Deck 12: Complementary and Alternative Care Initiatives

Question 1

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

Answer 1

4

Question 2

The nurse recognizes which of the following approaches the Whole Medical Systems/Alternative Medical Systems focuses on supporting health rather than healing disease?
1)Acupuncture
2)Ayurvedic medicine
3)Naturopathy
4)Native American Medicine

Answer 2

3

Question 3

The nurse is preparing to administer a prescribed herbal product with a traditional antibiotic. What is the best resource for the nurse to consult before administering these prescribed therapies?
1)The nursing supervisor
2)The pharmacologist for the unit
3)A Physician's Desk Reference (PDR)
4)An Internet site regarding complementary and alternative medicine (CAM)

Answer 3

2

Question 4

Which information noted in a patient's medical record causes the nurse to question a prescription for acupuncture?
1)Platelet count 51,000/mm³
2)White blood cell count 1,200/mm³
3)Warfarin (Coumadin) 2 mg PO daily
4)Acetaminophen (Tylenol) 500 mg PO prn

Question 5

In providing care to patients interested in using complementary and alternative therapies (CAM), the nurse recognizes that which action is most important to completing a holistic health assessment?
1)Describing that the CAM therapies only work for psychosocial issues
2)Explaining to the patient's family that spiritual beliefs are best practiced privately
3)Focusing the initial assessment on understanding the specific problem the patient is seeking treatment
4)Asking the patient about their attitudes regarding CAM

Question 6

The nurse incorporates teaching about the potential benefits of herbal medicine for a patient with which gastrointestinal (GI) issue?
1)Gastric reflux
2)Intestinal obstruction
3)Constipation
4)Stomach cancer

Question 7

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

Question 8

The nurse needs to intervene if a patient prescribed massage therapy is currently taking which medication?
1)Insulin
2)Warfarin
3)Propranolol
4)Acetaminophen

Question 9

The nurse provides care to a patient who is interested in implementing naturopathy. Which statement by the patient indicates the need for further teaching regarding this complementary and alternative therapy?
1)"I like that this therapy includes botanicals."
2)"I have had hydrotherapy in the past and it really worked."
3)"I think I would like to try some of the Native American practices."
4)"I like that this includes treatments like massage."

Question 10

During a training session with other healthcare providers regarding complementary and alternative medicine (CAM), which term does the nurse use to describe the dominant healthcare system within the United States?
1)Eastern medicine
2)Conventional medicine
3)Folklore medicine practices
4)Old-world traditional medicine

Question 11

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

Question 12

The nurse questions the use of massage as a complementary and alternative medicine (CAM) therapy in the patient with which disorder?
1)Depression
2)Osteoporosis
3)Fibromyalgia
4)Tumor sites

Question 13

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."

Question 14

A patient is interested in exploring the use of a complementary and alternative medicine (CAM) healthcare 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 my insurance plan is accepted."
2)"These providers are not licensed, so I need ask specific questions about their education."
3)"I will ask the provider if there are any contraindications to prescribed therapies. "
4)"I need to ask about frequency of visits because therapy be may required several times per month."

Question 15

The nurse recognizes that there is anecdotal evidence that supports the use of energy healing therapy in patients with which disorder?
1)Asthma
2)Depression
3)Bipolar disorder
4)Anorexia nervosa

Question 16

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 may increase my blood pressure."
4)"It may relieve my musculoskeletal discomfort."

Question 17

The nurse correlates changes in patterns and function in which area of the brain when a patient is being treated with a mind-body therapy for chronic pain?
1)Cerebellum
2)Limbic system
3)Posterior pituitary gland
4)Medulla

Question 18

Which patient condition requires the nurse to assess for physical limitations and mobility restrictions before including mind-body therapies in the plan of care?
1)Cataracts
2)Pregnancy
3)Back surgery 2 years ago
4)Controlled hypertension

Question 19

The nurse trained in reflexology applies pressure to the great toe of a patient to address an illness in which body location?
1)Lungs
2)Throat
3)Kidneys
4)Appendix

Question 20

The nurse provides care to a patient who is prescribed acupuncture as an alternative and complementary therapy. Which information noted in the medical record causes the nurse to question this prescription?
1)History of lumpectomy
2)Platelet count 55,000/mm³
3)Elevation of liver enzymes
4)White blood cell count 1,800/mm³

Question 21

The clinical nurse specialist who is certified in pain management is interested in integrating complementary and alternative therapy into the pain team practices. In planning an educational session, it is important that which of the following barriers related to complementary and alternative medicine (CAM) research be considered?
1)Use of standardized processes for interpretation of systematic reviews
2)Large number of patients involved in clinical trials
3)Standardized treatment plans
4)Limited funding

Question 22

The nurse plans care for patients in the outpatient setting. Patients with which clinical manifestations may benefit from the inclusion of whole and alternative medical systems in their plans of care? Select all that apply.
1)Anxiety
2)Insomnia
3)Hot flashes
4)Heart disease
5)Chronic back pain

Question 23

The nurse needs to intervene if a patient prescribed energy healing therapies has which of the following conditions? Select all that apply.
1)Joint disorders
2)Low blood pressure
3)Recent weight gain
4)Glaucoma
5)Pregnancy

Question 24

In preparing an educational session for nursing staff, the nurse educator explains that the goals of complementary and alternative medicine (CAM) include which outcomes? Select all that apply.
1)Improving the immune system
2)Findings a cure for cancer
3)Preventing illness
4)Promoting wellness
5)Preventing premature births

Question 25

In screening patients for complementary and alternative therapy (CAM), the nurse recognizes that massage is contraindicated in patients with which conditions? Select all that apply.
1)Areas of lymphedema
2)Burns
3)Healed scars
4)Low back pain
5)Varicose veins