Medical-Surgical Nursing | Complementary and Alternative Care Initiatives Exam Questions and Answers
Chapter 12: Complementary and Alternative Care Initiatives
Answers and rationale are found after question 25
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which is a guiding principle when using the Recipient/Practitioner Partnership in the delivery of complementary and alternative medicine to a patient?
1) Defining health as harmonious and balanced
2) Believing that qi permeates and bonds all living things
3) Establishing a relationship because building trust instills hope
4) Emphasizing a healthy lifestyle for a proactive approach to wellness
2. Which is a guiding principle when using the Wellness Model of Care in the delivery of complementary and alternative medicine to a patient?
1) Defining health as harmonious and balanced
2) Believing that qi permeates and bonds all living things
3) Establishing a relationship because building trust instills hope
4) Emphasizing a healthy lifestyle for a proactive approach to wellness
3. Which is a guiding principle when using the Energy Paradigm in the delivery of complementary and alternative medicine to a patient?
1) Defining health as harmonious and balanced
2) Encouraging self-awareness regarding body changes
3) Establishing a relationship because building trust instills hope
4) Emphasizing a healthy lifestyle for a proactive approach to wellness
4. The nurse should offer the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care for patients with which emotional or psychological disorder?
1) Neuropathy
2) Fibromyalgia
3) Chronic fatigue
4) Carpal tunnel syndrome
5. The nurse should offer the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care for patients with which pain disorder?
1) Insomnia
2) Menopause
3) Fibromyalgia
4) Chronic fatigue
6. Which patient statement indicates the need for further education regarding the benefits of using Energy
Healing Therapies in the plan of care?
1) “It promotes relaxation.”
2) “It helps to reduce stress.”
3) “It will decrease my stamina.”
4) “It will relieve musculoskeletal discomfort.”
7. Which gastrointestinal (GI) issue might benefit from the nurse educating the patient about the use of herbal medicine?
1) Reflux
2) Flatulence
3) Constipation
4) Hemorrhoids
8. A patient is interested in exploring the use of a complementary and alternative medicine (CAM) health-care provider. Which patient statement indicates the need for further education regarding questions that should be asked of any CAM provider?
1) “I will ask the provider if he or she accepts my insurance plan.”
2) “None of these providers are licensed so I need to be very careful.”
3) “I will ask the provider to provide education regarding any side effects.”
4) “Sessions may be required several times per month, so I will ask about frequency of visits.”
9. A nurse is interested in implementing complementary and alternative medicine (CAM) into practice. Which research barrier may inhibit this from occurring?
1) Detailed standardization for interpretation of systematic reviews
2) Large number of patients involved in clinical trials
3) Generic treatment plans
4) Reluctant funding
10. A patient asks for reliable information from the Internet regarding complementary and alternative medicine
(CAM). Which URL should the nurse provide to this patient?
3) www.cdc.gov
4) www.fda.gov
11. Which term should the nurse use when referring to the dominant health-care system within the United States during a training session with other health-care providers regarding complementary and alternative medicine (CAM)?
1) Eastern medicine
2) Conventional medicine
3) Folklore medicine practices
4) Old-world traditional medicine
12. When teaching about the use of complementary and alternative medicine (CAM), which patient statement indicates to the nurse the need for additional education?
1) “The goals of care for CAM and conventional medicine are very different.”
2) “The term alternative is used when the treatment is outside of conventional methods.”
3) “The term complementary refers to CAM practices that are paired with conventional
medicine.”
4) “The top ten reasons adult seek CAM include things such as pain, anxiety, depression, and headaches.”
13. Which nursing action indicates a holistic approach to patient care?
1) Refusing a patient assignment because of differing religious beliefs
2) Telling the patient’s family that spiritual beliefs should be kept to themselves
3) Asking the patient to limit responses to information that is pertinent to today’s visit
4) Providing housing information for a family who seeks care for their child’s ear infection
14. Which therapy should the nurse document as a specific category for complementary and alternative medicine
(CAM)?
