Chapter 28: Complementary and Alternative Therapies PrepU
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? -"Therapeutic Touch balances qi, which is part of vital life force, thus relaxing the muscles and increasing relief of migraine headaches." -"Acupuncture uses fine needles inserted in the skin to stimulate natural painkillers and has proven to be beneficial in treating chronic migraines." -"You might want to consider the use of botanicals, which can take the place of your prescribed medications." -"Meditation is the only alternative medicine that is recommended for chronic migraines."
"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.
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? -"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." -"Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety." -"What do you currently know about therapeutic touch and why do you think this type of therapy will help?" -"How often are you prepared to engage in therapeutic touch as it is an ongoing pain relief therapy?"
"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 client comes to the clinic for a routine visit. During the interview, the client tells the nurse, "I'd really like to try to use some herbs and supplements to stay healthy. Do you have any suggestions for what I should do?" Which response by the nurse would be appropriate? Select all that apply. -"Use products from reputable companies that have tested their quality." -"Learn about the product you are planning to use." -"Make sure to understand what you are taking and the reason why." -"Try using products that are combinations of several ingredients." -"The label lists the minimum you should take, so doubling up would be okay."
-"Use products from reputable companies that have tested their quality." -"Make sure to understand what you are taking and the reason why." -"Learn about the product you are planning to use." When using herbs and supplements, the client should get information from knowledgeable and reliable sources; buy products that are produced by reputable companies; buy products that include label logos that identify dietary supplements and herbals that have been tested for ingredient quality and contaminants. Whenever possible, the client should buy single products and follow the label instructions. Clients need to be knowledgeable about the product and reason for using it.
A nurse is teaching a client with anxiety about the use of meditation. Which of these are important features of meditation? Select all that apply. -A quiet location -An open attitude -Use of music -A dark room -A comfortable position
-A quiet location -An open attitude -A comfortable position The use of meditation involves four elements, which include an open attitude, a quiet location, and a comfortable position; all of these contribute to the ability to relax when performing meditation. Use of music and a dark room are not routinely associated with meditation.
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. -Less anxiety -Lowered immune response -Reduced muscle tension -Better sleep and rest -Improved sense of well-being
-Better sleep and rest -Less anxiety -Reduced muscle tension -Improved sense of well-being 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 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. -Use the Internet to buy herbs and supplements. -Take a higher than recommended dose of herbs to initiate the therapeutic effect. -Buy herbs and supplements that are standardized. -Be knowledgeable about the product and its therapeutic actions. -Give the product adequate time to work. -Whenever possible, buy products with more than one ingredient.
-Buy herbs and supplements that are standardized. -Give the product adequate time to work. -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.
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. -Focus of attention -Comfortable position -Quiet environment -Massaging abdomen -Closed attitude
-Comfortable position -Quiet environment -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 class on holistic nutritional therapy to a group of young and middle-aged adults in the community. The nurse creates a menu of food and beverage choices and asks the group the select the best choices. The nurse determines that the teaching was successful when the group chooses which food? Select all that apply. -Canned stewed tomatoes -Fresh corn on the cob in season -Frozen packaged french fries -Organically grown chicken -Bottled spring water
-Fresh corn on the cob in season -Organically grown chicken -Bottled spring water Holistic nutritional therapy focuses on reducing the amounts of processed foods, eating organically grown foods, and eating foods in season. These concepts are reflected in the corn on the cob, chicken, and spring water. Although the french fries are frozen, they are processed, as are the canned stewed tomatoes.
The nurse is working with a client recently diagnosed with cancer. The client says, "I found this product that I want to use to fight my cancer." Which statements in the product literature should raise suspicion in the nurse? Select all that apply. -Vitamins and minerals are listed in the ingredients. -The pharmaceutical industry is trying to hide information about the product. -It claims to be an "all-natural" product. -It contains a secret ingredient known only to the manufacturers. -It cites personal testimony from a user that it cured her cancer.
-It contains a secret ingredient known only to the manufacturers. -It cites personal testimony from a user that it cured her cancer. -It claims to be an "all-natural" product. -The pharmaceutical industry is trying to hide information about the product. Dietary supplements that are "rip-offs" often claim that one product does it all, use personal testimonials as evidence of success, are "all-natural," claim to be a "miracle cure," and claim that the pharmaceutical industry and government are trying to hide information about the product. A product that has vitamins and minerals in the ingredients may be a legitimate method of strengthening the client's nutrition, which will help in cancer treatment.
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 uses guided imagery to relieve client anxiety. -The nurse teaches the client how to meditate. -The nurse investigates herbs that may stimulate the client's immune system. -The nurse schedules diagnostic tests for the client. -The nurse administers pain medication prescribed by the primary care provider. -The nurse encourages the client to join a yoga class.
