Deck 7: The Role of Complementary and Alternative Therapies in Pharmacotherapy

Question 1

Which activity would support the client's use of mind-body interventions and require privacy?

A)Reading
B)Praying
C)Practicing aromatherapy
D)Meditation

Answer 1

Meditation

Question 2

A male client states that he has been using the herbal product saw palmetto.Which assessment finding would indicate that the product is helpful?

A)A decrease in the frequency of headaches.
B)Less burning and pain with urination.
C)The ability to fall asleep quickly.
D)Less difficulty initiating urination.

Answer 2

Less difficulty initiating urination.

Question 3

What is a benefit of adding dietary supplements to an older adult's treatment plan?

A)Increased effectiveness of prescribed drugs
B)An inexpensive alternative to traditional medicines
C)Possible prevention of nutritional deficits
D)Prevention of Alzheimer disease

Answer 3

Possible prevention of nutritional deficits

Question 4

Which pharmacologic information about plants is most important for a client who plans to collect plants for herbal therapy?

A)The active chemicals are found in the roots only.
B)The active chemicals could be in one part or all parts of the plant.
C)Most herbal plants contain only one active chemical.
D)The strength of the active chemicals in a given plant is standard throughout the country.

Question 5

A client with a history of depression is taking cyclosporine to prevent organ rejection.However,recent tests indicate the medication is losing effectiveness.The nurse should ask if the client is taking which herbal supplement?

A)Flaxseed
B)Saw palmetto
C)St.John's wort
D)Black cohosh

Question 6

The client asks the nurse how to compare the strengths of different brands of an herbal supplement.Which response by the nurse is the most appropriate?

A)"Look for a label with an NSF or United States Pharmacopoeia (USP)certification,which indicates that the strength of the herb has been quantified."
B)"There is no way to compare the strengths of any herbal products in the United States."
C)"If the supplement is standardized,you can compare the amount of active ingredient in different products."
D)"There is no need to check strengths.All products in the United States are standardized."

Question 7

A client with Parkinson disease is admitted to the emergency department with increased tremors and muscle rigidity.Which herb would the nurse expect to find on the client's medication list?

A)Saw palmetto
B)Garlic
C)Kava kava
D)Ginkgo

Question 8

The nurse has noticed that more clients are asking about the use of herbal supplements to treat their symptoms.The nurse is aware that this could be related to which factor?

A)Aggressive marketing by the herbal industry
B)The greater safety of herbal remedies over prescription medications
C)An increase in acute illnesses
D)The lower cost of herbal remedies

Question 9

A client experiencing occasional minor digestive problems asks the nurse about herbal therapy.Which herbs would the nurse recommend? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Tumeric
B)Green tea
C)Ginger
D)Grape seed
E)Stevia

Question 10

The Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 represented an update of the Dietary Supplement Health and Education Act of 1994 (DSHEA).What was required in the marketing of dietary supplements as a result of this act?

A)Testing the safety of the supplements
B)Notifying the FDA of serious adverse events reported by consumers
C)Stating which conditions the product is designed to treat
D)Carrying a USP verification mark on labels

Question 11

What is a legal requirement of the Dietary Supplement Health and Education Act (DSHEA)of 1994?

A)The herbal product must contain only one active ingredient.
B)Dietary supplements must state that the product is not intended to diagnose,treat,cure,or prevent any disease.
C)Efficacy must be demonstrated by the manufacturer.
D)The product must contain the ingredients listed in the amounts claimed.

Question 12

A health care provider suggests that a client drink a glass of wine each evening to help prevent heart disease.The client's religious beliefs prohibit the consumption of alcohol in any form,but the client is willing to try an herbal supplement.What formulation should the nurse suggest the client avoid?

A)Teas
B)Decoctions
C)Tinctures
D)Infusions

Question 13

A client is admitted with abnormal liver enzymes.Included in the client's medication list are amiodarone and echinacea.Which nursing action takes the highest priority?

A)Prepare the client for a liver biopsy
B)Document the findings
C)Notify the health care provider
D)Palpate for hepatomegaly

Question 14

The nurse is advising a client about the proper use of herbal and dietary supplements.What is the responsibility of the nurse in recommending herbal products?

A)The nurse should advise the client to seek information on herbal products from a practitioner of alternative medicine rather than a health care provider,because the health care provider has no knowledge of these products.
B)The nurse should be aware of the latest medical information on herbal products,including interactions and side effects.
C)The nurse should seek to dissuade the client from using them,because they are not "scientific."
D)The nurse should say that clients can trust the labeling on herbal products because the U.S.government tests them rigorously before they are marketed.