1) Naturopathy
2) Acupuncture
3) Therapeutic touch
4) Dietary supplements
15. Which patient diagnosis would contraindicate the use of massage at a complementary and alternative medicine (CAM) therapy?
1) Depression
2) Osteoporosis
3) Fibromyalgia
4) Tumor sites
16. Which patient prescription would contraindicate the use of massage therapy in the nursing plan of care?
1) Insulin
2) Warfarin
3) Propranolol
4) Acetaminophen
17. Which patient condition would cause the nurse to assess for physical limitations and mobility restrictions prior to including mind/body therapies in the plan of care?
1) Cataracts
2) Pregnancy
3) Previous back surgery
4) Controlled hypertension
18. Which patient condition supports the use of an energy healing therapy with anecdotal evidence?
1) Asthma
2) Depression
3) Bipolar disorder
4) Anorexia nervosa
19. Which term should the nurse use to describe the healing properties associated with botanicals?
1) Natural
2) Artificial
3) Alternative
4) Complementary
20. The nurse is preparing to administer a prescribed herbal product with a traditional antibiotic. Which should the nurse consult prior to administering these prescribed therapies?
1) The charge nurse for the shift.
2) The pharmacologist for the unit.
3) A physician’s desk reference (PDR).
4) A reputable Internet site regarding complementary and alternative medicine (CAM).
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
21. Which top ten diagnoses for adult patients should the nurse include complementary and alternative therapies when planning care? Select all that apply.
1) Cancer
2) Anxiety
3) Arthritis
4) Insomnia
5) Dyspepsia
22. Which are the benefits for a patient diagnosed with heart disease, when the nurse includes Mind/Body therapies in the plan of care? Select all that apply.
1) Decreased fatigue
2) Decreased headache
3) Decreased heart rate
4) Decreased blood pressure
5) Decreased body temperature
23. The nurse plans to include the use of Mind/Body therapies for patients with which diagnoses in order to facilitate communication and social interaction? Select all that apply.
1) Autism
2) Anxiety
3) Depression
4) Sleep disorders
5) Alzheimer disease
24. The nurse plans to include the use of Mind/Body therapies for patients with which diagnoses in order to facilitate relaxation? Select all that apply.
1) Autism
2) Anxiety
3) Depression
4) Sleep disorders
5) Alzheimer disease
25. Which are general benefits the nurse would include in a teaching session for a patient who is considering the use of Manipulative and Body-Based therapies? Select all that apply.
1) Alleviates pain
2) Relieves insomnia
3) Decreases heart rate
4) Facilitates mental clarity
5) Increases range of motion
Chapter 12: Complementary and Alternative Care Initiatives Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health
Difficulty: Easy
|
Feedback |
|
|
1 |
This is a guiding principle when using the Energy Paradigm for the implementation of complementary and alternative medicine. |
|
2 |
This is a guiding principle when using the Energy Paradigm for the implementation of complementary and alternative medicine. |
|
3 |
This is a guiding principle when using the Recipient/Practitioner Partnership for the implementation of complementary and alternative medicine. |
|
4 |
This is the guiding principle when using the Wellness Model of Care for the implementation of the complementary and alternative medicine. |
PTS: 1 CON: Promoting Health
2. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health
Difficulty: Easy
|
Feedback |
|
|
1 |
This is a guiding principle when using the Energy Paradigm for the implementation of complementary and alternative medicine. |
|
2 |
This is a guiding principle when using the Energy Paradigm for the implementation of complementary and alternative medicine. |
|
3 |
This is a guiding principle when using the Recipient/Practitioner Partnership for the implementation of complementary and alternative medicine. |
|
4 |
This is the guiding principle when using the Wellness Model of Care for the implementation of complementary and alternative medicine. |
PTS: 1 CON: Promoting Health
3. ANS: 1
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health
Difficulty: Easy
|
Feedback |
|
|
1 |
This is a guiding principle when using the Energy Paradigm for the implementation of complementary and alternative medicine. |
|
2 |
This is the guiding principle when using the Wellness Model of Care for the implementation of complementary and alternative medicine. |
|
3 |
This is a guiding principle when using the Recipient/Practitioner Partnership for the implementation of complementary and alternative medicine. |
|
4 |
This is the guiding principle when using the Wellness Model of Care for the implementation of complementary and alternative medicine. |
PTS: 1 CON: Promoting Health
4. ANS: 3
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classification of CAM
Integrated Processes: Nursing Process – Planning
Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing
Difficulty: Moderate
|
Feedback |
|
|
1 |
Neuropathy is a pain, not emotional or psychological, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
