Question 1

A nurse should advise a patient taking the herb kava-kava in conjunction with central nervous system medications that it may:&#10;A) have addictive properties.&#10;B) trigger asthmatic attacks.&#10;C) cause fatal arrhythmias.&#10;D) exacerbate depression.

Accepted Answer

The FDA Consumer Advisory and Consumer Reports medical experts have cautioned against the use of kava-kava.Use of kava-kava with other central nervous systems medications can be harmful,and kava-kava may have addictive properties with long-term use.

Question 2

When asked about the benefits of complementary and alternative medicine (CAM) therapies,a nurse's best response is that CAM therapies usually:&#10;A) are readily available to most patients.&#10;B) are more costly than conventional therapies.&#10;C) produce a variety of psychological side effects.&#10;D) are most effective when implemented for chronic conditions.

Accepted Answer

Although there are some exceptions,CAM therapies are often more available,accessible,and appealing to the health care consumer,and they also can cost less than conventional health care.

Question 3

Which activity should a nurse suggest to a patient who asks,&#34;What kind of exercise should I do to raise my mood?&#34;&#10;A) Horseback riding four times per week&#10;B) A game of softball three times per week&#10;C) Weight lifting for 15 minutes twice per week&#10;D) 30 minutes on the stationary bike four times per week

Accepted Answer

Sustained periods of physical exercise that produces cardiovascular benefit have been associated with positive medical benefits,improved mood and self-esteem,a feeling of accomplishment,and renewed energy.Many studies also suggest that depression levels are lower in exercise groups over a longer duration of time.Although other forms of exercise performed on a regular basis may be beneficial,the actual evidence-based research is scarce.

Question 4

A nurse knows that the patient has an understanding of complementary and alternative medicine (CAM) therapies when the patient states: (Select all that apply.)&#10;A) &#34;I'm going to begin meditating since I've read that it may help my chronic depression.&#34;&#10;B) &#34;I want to use reflexology because I want to improve my focus and ability to concentrate.&#34;&#10;C) &#34;I want to try working with a chiropractor to see if I can experience better flexibility in my lower back.&#34;&#10;D) &#34;I think I will try the herbal medication that the clinic nurse is recommending for the management of mild depression.&#34;&#10;E) &#34;Massage therapy appears to have a similar long-term affect on chronic anxiety&#10;Disorders as does medication therapy.&#34;

Accepted Answer

Chiropractic therapy focuses on the musculoskeletal system,and there is some research to support the use of herbal medication for the management of mild depression.Reflexology is a method based on manipulation and/or movement of the body.Massage therapy appears to have temporary affects on anxiety and depression but there is no support that the results are similar to antianxiety medication therapy.The patient is in need of further education about the major domains of complementary and alternative medicines.

Question 5

When a patient asks a nurse to explain complementary and alternative (CAM) therapies,which fact should the nurse include?&#10;A) Therapeutic touch is the chief CAM therapy used by advanced nurse practitioners.&#10;B) It is important to check for the most recent research findings concerning the particular therapy being considered.&#10;C) The therapies are generally harmless and can be tried with little risk of any adverse effects.&#10;D) Medical practitioners understand human physiology and the affects of traditional treatment modalities on the patient, making them comfortable prescribing them.

Accepted Answer

If a patient is considering a CAM therapy,the nurse should teach the patient the importance of checking on the safety and effectiveness of the therapy or treatment with the appropriate persons.

Question 6

Which modality would a nurse plan to implement to best facilitate the patient's capacity to implement mind-body interventions? (Select all that apply.)&#10;A) Hypnosis&#10;B) Meditation&#10;C) Reflexology&#10;D) Music therapy&#10;E) Electromagnets

Accepted Answer

The National Center for Complementary and Alternative Medicine's major domains of complementary and alternative medicine are divided into alternative medical systems,mind-body interventions,biologically based therapies,manipulative and body-based methods,and energy therapies.Meditation,hypnosis,prayer,art,music therapy,and dance therapy are mind-body interventions used to facilitate the mind's capacity to affect body function and symptoms.

Question 7

Which of these patient statements would indicate an understanding of complementary and alternative medicine (CAM) therapies? (Select all that apply.)&#10;A) &#34;I read that melatonin can help some people sleep better.&#34;&#10;B) &#34;Ginkgo biloba is proven to help both my concentration and memory.&#34;&#10;C) &#34;I'm thinking of taking St. John's wort to eliminate my severe depression.&#34;&#10;D) &#34;I've heard that omega-3 fatty acids have some positive effects on depression.&#34;&#10;E) &#34;Herbals are produced and packaged under conditions similar to medications.&#34;

Accepted Answer

Research on ginkgo biloba does not support that statement.St.John's wort may have some efficacy in mild to moderate depression,but there are no evidence-based findings on its use as treatment for major depression.While the manufacture and selling of medications is managed by the FDA (Food and Drug Administration),this is not true of herbals.Currently the guidelines are much less stringent.

Question 8

A patient shares with a nurse,&#34;One of my friends says there's nothing wrong with my nerves that meditation can't cure.What do you think I should do when I get uptight and start worrying about something?&#34; The nurse's best response is based on the fact that meditation:&#10;A) requires that the patient concentrate; anxiety would hinder the patient's ability to do that effectively.&#10;B) is effective only when used effectively in combination with psychodynamic therapy.&#10;C) has shown some benefits for generalized anxiety and panic disorder.&#10;D) is usually only therapeutic for anxiety when paired with yoga.

Accepted Answer

Meditation,a relaxation technique,has been beneficial for generalized anxiety and panic disorder.It has been found to be helpful in reducing the severity and frequency of panic attacks and has improved anxiety and depression scores.