Question 15

The nurse in a long-term care facility begins giving clients evening massages.Using complementary and alternative medicine (CAM)in this manner would have which pharmacologic benefit for the clients?

A)A possible decreased need for antianxiety medication
B)Fewer drug interactions
C)Improved nurse-client communication
D)Consistent time for client to go to sleep

Question 16

The client states that an herbal supplement is "better" because it is standardized.What is the nurse's best response regarding standardization?

A)It shows which products were tested for their efficacy.
B)It shows which supplements underwent clinical trials.
C)It allows for a comparison of potency among herbal products.
D)It indicates which products are FDA-approved.

Question 17

Although attempts are being made to standardize the flavones in ginkgo,the nurse is aware this product can still be particularly dangerous for which clients?

A)Those using a generic brand of the herbal product
B)Those who are taking anticoagulant drugs
C)Clients who have never taken the herb
D)Clients who are of African American ethnicity

Question 18

The nurse obtains information during the admission interview that a client is taking herbal supplements.What implications does this information have for the client's treatment?

A)This is not important,because herbal products are natural and pose little risk to the client.
B)The nurse must observe the client for allergic reactions.
C)The herbal products could interact with prescribed medications and affect drug action.
D)These products are a welcome adjunct to conventional treatment.

Question 19

Which is an advantage to the use of complementary and alternative medicine (CAM)for clients?

A)They can reduce the need for medications.
B)They are less expensive.
C)They are as effective as allopathic drugs.
D)They have fewer side effects.

Question 20

A client receiving warfarin (Coumadin)therapy is also using the herb feverfew.For what does the nurse assesses?

A)Renal dysfunction
B)Increased coagulation
C)Liver toxicity
D)Increased bleeding potential

Question 21

A client's spouse brings the client to the urgent care facility.The spouse is worried because the client has been very drowsy recently.After taking the client's history,the nurse determines that the combination of prescribed benzodiazepine and which herbs may be causing the drowsiness? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)St.John's wort
B)Kava
C)Valerian
D)Ginkgo
E)Soy

Question 22

The nurse is providing care to a client who would like to begin using a specialty supplement to help treat chronic insomnia.Which supplement would be appropriate to recommend to this client?

A)Melatonin
B)Chromium
C)Black cohosh
D)Evening primrose

Question 23

A client is taking warfarin (Coumadin)after experiencing a stroke.Which herbs must the nurse caution the client to avoid? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Green tea
B)St.John's wort
C)Soy
D)Feverfew
E)Ginger

Question 24

A client who is considering taking a dietary supplement recommended by the nurse asks how to determine whether the supplement is safe.Which requirements by the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 will the nurse educate the client about? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Include their contact information on the label so consumers can report adverse effects.
B)Notify the Food and Drug Administration (FDA)within 15 days of receiving a report of an adverse effect.
C)Keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration (FDA).
D)Demonstrate product effectiveness prior to release of the product to the public.
E)State which conditions the product is intended to cure or prevent.

Question 25

A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events.The client asks about other ways to manage her symptoms.Which herbs would be appropriate for the nurse to recommend to this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Soy
B)Black cohosh
C)Evening primrose
D)Saw palmetto
E)Acai

Question 26

The nurse is teaching clients in a senior center about complementary and alternative therapies.Which statements by a client indicate understanding of the information the nurse has presented? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)"I see now that 'natural' doesn't really mean 'safe,' and I should ask my health care provider about any supplements I want to take."
B)"I didn't realize that some herbal supplements may be just as strong as a prescription drug.I will need to discuss any supplements I want to try with my doctor."
C)"I understand now that when I choose to use a natural product over a prescription medication,I could be delaying my recovery."
D)"It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy."
E)"I'm allergic to many foods.It's good to know that because herbal products are natural,I don't have to worry about an allergic reaction."

Question 27

A client with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease.The nurse suggests the client discuss which herbs with the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Flaxseed
B)Green tea
C)Soy
D)Milk thistle
E)Acai

Question 28

A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs.The nurse suggests the client discuss the efficacy of which herbs with the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Tumeric
B)St.John's wort
C)Ginger
D)Ginseng
E)Bilberry

Question 29

The discharge nurse gives a list of dangerous herb-drug interactions to a new diabetic client prescribed oral hypoglycemic drugs.Which herbs should be included on this list? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Garlic
B)Ginseng
C)Green tea
D)Kava
E)Ginkgo