2 |
Fibromyalgia is a pain, not emotional or psychological, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
3 |
Chronic fatigue is an emotional or psychological disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
4 |
Carpal tunnel syndrome is a pain, not emotional or psychological, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
PTS: 1 CON: Nursing
5. ANS: 3
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classification of CAM
Integrated Processes: Nursing Process – Planning
Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing
Difficulty: Moderate
|
Feedback |
|
|
1 |
Insomnia is an emotional or psychological, not pain, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
2 |
Menopause is an emotional or psychological, not pain, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
3 |
Fibromyalgia is a pain disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
|
4 |
Chronic fatigue is an emotional or psychological, not pain, disorder that might be treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care. |
PTS: 1 CON: Nursing
6. ANS: 3
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 208
Heading: Box 12.6 Benefits of Energy Healing Therapies
Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing]
Concept: Promoting Health
Difficulty: Difficult
|
Feedback |
|
|
1 |
Energy Healing Therapies are known to promote relaxation. This statement indicates correct understanding of the information presented. |
|
2 |
Energy Healing Therapies are known to reduce stress. This statement indicates correct understanding of the information presented. |
|
3 |
Energy Healing Therapies are known to increase, not decrease, stamina. This statement indicates the need for further education. |
|
4 |
Energy Healing Therapies are known to relieve musculoskeletal discomfort. This statement indicates correct understanding of the information presented. |
PTS: 1 CON: Promoting Health
7. ANS: 3
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 208-209
Heading: Herbal Medicine and Botanicals
Integrated Processes: Nursing Process – Planning
Client Need: Physiological Integrity – Basic Care and Comfort
Cognitive level: Comprehension [Understanding] Concept: Bowel Elimination
Difficulty: Easy
|
Feedback |
|
|
1 |
The treatment of reflux is not a GI issue that is supported by evidence to benefit from herbal medicines. |
|
2 |
The treatment of flatulence is not a GI issue that is supported by evidence to benefit from herbal medicines. |
|
3 |
Evidence supports the use of herbal medicines in the treatment of constipation. |
|
4 |
The treatment of hemorrhoids is not a GI issue that is supported by evidence to benefit from herbal medicines. |
PTS: 1 CON: Bowel Elimination
8. ANS: 2
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 209-211
Heading: Nursing Implications: Assessment, Education, and Research
Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing]
Concept: Promoting Health
Difficulty: Difficult
|
Feedback |
|
|
1 |
The patient should be encouraged to ask the provider if he or she accepts the patient’s health insurance plan. |
|
2 |
Many CAM providers are licensed; therefore, this statement indicates the need for further education by the nurse. |
|
3 |
The patient should be sure that he or she is educated regarding any possible side effects associated with the CAM treatment. |
|
4 |
Many CAM treatments require follow-up visits; therefore, this statement indicates appropriate understanding of the information presented. |
PTS: 1 CON: Promoting Health
9. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 209-211
Heading: Nursing Implications: Assessment, Education, and Research
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice
Difficulty: Easy
|
Feedback |
|
|
1 |
Inadequate, not detailed, standardization for interpretation of systematic reviews is a research barrier for the implementation of CAM into practice. |
|
2 |
A limited, not large, number of patients involved in clinical trials is a research barrier for the implementation of CAM into practice. |
|
3 |
Personalized, not generic, treatment plans is a research barrier for the implementation of CAM into practice. |
|
4 |
Funding for research is an issue for the implementation of CAM into practice. |
PTS: 1 CON: Evidence-Based Practice
10. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 209-211
Heading: Nursing Implications: Assessment, Education, and Research
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Application [Applying] Concept: Promoting Health
Difficulty: Moderate
|
Feedback |
|
|
1 |
A google search will not yield reliable information from the Internet regarding CAM. |
|
2 |
WebMD is not a reliable source for information on the Internet regarding CAM. |
|
3 |
While the CDC is a reputable Internet resource, it is not known as a reliable resource regarding CAM. |
|
4 |
The FDA is a reputable Internet resource regarding CAM. This is the URL the nurse should provide to this patient. |
PTS: 1 CON: Promoting Health
11. ANS: 2
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Application [Applying] Concept: Health Care System
