NU230 Therapeutics - Chapter 11 health, wellness, and integrative healthcare

A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?

"I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder."

While conducting a health history, the client responds yes to the nurse's inquiry of the use of complementary and alternative medicine (CAM) to treat headaches. The nurse asks which specific therapies the client uses. Which response would require the nurse to ask further questions?

"I take herbs to treat my headaches when I have them and to help prevent them from occurring."

The nurse is providing prenatal counseling for a pregnant client regarding the prevention of congenital disorders during pregnancy. Which statement made by the client indicates that the education provided was effective?

"My baby is most vulnerable if I take anything in the first 3 months of pregnancy."

The nurse manager of the acute care unit has decided to implement a team nursing approach for client care. One of the staff members asks, "Will we each take care of our own clients?" What is the appropriate response by the manager?

"The care will be divided and the registered nurse (RN) will have a licensed practical/vocational nurse (LPN/LVN) and unlicensed assistive personnel (UAP) to provide care together."

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?

"There are several alternative medicine modalities that could help with pain and relaxation during your treatment. I will get you some information on them."

Which statement illustrates the effect of the sociocultural dimension on health and illness?

"Why shouldn't I drink and drive? Everyone else does."

The nurse is explaining the purpose of the Healthy People 2030 initiative to a client. Which goal(s) will the nurse point out as included? Select all that apply.

-increase the number of people with health insurance -decrease incidence of client with new cancer diagnosis -increase the number of various medical degrees among the underrepresented racial and ethnic groups -improve hearing and visual health with prevention education

The nurse is preparing to create a plan of care for a client admitted with chronic obstructive pulmonary disease (COPD). Which intervention(s) will directly help the client achieve the goal of self-actualization? Select all that apply.

-teaching the client about the COPD diagnosis -educating the client about the course of the disease process -creating a treatment and prevention plan to decrease readmissions

Which trend(s) over the past 25 years in the way health care is provided has resulted in drastic changes? Select all that apply.

-use of computerized medical records -shorter hospital stays -increased interest in alternative therapies -increase in drug-resistant infections

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?

Acupuncture

What is the definition of wellness?

An active state of being healthy

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

Allopathic medicine is less effective in the care of clients with:

Chronic illnesses.

The nurse is performing a routine assessment of a client who has an artificial arm as a result of a small plane crash many years earlier. How should the nurse best understand this client's health?

Despite the loss of a limb, the client may identify as being healthy.

Which is the best example of health-promotion education?

Discussing prevention of sexually transmitted infections (STIs) with 12th-grade students

Which model of health and illness places high-level health and death on opposite ends of a graduated scale?

Health-Illness Continuum

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?

Helps to increase the effects of parasympathetic nervous system on the mind and body

A client wishes to integrate CAM into her treatment regimen for ovarian cancer. Which of the following modalities requires the most careful consideration by her health care team due to the potential for harm?

Herbal remedies

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?

Holism

Which of the following is a theory and philosophy that focuses on connections and interactions between parts of the whole?

Holism

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?

Holism perspective

A nurse uses Therapeutic Touch (TT) to decrease a postoperative client's nausea. Which of the following is a principle of this CAM modality?

Illness is an imbalance in a person's energy field.

The client is experiencing a cold and has sinus congestion. The client is prescribed a decongestant by his primary care provider. The client has a poor response to the decongestant and seeks to include acupuncture treatment. The nurse explains the use of a decongestant and acupuncture at the same time is called what type of therapy?

Integrative

A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean?

It contains a certain amount of an active ingredient.

A nurse is practicing imagery to relieve stress. What might accompany the imagery to even further promote relaxation?

Listening to music

Which nursing activity reflects secondary prevention?

Making a referral for a mammogram

A client asks the nurse about using acupuncture as a treatment for various conditions. For which condition would the nurse most likely recommend the its use?

Osteoarthritis

A nursing instructor is talking about health promotion with a group of senior nursing students. What would the instructor tell the students is the key to successful health promotion?

Personal motivation

A baby is born with Down syndrome, which influences the child's health-illness status. This is an example of which human dimension?

Physical

Age, race, gender, and genetic inheritance are examples of what human dimension?

Physical

A camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?

Primary

A nurse is immunizing children against measles. This is an example of what level of preventive care?

Primary

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?

Primary

A group of students is reviewing information about traditional Chinese medicine as a complete healing system that includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and meditation. The students demonstrate understanding of this concept when they identify the core of traditional Chinese medicine as:

Qi

Which is an example of tertiary health promotion?

Rehabilitation

A nurse is interviewing a client at the health care facility. What would the nurse assess as a physical measure for determining a baseline measure of the body?

Rest and sleep

The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?

Teaching about adhering to a low-sodium diet

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

A community health nurse is providing education for a group of individuals on the topic of practicing meditation as a lifestyle modification. The nurse understands that lifestyle modification skills focus on which of the following?

increasing energy levels

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?

restoring a healthy flow of energy along the meridians of the body

A client is seeking health care at a local rural clinic for frequent and debilitating headaches. The nurse is making a referral to a university teaching facility 60 miles away from the clinic for evaluation of the headaches. Which form of care will this client be receiving?

tertiary care

A nurse who "unblocks" and "clears" congested areas of energy in a client's body to promote comfort is applying the phenomenon known as:

Therapeutic Touch (TT)

What have the models of health promotion and illness prevention been used for?

To help health care providers understand health-related behaviors.

The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?

What people believe to be true about their health

A nurse is implementing secondary-level interventions for a group of hospitalized clients. With which activity(ies) would the nurse be involved? Select all that apply.

-Administering medications -Providing wound care

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.

-Better sleep and rest -Less anxiety -Reduced muscle tension -Improved sense of well-being

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.

-Buy herbs and supplements that are standardized. -Give the product adequate time to work. -Be knowledgeable about the product and its therapeutic actions.

The nurse is expressing a desire to achieve a healthier lifestyle. Due to the nurse's many responsibilities and lack of time, the nurse eats many meals at fast food restaurants and ingests soft drinks on the job for the caffeine and sugar boost. What would the nurse do to improve food choices? Select all that apply.

-Reduce or eliminate carbonated and sugar-sweetened beverages. -Adopt a diet that includes more vegetables. -Eat foods that are locally and organically grown.

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.

-The nurse investigates herbs that may stimulate the client's immune system. -The nurse encourages the client to join a yoga class. -The nurse teaches the client how to meditate. -The nurse uses guided imagery to relieve client anxiety.

A nurse is reviewing a journal article that describes traditional Chinese medicine. The nurse demonstrates understanding of the information by identifying which principles as being associated with this approach? Select all that apply.

-Yin/Yang -Heat/cold -Interior/exterior -Excess/deficiency

A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?

Health promotion

A nurse is teaching a client how to perform meditation. Which would the nurse emphasize that the client do first?

Select an appropriate location.

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Sociocultural needs