therapy

The nurse practicing holistic care focuses on a) Patterns and causes of the client's illness not the symptoms of illness b) Appropriate interventions and frequent evaluation of client condition c) Client involvement and the implementation of the nursing process d) Client outcomes and illness-related treatment modalities

a) Patterns and causes of the client's illness not the symptoms of illness

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) Mind d) Environment

a) Qi

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

a) The body is a unified, dynamic whole.

A mental health nurse has recently discovered that her client is taking an ephedra-based weight-loss product that is marketed as a "totally herbal remedy for weight loss." Which of the following is the most important nursing action? a) The nurse should talk with the client about the potential for adverse events that can result from the use of ephedra. b) The nurse should instruct the client in the appropriate usage and dosing of the herbal remedy. c) The nurse should be certain that the client does not take the herbal remedy on the same dosing schedule as the client's other medications. d) The nurse should ask the client whether or not he or she has tried other weight-reduction strategies.

a) The nurse should talk with the client about the potential for adverse events that can result from the use of ephedra.

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.

A nurse is practicing imagery to relieve stress. What might accompany the imagery to even further promote relaxation? a) listening to music b) bright lighting c) talking on the phone d) bodywork techniques

a) listening to music

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.

A nurse who provides care in a psychiatric-mental health context is aware of the importance of a holistic view of clients and care. What is the basis of holistic nursing care? a) A recognition that curing should be prioritized over healing in the care of clients b) An awareness that interconnectedness exists among the various dimensions of a client's life c) An awareness that clients are the ultimate experts in their diagnoses and care d) A knowledge that "Western" medicine has certain fundamental flaws that prevent it from meeting many clients' needs

b) An awareness that interconnectedness exists among the various dimensions of a client's life

A client expresses to the nurse that he meditates regularly to combat stress. Which of the following describes meditation? a) Stimulation of meridians b) Deep personal thought and reflection c) Balance between Yin and Yang d) Consciously directed energy exchange

b) Deep personal thought and reflection

A client in the early stages of dementia is inquiring about herbal remedies to treat the disease. The nurse would expect the physician to suggest use of which of the following? a) Passion flower b) Ginkgo c) Melatonin d) Valerian

b) Ginkgo

The psychiatric nurse, performing an admission assessment on an older client who is experiencing symptoms reflective of the early stage of dementia, asks specifically if the client is taking Ginkgo biloba when it is determined that the client a) Is being treated for rheumatoid arthritis b) Has a history of deep vein clots and is being treated with warfarin c) Has been prescribed a tricyclic antidepressant (TCA) 2 month ago d) Is accustomed to drinking two to three beers a day

b) Has a history of deep vein clots and is being treated with warfarin

The most impactful difference between traditional and holistic nursing is that a) Holistic nursing relies exclusively on alternative medical practice b) Holistic nursing includes the client's active participation in every aspect of the nursing process c) Traditional nursing incorporates care supported by the latest nursing research d) Traditional nursing practices focus on patient outcomes

b) Holistic nursing includes the client's active participation in every aspect of the nursing process

A client is taking valerian, a remedy for anxiety. The nurse understands that this homeopathic remedy is also used as which of the following? a) Weight loss b) Hypnotic c) Memory loss d) Depression

b) Hypnotic

The nurse is aware that which of the following homeopathic remedies is considered the most potent anxiolytic available without a prescription? a) Arniflora arnica gel b) Kava-kava c) Valerian d) Passion flower

b) Kava-kava

The psychiatric nurse suggests a technique associated with mind-body medicine when encouraging a chronically depressed client to engage in daily a) Tai Chi b) Meditation c) Therapeutic touch d) Yoga

b) Meditation

A client is receiving warfarin (Coumadin) for the treatment of atrial fibrillation. The client is asking the nurse about herbal remedies to treat anxiety. The nurse would caution against the use of which of the following remedies? a) Kava-kava b) St. John's wort c) Melatonin d) Passion flower

b) St. John's wort

The concepts of invisible energy flow that circulates through plants, animals, and people, as well as the earth and sky, and the balance of this energy are central to which medical system? a) Naturopathy b) Traditional Chinese medicine c) Shamanism d) Ayurveda

b) Traditional Chinese medicine

Nursing is expanding its knowledge base to include information that explains selected complementary and alternative therapies (CAT). Which of the following describes an aspect of these therapies? a) government regulated b) consumer driven c) nurse driven d) last-resort therapy

b) consumer driven

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

b) integrative.

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

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

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

c) "I take herbs to treat my headaches."

When a client inquires about the use of essential oils and how they help induce sleep, the nurse explains that a) "Aromatherapy and its use of essential oils appear to minimize pain reception, thus inducing sleep." b) "Aromatherapy seems to facilitate sleep by using the effects of certain oils to desensitize the brain." c) "The organic components in specific oils seem to trigger the production of sleep inducing melatonin." d) "The oils found in certain compounds appear to increase blood flow to the brain promoting relaxed sleep."

c) "The organic components in specific oils seem to trigger the production of sleep inducing melatonin."

