Question 1

Which client would be most likely to seek complementary and alternative therapies as a treatment modality? Select all that apply.&#10;A) A 58 -year -old male with prostate problems.&#10;B) A 50 -year -old female going through menopause.&#10;C) A 28 -year -old female who is healthy.&#10;D) A 48 -year -old male who wants to boost his immune system.&#10;E) A 22 -year -old male athlete who is preparing for the Olympics.

Accepted Answer

A 58 -year -old male with prostate problems.
A 50 -year -old female going through menopause.
A 28 -year -old female who is healthy.
A 48 -year -old male who wants to boost his immune system.
A 22 -year -old male athlete who is preparing for the Olympics.

Question 2

The client tells the nurse that she plans to take St. John's wort to treat her depression. What is the best response by the nurse? Select all that apply.&#10;A) &#34;That should be fine as long as you are not suicidal.&#34;&#10;B) &#34;St. John's wort is successfully used in Europe for minor depression.&#34;&#10;C) &#34;It would be better to have a psychiatric assessment first.&#34;&#10;D) &#34;Herbal preparations can interact with many other medications.&#34;&#10;E) &#34;It would be a good idea to try this before paying for a prescription medication.&#34;

Accepted Answer

It is important for the client to have a psychiatric assessment before starting any new treatment for depression, including herbal remedies like St. John's wort. This will help ensure that the client is receiving appropriate and comprehensive care. Additionally, herbal preparations can interact with many other medications, so it is important for the client to discuss any current medications or supplements with a healthcare provider before beginning St. John's wort. Option A is incorrect because it is not safe to assume that St. John's wort is safe for someone who is not suicidal. Option B is incorrect because while St. John's wort may be useful for some cases of minor depression, it is not a substitute for professional psychiatric evaluation and treatment. Option E is incorrect because there is no evidence that St. John's wort is more effective or cost-effective than prescription medications for depression.

Question 3

The hospitalized client tells the nurse that he has been taking herbal preparations to boost his immune system functioning. He does not know the names of the preparations. What is the best assessment question for the nurse to ask?

A) "Would you please ask your wife to call the hospital pharmacist with the names?"
B) "Would you please tell your doctor about the herbs during the next visit?"
C) "Would you please ask your wife to discuss this with me during her next visit?"
D) "Would you please have your wife bring the bottles to the hospital?"

"Would you please have your wife bring the bottles to the hospital?"

Accepted Answer

Asking the client to have his wife bring in the bottles of the herbal preparations is the best option. This way, the nurse can verify the names of the herbs and assess any potential interactions or side effects they may have with the client's prescribed medications. It is important to have accurate information about any herbal supplements a client is taking to ensure their safety and well-being.

Question 4

The client takes several prescription medications and asks the nurse about using complementary and alternative medicine. What is the best reply by the nurse?&#10;A) &#34;Complementary and alternative medicine (CAM) is an approach that might reduce your need for medications.&#34;&#10;B) &#34;Complementary and alternative medicine (CAM) might help, but you will still need your medications.&#34;&#10;C) &#34;Complementary and alternative medicine (CAM) has not been demonstrated to help with your kind of symptoms.&#34;&#10;D) &#34;Complementary and alternative medicine (CAM) is a good idea that you should discuss with your doctor.&#34;

Accepted Answer

The answer of The client takes several prescription medications and...

Question 5

The client is being treated for a cardiac dysrhythmia with amiodarone (Cordarone). The client has elevated liver function tests (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated liver function tests LFTs?

A) The client was taking Echinacea to treat cold symptoms.
B) The client was taking Gingko biloba for memory problems.
C) The client was taking Kava -Kava for anxiety.
D) The client was taking St. John's wort for depression.

Accepted Answer

Echinacea is known to cause hepatotoxicity and can contribute to elevated liver function tests. Gingko biloba, Kava-Kava, and St. John's wort have not been reported to significantly affect liver function tests.

Question 6

The client uses Ginkgo biloba to enhance memory functioning, but has not told the nurse about this herb. The physician orders warfarin (Coumadin) for the client. What will the best assessment of the nurse include?

A) headache, dizziness, sweating, and agitation
B) petechiae and bleeding from the gums
C) a blood glucose of 56
D) an international normalized ratio (INR) of 3.0

Accepted Answer

Ginkgo biloba can potentiate the effects of warfarin, increasing the risk of bleeding. Therefore, the nurse should assess for signs of bleeding, such as petechiae and bleeding from the gums. The other answer choices are not directly related to the interaction between ginkgo biloba and warfarin.