Question 9

A patient diagnosed with major depression asks a nurse if St.John's wort could be added to the drug being prescribed.The nurse's response should be:&#10;A) &#34;I can't prescribe medication for you. You will need to discuss your interest in the herbal supplement with your prescribing doctor.&#34;&#10;B) &#34;Let's speak with your psychiatrist at your next appointment about trying St. John's wort. Your psychiatrist can decide whether you should try it.&#34;&#10;C) &#34;You know that the medicine you are on now appears to be working well for you. You shouldn't add herbal supplements unless you feel more depressed.&#34;&#10;D) &#34;Let's find some information on St. John's wort and how it interacts with the medicines you are now taking; then we can talk about it with your doctor.&#34;

Accepted Answer

Encourage patients to participate in their care,and especially encourage them to continue to learn and investigate ideas that can then be discussed with their health care providers.

Question 10

What is the best nursing response when a patient asks,&#34;What do you know about massage therapy? A friend of mine says it can be more helpful than antidepressants.&#34;&#10;A) &#34;The research has shown that massage is very beneficial, so this is a good question for you to ask your doctor. Why not bring up the topic with your psychiatrist today during your visit?&#34;&#10;B) &#34;While a few research studies indicate that massage will help relieve depression and anxiety, it's effective for only a short time, and no studies have compared massage with medication.&#34;&#10;C) &#34;I know very little, because there really is no current research available on the effectiveness of massage. However, many of these new therapies can do damage, so I wouldn't do it.&#34;&#10;D) &#34;I know very little, because there are few research findings on the effectiveness of massage. It certainly can't hurt, and it might help, so why not try it?&#34;

Accepted Answer

The nurse,who is often the professional that the patient sees as a health teacher and caregiver,must keep informed about the most contemporary research findings on all kinds of therapies.

Question 11

A patient with chronic depression asks a nurse whether light therapy should be considered as a possible treatment for the disorder.The nurse's response should be based on the knowledge that this form of therapy is best suited for:

A) posttraumatic stress disorder.
B) seasonal affective disorder.
C) postpartum depression.
D) situational depression.

Accepted Answer

The answer of A patient with chronic depression asks a...

Question 12

A patient states,&#34;One of my friends says it's possible to cure the fear of flying by using relaxation techniques.Do you think relaxation techniques would help my chronic depression?&#34; What is a nurse's best response?&#10;A) &#34;Let's discuss what research has proven concerning relaxation and its role in the management of chronic depression.&#34;&#10;B) &#34;Holistic therapies such as relaxation have been known to cure several types of phobias and anxiety-based disorders.&#34;&#10;C) &#34;You must realize that while phobias may respond well to relaxation therapy, it is not necessarily going to have the same effect on chronic depression.&#34;&#10;D) &#34;Holistic therapies such as relaxation have been found to be as effective as conventional treatments in treating a wide variety of anxiety disorders.&#34;

Accepted Answer

The answer of A patient states,&#34;One of my friends says...

Question 13

A patient states,&#34;My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion.&#34; Which response would be most therapeutic?&#10;A) &#34;Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you.&#34;&#10;B) &#34;I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed.&#34;&#10;C) &#34;TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment.&#34;&#10;D) &#34;Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important.&#34;

Accepted Answer

The answer of A patient states,&#34;My nurse practitioner performs therapeutic...

Question 14

Nurses are in an ideal position to help patients understand how complementary and alternative medicine (CAM) therapies affect individuals.It is most important that they:&#10;A) remain current about important findings related to CAM therapy outcomes.&#10;B) be familiar with CAM information to help patients receive the latest treatments.&#10;C) warn patients about the dangers of applying these therapies without first consulting their primary care provider.&#10;D) recommend CAM therapies as often as possible, since many provide relief without the expense of traditionally prescribed medicines.

Accepted Answer

The answer of Nurses are in an ideal position to...

Question 15

When counseling a patient diagnosed with depression who is prescribed St.John's wort,which information would a nurse include in the patient's education plan?&#10;A) No research-based findings of drug interactions have been reported.&#10;B) The introduction of the herb should be postponed for 24 hours after starting an antidepressant.&#10;C) The herbal tea made with this herb can be taken along with a prescribed antidepressant.&#10;D) Side effects such as dry mouth, photosensitivity, gastrointestinal symptoms, and dizziness can occur.

Accepted Answer

The answer of When counseling a patient diagnosed with depression...

Question 16

When a patient asks if SAMe (S-adenosylmethionine) would be helpful for depression,a nurse responds most appropriately by stating:&#10;A) &#34;The research findings have demonstrated conclusively that SAMe is an effective antidepressant treatment therapy.&#34;&#10;B) &#34;The few research findings we have demonstrate that SAMe is effective in the treatment of depression that is accompanied by anxiety.&#34;&#10;C) &#34;SAMe has been found to be effective in the treatment of mild depression in a few research studies, but the long-term effects are not known.&#34;&#10;D) &#34;SAMe is an element that may create harmful effects in the human body and so always requires strict monitoring by your health care provider.&#34;

Accepted Answer

The answer of When a patient asks if SAMe (S-adenosylmethionine)...

Question 17

Which patient statement is the best indication that a nurse's teaching concerning the use of complementary and alternative medicine (CAM) therapies has been effective?&#10;A) &#34;I don't think these non-traditional treatments can help me at all.&#34;&#10;B) &#34;The latest studies show that kava-kava is as effective as some antidepressants.&#34;&#10;C) &#34;CAM therapies are often more expensive than traditional medical therapies.&#34;&#10;D) &#34;I'm going to discuss adding acupuncture to my depression treatment plan with my health care provider.&#34;

Accepted Answer

The answer of Which patient statement is the best indication...

Deck 30: Complementary and Alternative Therapies