-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. 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 client is following a Mediterranean diet to increase heart health. The nurse would offer which items as a snack? Select all that apply. -Chocolate chip cookie -Carrots with humus -Corn chips with salsa -Whole grain crackers -Fruit
-Whole grain crackers -Fruit -Carrots with humus Mediterranean diets include whole grains, fresh fruits, leafy vegetables, fish, and olive oil. Corn chips with salsa and chocolate chip cookies do not fall into these categories.
For which client might the nurse need to alter the plan of care based on the principles of the client's chosen medical system? -A client who is being treated by a naturopathic physician -A client who visits a chiropractor -A client who believes in a strong mind-body connection -A client who is being treated by an allopathic physician
A client who is being treated by a naturopathic physician Naturopathic medicine is not only a system of medicine but also a way of life, with emphasis on client responsibility, client education, health maintenance, and disease prevention. Clients who are being treated by a naturopathic physician will probably have a different plan of care than those being treated by allopathic physicians. Chiropractic medicine, a body-mind connection approach, and allopathic medicine are more easily incorporated into the traditional plan of care.
Which nursing action exemplifies the use of integrative care? -A nurse performing a home assessment of an older adult client recommends a referral to social services. -A nurse provides music therapy along with relaxation techniques for residents of a long-term facility. -A nurse instructs a laboring woman to use breathing exercises, and assists with the administration of an epidural for her pain. -A nurse monitors the heartbeat of a fetus and charts the height of the mother's fundus on the medical record.
A nurse instructs a laboring woman to use breathing exercises, and assists with the administration of an epidural for her pain. A nurse who uses integrative care uses some combination of allopathic medicine and CAM as seen with the nurse helping the woman in labor. The nurse monitoring the heartbeat of the fetus and charting the height of the mother's fundus is using two methods of allopathic medicine. The nurse providing music therapy and relaxation techniques is using two methods of CAM. The nurse performing a home assessment is an example of continuity of care.
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? -Physiotherapy -Allopathy -Therapeutic Touch (TT) -Acupuncture
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 client is asking for the nurse to explain acupuncture. What would the nurse tell the client? -Acupuncture is used to correct disharmony. -Acupuncture is only done in Eastern countries. -Acupuncture is a dangerous option for the treatment of disease. -Acupuncture is beneficial to creating a mood of distraction.
Acupuncture is used to correct disharmony. Acupuncture can be used to correct disharmony or prevent disharmony from developing.
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? -Allopathic -Naturopathy -Traditional Chinese medicine -Ayurveda
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.
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? -Suggest the client try some meditation and contact the health care provider to request medication to help with sleep -Document the observations, and encourage the client that he or she will feel better once going home -Ask the client's family to bring some items from home, such as a blanket, pillow, or pictures -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
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 can best help a client who is undergoing chemotherapy and using guided imagery with this by doing which of the following? -Assisting the client to find an appropriate imagery tape to use. -Promoting the client's use of imagery only after a stressful event occurs. -Explaining to the client that it is not a good idea to record their own imagery tape. -Helping the client learn about the different poses that can be performed.
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.
Why is Zen meditation effective for a client with generalized anxiety disorder? -Includes yoga exercise for stress relief -Used to reduce hyperactivity in group therapy -Assists client to enter state of calmness -Helps client forget issue causing stress
Assists client to enter state of calmness Zen meditation assists the client to enter a state of calmness to reduce anxiety. Focusing on breathing, posture, and the present, allows the mind to deal properly with intrusive thoughts, bringing a sense of calmness over oneself. Zen meditation doesn't make one forget about stressful thoughts, rather how to manage them effectively. Zen, or mindfulness meditation, is not a group therapy for hyperactivity, Although Yoga and Zen meditation have many similarities, Zen focuses on achieving a higher consciousness.
Which would be the least consistent with the Native American/Canadian Indigenous view of disease? -Violation of a taboo -Disharmony with Mother Earth -A result of negative thinking -Balance of yin and yang
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.
A client comes to the clinic for an evaluation. The client reports that "I been having such problems with getting to sleep and then staying asleep. But I don't want to take any medicines." After a discussion of possible complementary health approaches, the client decides to try aromatherapy. Which essential oil would the nurse most likely suggest to address the client's problem? -Chamomile -Ginger -Peppermint -Lemon
Chamomile For insomnia, chamomile would be appropriate. Ginger, peppermint, or lemon would be helpful in controlling nausea.
A client is in the last stage of labor. During each contraction, she is focusing on her husband's voice and a picture brought from home. She is demonstrating which type of meditation? -Concentrative -Receptive -Expressive -Reflective
Concentrative Concentrative meditation is probably the most familiar. The person focuses on an internal or external object. Receptive meditation refers to being mindful and aware of the present moment. Reflective meditation involves gaining insight into one's own thoughts and experiences. Expressive meditation involves actual movement, such as dance.