Difficulty: Moderate
Feedback
1 Western, not eastern, medicine is another term for the traditional health-care system within the United States.
|
2 |
Conventional medicine is another term for the traditional health-care system within the United States. |
|
3 |
Folklore medicine practices refers to CAM, not the traditional health-care system within the United States. |
|
4 |
Old-world traditional medicine refers to CAM, not the traditional health-care system within the United States. |
PTS: 1 CON: Health Care System
12. ANS: 1
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Teaching and Learning
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Analysis [Analyzing] Concept: Health Care System Difficulty: Difficult
|
Feedback |
|
|
1 |
The goals of care for CAM and conventional medicine are quite similar. This statement indicates the need for further education. |
|
2 |
The term alternative in CAM refers to treatment that is outside of the conventional methods. |
|
3 |
The term complementary in CAM refers to practices that are paired with conventional medicine. |
|
4 |
Pain, anxiety, depression, and headaches are included in the top 10 reasons adult patients seeks CAM. |
PTS: 1 CON: Health Care System
13. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Nursing Process – Implementation
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Application [Applying] Concept: Nursing
Difficulty: Moderate
|
Feedback |
|
|
1 |
Refusing a patient assignment due to differing religious beliefs does not indicate a holistic approach to patient care. |
|
2 |
Telling a patient’s family that their spiritual beliefs should be kept to themselves does not indicates a holistic approach to patient care. |
|
3 |
Asking the patient to limit responses to information that is pertinent to today’s visit does not indicates a holistic approach to patient care. |
4 Providing information to a family about housing, when they seek care for their child’s ear infection indicates a holistic approach to patient care.
PTS: 1 CON: Nursing
14. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classification of CAM
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Application [Applying] Concept: Critical Thinking
Difficulty: Moderate
|
Feedback |
|
|
1 |
Naturopathy is a type of Whole medical systems/Alternative medical systems therapy but not a category of CAM. |
|
2 |
Acupuncture is a type of Whole medical systems/Alternative medical systems therapy but not a category of CAM. |
|
3 |
Therapeutic touch is a type of healing energy touch therapy but not a category of CAM. |
|
4 |
Dietary supplements a specific therapy that is also a category of CAM. |
PTS: 1 CON: Critical Thinking
15. ANS: 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 206
Heading: Massage Therapy
Integrated Processes: Nursing Process – Planning
Client Need: Physiological Integrity – Physiological Adaptation
Cognitive level: Application [Applying] Concept: Critical Thinking
Difficulty: Moderate
|
Feedback |
|
|
1 |
Depression is not a patient diagnosis that contraindicates the use of massage therapy. |
|
2 |
Osteoporosis is not a patient diagnosis that contraindicates the use of massage therapy. |
|
3 |
Fibromyalgia is not a patient diagnosis that contraindicates the use of massage therapy. |
|
4 |
The use of massage therapy over tumor sites is contraindicated. |
PTS: 1 CON: Critical Thinking
16. ANS: 2
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 207
Heading: Safety Alert
Integrated Processes: Nursing Process – Planning
Client Need: Physiological Integrity – Pharmacological and Parenteral Therapies
Cognitive level: Application [Applying] Concept: Medication
Difficulty: Moderate
|
Feedback |
|
|
1 |
The use of insulin by the patient does not contraindicate the use of massage therapy in the nursing plan of care. |
|
2 |
The use of warfarin, an anticoagulant agent, contraindicates the use of massage therapy in the nursing plan of care due to the increased risk for bleeding. |
|
3 |
The use of propranolol by the patient does not contraindicate the use of massage therapy in the nursing plan of care. |
|
4 |
The use of acetaminophen by the patient does not contraindicate the use of massage therapy in the nursing plan of care. |
PTS: 1 CON: Medication
17. ANS: 2
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 207