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

When a nursing assessment reveals that a client has been self-medicating for depression since losing her job three months ago, the nurse responds holistically to this information by a) Assessing the client for physical conditions that may be contributing to the depression b) Questioning the client further to determine the details of the depression she has been experiencing c) Educating the client to the importance of seeing a mental health care provider to address the depression d) Suggesting CAM therapies that have been shown to be effective for the treatment of situational depression

c) Educating the client to the importance of seeing a mental health care provider to address the depression

On the bedside table of a client with a history of chronic back pain, the nurse has noticed the presence of a small remote control device that is attached by wires to two pads. The nurse recognizes that the device is a transcutaneous electrical nerve stimulation (TENS) machine. The treatment is an example of what category of complementary and alternative medicine? a) A whole medical system b) Mind-body medicine c) Energy medicine d) A biologically based practice

c) Energy medicine

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

A client is using Tai Chi to help with back pain. The nurse recognizes that Tai Chi is classified as which of the following? a) Aromatherapy b) Energy medicine c) Manipulative practice d) Homeopathy

c) Manipulative practice

On the advice of friends, a patient on a has requested acupuncture. What it is the goal of this modality? a) Altering the patient'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 patient's body, spirit, and emotions

c) Restoring a healthy flow of energy along the meridians of the body

A client with depression asks a nurse about possible herbal supplements. Which of the following would the nurse identify as being commonly used? a) Valerian b) Melatonin c) St. John's wort d) Kava

c) St. John's wort

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 patient has sought care from a homeopathic practitioner seeking treatment for her dry, itchy, and inflamed skin. Which of the following statements is characteristic of homeopathy? a) "I'm going to provide you with an herbal balm that is based on the aloe vera plant." b) "This is not simply a skin problem, but rather a spiritual problem that is manifesting itself in your skin." c) "This skin problem is actually indicative of blocked energy in your body; I'm going to teach you how to relax deeply." d) "I'm going to recommend a diluted solution that is derived from poison ivy."

d) "I'm going to recommend a diluted solution that is derived from poison ivy."

The daughter of a hospital patient has informed the care team of her desire to have a homeopathic practitioner come to the bedside and administer treatment. The nurse should anticipate that the practitioner will likely do what? a) Invoke spiritual forces in an effort to promote the patient's health and well-being. b) Administer herbal remedies to the patient that are chemically similar to the patient's current medications. c) Manipulate the patient's spine and skeleton in an effort to provide pain relief. d) Administer minute amounts of substances that are known to cause symptoms in healthy people.

d) Administer minute amounts of substances that are known to cause symptoms in healthy people.

A patient is taking ginkgo biloba, a botanical supplement. She asks the nurse if it would be safe to take aspirin for her arthritis at the same time. The nurse's response is based on what knowledge? a) Aspirin will not have any effect if taken at the same time as ginkgo biloba. b) Ginkgo biloba has an anticoagulant effect and aspirin decreases clotting. c) Ginkgo biloba does not have any effect on the blood, so it is safe. d) Ginkgo biloba affects platelet function and should not be taken with aspirin.

d) Ginkgo biloba affects platelet function and should not be taken with aspirin.

A nurse practitioner uses integrative care in his practice. What does this mean? a) He uses allopathic medicine to treat all patients. b) The nurse provides care for patients of all age groups. c) The nurse uses complementary therapy, a physician-prescribed medication. d) He uses both allopathic medicine and alternative medicine.

d) He uses both allopathic medicine and alternative medicine.

Which of the following considerations should a nurse prioritize surrounding the use of herbs and supplements by a patient? a) Pharmacological alternatives to herbs and supplements b) The patient's previous use of herbal supplements c) The patient's cultural background and beliefs d) Potential interactions with drugs

d) Potential interactions with drugs

All except which of the methodologies below have been identified as one of the major domains of complementary and alternative medicine (CAM)? a) Alternative medical systems b) Mind-body interventions c) Energy therapies d) Psychoanalysis

d) Psychoanalysis

Ethical issues around the use of CAM include all except which of the following? a) Practitioners need to know about vitamins, herbs, or energy treatments and often are unaware that their clients use such treatments. b) Very few botanicals sold in the United States have been tested in controlled clinical trials. c) The FDA has no authority over herbal products. d) Use of CAM by providers who are licensed as alternative but not complementary therapists.

d) Use of CAM by providers who are licensed as alternative but not complementary therapists.

A client with a diagnosis of depression has been taking citalopram (Celexa) for several weeks but is frustrated by the persistence of his depression. The client has told the nurse that he has just begun supplementing his antidepressant with St. John's wort. How should the nurse respond? a) "While you're taking the two medications, make sure that you're careful to avoid injury because there's a small risk of bleeding." b) "Make sure that you don't take your St. John's wort and your Celexa at the same time of the day." c) "You'll probably find that you'll experience an improvement in your mood within a few days." d)"It's best that you stop taking the St. John's wort until you talk to you doctor."

d)"It's best that you stop taking the St. John's wort until you talk to you doctor."

After reaching its peak, the serum concentration of the medication __ progressively.

falls

Medications administered__ enter the bloodstream and act immediately, whereas medications given by other routes take time to enter the bloodstream and have an effect.

intravenously

The__ are the main organs for medication excretion.

kidneys

The __ __ __ is the plasma level of a medication below which the effect of the medication does not occur.

minimum effective concentration (MEC)

You administer __ medications within 1 to 2 hours of their scheduled time.

non-time-critical

__ level is the HIGHEST concentration of a drug in the patient's bloodstream.

peak

With IV infusions, the peak concentration occurs__, but the__ level begins to fall immediately.

quickly, serum level

You need to administer __ medications at a precise time or within 30 minutes before or after the scheduled time

time-critical

The __ concentration is the level at which toxic effects occur.

toxic

___level is the LOWEST concentration in the patient's bloodstream, therefore, the specimen should be collected just prior to administration of the drug.

trough

TRUE OR FALSE: The half-life does NOT change, no matter how much medication is given.

true