Question 1

What is the term used in Canada to describe energy drinks?

Accepted Answer

In Canada, energy drinks are classified as "natural health products" by Health Canada.

Question 2

A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient's current prescription drugs. Select the nurse's best comment to the patient.

Accepted Answer

The nurse acknowledges the patient's use of the herb and documents it in the medical record to ensure accurate information is available to other healthcare providers. This approach supports patient-centered care and allows for continued monitoring of the patient's health.

Question 3

An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?

Accepted Answer

Option D acknowledges the patient's traditional health practices and offers a non-invasive alternative to control pain, which may be culturally acceptable to the patient. Options A and B may not be culturally appropriate, while option C does not address the patient's concerns.

Question 4

Select the best desired outcome for a patient who uses valerian.

Accepted Answer

Valerian is commonly used as a herbal remedy to promote sleep and improve sleep quality. Therefore, the best desired outcome for a patient using valerian would be reporting undisturbed sleep throughout the night.

Question 5

A patient wants to learn more about integrative therapies. Which resource should the nurse suggest for the most reliable information?

Accepted Answer

The answer of A patient wants to learn more about...

Question 6

A patient has just completed 6 weeks of electroconvulsive therapy. When visiting the clinic for a follow-up visit, the patient reports taking ginkgo for memory enhancement. Which nursing diagnosis applies?

Accepted Answer

The answer of A patient has just completed 6 weeks...

Question 7

A patient asks, "What is the major difference between conventional health care and traditional, complementary, and alternative medicine (TCAM)?" Which of the following is the nurse's best reply?

Accepted Answer

The answer of A patient asks, "What is the major...

Question 8

A patient diagnosed with depression tells the nurse, "I want to try supplementing my selective serotonin reuptake inhibitor with St. John's wort." Which action should the nurse take first?

Accepted Answer

Research has suggested that St.John's wort is a mild inhibitor of serotonin reuptake and could lead to serotonin syndrome; this risk is increased if the patient is taking other medications that increase serotonin activity.Assessing the depression would be a secondary intervention.Aromatherapy has not been shown to be an effective adjunct or treatment for depression.Although a dosage reduction in her SSRI medication might reduce the risk of serotonin syndrome,this intervention is not in the nurse's scope of practice.

Question 9

Acupuncture is a traditional Chinese medical treatment based on which of the following beliefs?

Accepted Answer

Acupuncture is based on the belief that inserting needles into specific points on the body can modulate the flow of energy, or "qi," along pathways known as meridians.

Question 10

A patient reports, "Last night I had several mixed drinks at a party. When I got home, I had difficulty falling sleep. I made two cups of herbal tea with valerian. This morning, I feel very groggy and have a headache." The nurse should explain which of the following?

Accepted Answer

Valerian can enhance the sedative effects of other central nervous system depressants, such as alcohol, leading to increased grogginess and headache.

Question 11

A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.

Accepted Answer

The nurse should prioritize the patient's safety and health by educating them on the potential risks of aromatherapy with respiratory problems such as asthma. The nurse should then suggest exploring other options that are safer and more effective for anxiety treatment. It is important for the nurse to provide evidence-based recommendations and encourage the patient to discuss any alternative therapies with their healthcare provider.

Question 12

A patient tells the nurse, "I've been having problems with my memory. I read some information on the Internet and started taking ginkgo." Select the nurse's best response.

Accepted Answer

Recent studies have shown that ginkgo biloba is not effective in improving memory or preventing memory problems, which is why the nurse should inform the patient of this updated information.

Question 13

A patient tells the nurse, "I have a hard time sleeping and find that my sleeping pill only works when I take valerian as well." How should the nurse respond?

Accepted Answer

Valerian can interact with other sedative medications, potentially leading to increased sedation or other side effects, so it is important to address this with the patient.

Question 14

A patient has tried a variety of traditional, complementary, and alternative medicine (TCAM) approaches to manage health concerns. The nurse asks, "How is going to TCAM practitioners different from seeing your medical doctors?" How is the patient most likely to respond?

Accepted Answer

TCAM practitioners often focus on holistic care, spending more time discussing overall well-being rather than just symptoms.

Question 15

A patient says, "I have taken megadoses of vitamin E for 3 months to improve my circulation, but I think I feel worse." Which action should the nurse take first?

Accepted Answer

The nurse should assess the patient for symptoms and signs of toxicity from excess vitamin exposure, which can include blurred vision, abdominal pain, fatigue, and headache. This will help determine whether the patient is experiencing negative effects from the megadoses of vitamin E.

Question 16

A patient tells the nurse, "I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe." Which response by the nurse would be most appropriate?

Accepted Answer

The nurse should explain to the patient that the term "natural" can be a marketing term and does not always indicate that a product is healthy or safe. This response educates the patient without being confrontational or dismissive of their beliefs. Options A and B are not accurate or appropriate responses, as natural substances can have side effects or interactions with other medications, and it is important for the patient to feel in control of their treatment. Option D may be true, but it is not the most appropriate response to the patient's statement.

Question 17

A patient shows a nurse this advertisement: "Our product is a scientific breakthrough helpful for depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates circulation and excretes toxins. Satisfaction guaranteed or your money back." Select the nurse's best response.

Accepted Answer

The nurse's best response is to suggest additional investigation of the product, as it may not be safe or effective for the patient to use without further research. The advertisement makes vague and unsupported claims, and it is important for the nurse to help the patient make an informed decision about their health care options. Option A is too definitive and dismissive of the potential benefits of the product, while option B does not offer any guidance or information for the patient's concerns. Option D assumes the patient's motives and may create an unhelpful power dynamic in their conversation.

Question 18

Which traditional, complementary, and alternative medicine (TCAM) method is associated with using allergy injections of small amounts of an allergen in solution?

Accepted Answer

Homeopathy involves using highly diluted substances, including allergens, to stimulate the body's healing processes, similar to allergy injections.

Question 19

For patients with which co-morbid diagnosis would it be most important for the nurse to urge immediate discontinuation of kava kava?

Accepted Answer

Kava kava can cause liver damage, and patients with cirrhosis already have compromised liver function, making it crucial to avoid further liver stress.

Question 20

A nurse plans health education for a patient who is having difficulty sleeping and wants to try a natural supplement. Which substance should the nurse recommend to the patient?

Accepted Answer

Valerian is a natural supplement commonly used to promote sleep and improve sleep quality.

Quiz 35: Integrative and Complimentary Therapies