Heading: Safety Alert
Integrated Processes: Nursing Process – Assessment Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying]
Concept: Assessment
Difficulty: Moderate
|
Feedback |
|
|
1 |
Glaucoma, not cataracts, is a patient diagnosis which would necessitate the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies. |
|
2 |
Pregnancy is a patient diagnosis which would necessitate the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies. |
|
3 |
Recent back surgery, not previous back surgery, is a patient diagnosis which would necessitate the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies. |
|
4 |
Uncontrolled, not controlled, hypertension is a patient diagnosis which would necessitate the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies. |
PTS: 1 CON: Assessment
18. ANS: 1
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 207-208
Heading: Energy Healing Therapy
Integrated Processes: Nursing Process – Planning
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Knowledge [Remembering]
Concept: Evidence-Based Practice
Difficulty: Easy
|
Feedback |
|
|
1 |
The use of energy healing therapies is supported by anecdotal evidence for patients diagnosed with asthma. |
|
2 |
This condition does not support the use of energy healing therapies by anecdotal evidence. |
|
3 |
This condition does not support the use of energy healing therapies by anecdotal evidence. |
|
4 |
This condition does not support the use of energy healing therapies by anecdotal evidence. |
PTS: 1 CON: Evidence-Based Practice
19. ANS: 1
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 208-209
Heading: Herbal Medicine and Botanicals
Integrated Processes: Communication and Documentation
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive level: Comprehension [Understanding] Concept: Communication
Difficulty: Easy
|
Feedback |
|
|
1 |
Natural is a term that is often used to describe the healing properties associated with botanicals. |
|
2 |
This is not the term that is used to describe the healing properties associated with botanicals. |
|
3 |
This is not the term that is used to describe the healing properties associated with botanicals. |
|
4 |
This is not the term that is used to describe the healing properties associated with botanicals. |
PTS: 1 CON: Communication
20. ANS: 2
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine
Chapter page reference: 209
Heading: Safety Alert
Integrated Processes: Nursing Process – Assessment
Client Need: Physiological Integrity – Pharmacological and Parenteral Therapies
Cognitive level: Analysis [Analyzing] Concept: Medication; Safety Difficulty: Difficult
Feedback
1 The charge nurse for the shift may not be the best resource for the nurse to consult prior
|
|
to administering this combination of prescribed therapies. |
|
2 |
The nurse should consult with the provider, pharmacist, or herbalist prior to administering any herbal product with a prescribed drug. |
|
3 |
While a PDR is an appropriate reference for prescribed drugs, this resource many not have information regarding the prescribed herbal product. |
|
4 |
A reputable Internet site for CAM may not have the specific information needed regarding the prescribed drug the nurse needs to administer with the herbal product. |
PTS: 1 CON: Medication | Safety
MULTIPLE RESPONSE
21. ANS: 2, 3, 4, 5
Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203
Heading: Introduction
Integrated Processes: Nursing Process – Planning
Client Need: Physiological Integrity – Basic Care and Comfort
Cognitive level: Knowledge [Remembering] Concept: Nursing
Difficulty: Easy
Feedback
|
1. |
This is incorrect. Cancer is not a top ten diagnosis for adult patients regarding the use of complementary and alternative therapies. |
|
2. |
This is correct. Anxiety is a top ten diagnosis for adult patients for the use of complementary and alternative medicine. |
|
3. |
This is correct. Arthritis is a top ten diagnosis for adult patients for the use of complementary and alternative medicine. |
|
4. |
This is correct. Insomnia is a top ten diagnosis for adult patients for the use of complementary and alternative medicine. |
|
5. |
This is correct. Dyspepsia, or stomach upset, is a top ten diagnosis for adult patients for the use of complementary and alternative medicine. |