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? -Hopelessness -Social isolation -Disturbed energy field -Impaired coping
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.
Which is the most important role of the nurse in using complementary and alternative therapies? -Administering herbal supplements for anxiety -Providing nutrition supplements for weight gain -Practicing guided imagery prior to surgery -Educating the public about safety and effectiveness
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.
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? -Sugar increases natural bacterial flora in the GI tract. -Sugar assists with cellular absorption of nutrients. -Excess sugar increases demand on the pancreas. -Healthy amounts of sugar are usually consumed.
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.
A client asks the nurse about the use of healing touch. Which statement regarding healing touch is accurate? -Healing touch does not use injections. -Healing touch is too expensive for most clients. -Supplemental music is used during healing touch. -Aromatherapy is used in healing touch.
Healing touch does not use injections. Healing touch has been shown to be effective in helping clients relax and improve the healing process. It is not expensive because it involves no special equipment, including insertion of tubes or injections. Aromatherapy and supplemental music are not routinely used in healing touch.
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? -Including the client's shaman in the plan of care -Basing practice on the yin-yang theory -Preparing the client for exercises that help him or her regulate qi -Helping the client to balance his or her dosha
Helping the client to balance his or her dosha Central to Ayurvedic medicine is an understanding of the 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 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? -Activates natural pleasure centers -Helps to increase the effects of parasympathetic nervous system on the mind and body -Increases the body's natural immunity -Slows circulation throughout the body
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 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? -Homeopathy -Holism -Integrative care -Complementary therapy
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."
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? -Humor -Biofeedback -Hypnosis -Imagery
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.
Ayurvedic medicine has its roots in which of the following areas? -China -India -Southeast Asia -Japan
India Ayurvedic medicine has its roots in India.
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? -Autonomic nervous system -Parasympathetic nervous system -Central nervous system -Sympathetic nervous system
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.
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? -Yin -Qi -Yang -Alignment
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.
Which of these assessment findings indicate a positive outcome for a client after acupuncture? -The client has improved balance and coordination. -The client has lost 8 lb (3.63 kg) over the last 2 months. -The client reports a reduction in pain level to 3 out of 10. -The client has increased his or her flexibility and strength.
The client reports a reduction in pain level to 3 out of 10. Acupuncture can help with reduction of pain and nausea with clients. It is not a treatment for balance and coordination, strength and flexibility, or weight loss.
The nurse is writing a script to use in guided imagery. To be most effective, this script should include which component? -Random references to places and people -Use of all five senses -Locations familiar to most people -Scenes that move from stimulating to relaxing
Use of all five senses When all senses are involved in the experience, the imaginary situation is more fully encoded in the body and more likely to take place. Locations do not have to be specific but should invoke relaxation, not randomness. Scenes should not be stimulating.
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? -Guaifenesin -Azithromycin -Warfarin -Acetaminophen
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 appears that acetaminophen, guaifenesin, and azithromycin would not be a concern.
According to survey results, who are the most prevalent users of complementary or alternative therapies? -Men, ages 50-65, with some high school, who smoke -Women, ages 35-50, with college degree, former smokers -Women, ages 25-40, with high school degree, who smoke -Men, ages 30-45, with college degree, who recently stopped smoking
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.
A client suffers from chronic pain. The nurse suggests the client have monthly massages. This is an example of: -palliative medicine. -adjuvant medicine. -alternative medicine. -allopathic medicine.
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 nurse is educating a client on meditation techniques to provide mental calmness and physical relaxation. Which nursing intervention facilitates this process? -helping the client to assume a specific, comfortable posture -teaching the client to have multiple focal points -providing a stimulating environment in which to conduct the meditation -promoting a closed attitude to avoid judgments and distractions
helping the client to assume a specific, comfortable posture Meditation requires a specific, comfortable posture so that a single focal point can easily be established. Depending on the type being practiced, meditation can be done while sitting, lying down, standing, walking, or in other positions. The environment must be quiet, rather than stimulating, in order for meditation to be effective. The client must have an open attitude to avoid judgments and distractions.
The mind and body are connected in the provision of care. This statement describes: -altruistic care. -homeopathic care. -holistic care. -allopathic care.
holistic care. Holistic interventions focus on the interrelated needs of body, mind, emotions, and spirit.
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? -homeopathic health care and medicine -palliative health care and medicine -holistic health care and medicine -integrative health care and medicine
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.
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: -moxibustion. -healing touch. -shamanism. -homeopathy.
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.
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 -altering the client's perception and acceptance of reality -allowing accumulated toxins to be released from the body -reconnecting the client's body, spirit, and emotions
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.