PTS: 1 CON: Nursing
22. ANS: 3, 4, 5
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classification of CAM
Integrated Processes: Nursing Process – Planning
Client Need: Physiological Integrity – Physiological Adaptation
Cognitive level: Application [Applying] Concept: Perfusion
Difficulty: Moderate
Feedback
|
1. |
This is incorrect. Decreased fatigue is a benefit when including Mind/Body therapies in the plan of care for a patient diagnosed with an emotional or psychological disorder, not heart disease. |
|
2. |
This is incorrect. Decreased incidence of headache is a benefit when including Mind/Body therapies in the plan of care for a patient diagnosed with an emotional or psychological disorder, not heart disease. |
|
3. |
This is correct. A decrease in the heart rate is a benefit of including Mind/Body therapies in the plan of care for a patient who is diagnosed with heart disease. |
|
4. |
This is correct. A decrease in the blood pressure is a benefit of including Mind/Body therapies in the plan of care for a patient who is diagnosed with heart disease. |
|
5. |
This is correct. A decrease in body temperature is a benefit of including Mind/Body therapies in the plan of care for a patient who is diagnosed with heart disease. |
PTS: 1 CON: Perfusion
23. ANS: 1, 5
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classifications of CAM
Integrated Processes: Nursing Process – Planning
Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Communication
Difficulty: Moderate
Feedback
|
1. |
This is correct. Mind/Body therapies are helpful to facilitate communication and social interaction for patients diagnosed with autism. |
|
2. |
This is incorrect. While Mind/Body therapies are helpful to patients with anxiety, they do not facilitate communication and social interaction for these patients. |
|
3. |
This is incorrect. While Mind/Body therapies are helpful to patients with depression, they do not facilitate communication and social interaction for these patients. |
|
4. |
This is incorrect. While Mind/Body therapies are helpful to patients with sleep disorders, they do not facilitate communication and social interaction for these patients. |
|
5. |
This is correct. Mind/Body therapies are helpful to facilitate communication and social interaction for patients diagnosed with Alzheimer disease. |
PTS: 1 CON: Communication
24. ANS: 2, 3, 4
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 203-209
Heading: Classifications of CAM
Integrated Processes: Nursing Process – Planning
Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Communication
Difficulty: Moderate
Feedback
|
1. |
This is incorrect. Mind/Body therapies are helpful to facilitate communication and social interaction, not relaxation, for patients diagnosed with autism. |
|
2. |
This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed with anxiety. |
|
3. |
This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed with depression. |
|
4. |
This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed with sleep disorders. |
|
5. |
This is incorrect. Mind/Body therapies are helpful to facilitate communication and social interaction, not relaxation, for patients diagnosed with Alzheimer disease. |
PTS: 1 CON: Communication
25. ANS: 2, 4, 5
Chapter number and title: 12, Complementary and Alternative Care Initiatives
Chapter learning objective: Differentiating the classifications of complementary and alternative medicine
Chapter page reference: 205-206
Heading: Mind/Body Therapies
Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying]
Concept: Promoting Health
Difficulty: Moderate
Feedback
|
1. |
This is incorrect. Pain reduction is not a general benefit for the use of Manipulative and Body- Based therapies. |
|
2. |
This is correct. Relief of insomnia is a general benefit for the use of Manipulative and Body- Based therapies. |
|
3. |
This is incorrect. A reduction in heart rate is not a general benefit for the use of Manipulative and Body-Based therapies. This is a cardiovascular benefit. |
|
4. |
This is correct. The facilitation of mental clarity is a general benefit for the use of Manipulative and Body-Based therapies. |
|
5. |
This is correct. An increase in range of motion is a general benefit for the use of Manipulative and Body-Based therapies. |
PTS:1CON:Promoting Health
0
99