Question 7

The nurse plans to teach clients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse?&#10;A) &#34;Herbs, like prescription drugs, usually only contain one active ingredient.&#34;&#10;B) &#34;The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts.&#34;&#10;C) &#34;Most herbs, like prescription drugs, are standardized and regulated by Health Canada.&#34;&#10;D) &#34;Herbs are considered to be safer than prescription medications as they are natural.&#34;

Accepted Answer

Option B is the most accurate and helpful statement. Herbs may contain multiple active ingredients, and these ingredients may be present in various parts of the plant. This makes it more difficult to standardize and regulate herbal preparations compared to prescription medications. Option A is incorrect as herbs do not usually contain only one active ingredient. Option C is incorrect as herbal preparations are not as regulated as prescription medications. Option D is incorrect as herbs can have side effects and interact with other medications, just like prescription drugs.

Question 8

The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which statement?&#10;A) &#34;Herbal preparations are available in solid and liquid forms.&#34;&#10;B) &#34;I need to be careful about where I store my herbal product.&#34;&#10;C) &#34;I should check with you before using an herbal product.&#34;&#10;D) &#34;Herbal products usually contain only one active ingredient.&#34;

Accepted Answer

Herbal products often contain multiple active ingredients and should not be assumed to be a single substance. The client needs additional teaching about the composition of herbal products.

Question 9

The client is pregnant and asks the nurse about changing from her prescription antidepressant medication to St. John's wort because it is natural. What is the best response by the nurse?&#10;A) &#34;It should be okay because your baby has been exposed to an antidepressant.&#34;&#10;B) &#34;St. John's wort is a drug, and this should be discussed with your doctor.&#34;&#10;C) &#34;No, herbal preparations are just not safe to take during pregnancy.&#34;&#10;D) &#34;Yes, you can change, but let your doctor know at your next appointment.&#34;

Accepted Answer

St. John's wort is considered a drug and can have interactions with other medications, including antidepressants. It is important for the client to discuss any changes in medication with her healthcare provider, including the safety of the medication during pregnancy. It is also important for the nurse to encourage the client to never change or stop medication without consulting her healthcare provider.

Question 10

The client confides in the nurse that she is drawn to complementary and alternative medicine because it promotes the "whole person." The client would like spirituality and prayer included in her plan of care. What is the best response by the nurse?

A) "I think your spiritual concerns are best left up to you and your minister."
B) "We usually do not pray with clients; is there something you are worried about?"
C) "We will include spirituality in your plan. Would you like to say a prayer?"
D) "What exactly do you mean by spirituality and prayer?"

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Accepted Answer

The best response by the nurse is to acknowledge the client's request and include spirituality and prayer in her plan of care. Choice A dismisses the client's concerns and fails to address her request. Choice B does not acknowledge the client's request and instead assumes that something is wrong. Choice D asks for clarification, but does not address the client's specific request.

Question 11

The nurse prepares to teach clients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan of the nurse?&#10;A) &#34;The label on the herbal preparation is required by the Natural health Products Regulations of the Food and Drug Acts of Health Canada to be accurate.&#34;&#10;B) &#34;Herbal preparations must be tested for safety and efficacy prior to marketing.&#34;&#10;C) &#34;The Natural Health Products Directorate is responsible for labelling standards.&#34;&#10;D) &#34;Herbal preparations have to meet the same safety and efficacy standards as prescription and over -the -counter (OTC) drugs.&#34;

Accepted Answer

The answer of The nurse prepares to teach clients about...

Question 12

The client takes St. John's wort for depression, but does not tell anyone about this. The psychiatrist prescribes an MAO inhibitor. What will the best assessment of the nurse reveal?&#10;A) blood pressure of 78/40 mm/Hg&#10;B) blood pressure of 210/100 mm/Hg&#10;C) serum potassium of 6.0&#10;D) serum glucose level of 34

Accepted Answer

The answer of The client takes St. John's wort for...

Question 13

The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse?&#10;A) &#34;Fish oil will help to enhance your brain function.&#34;&#10;B) &#34;Chromium will help you achieve and maintain optimum weight.&#34;&#10;C) &#34;Dietary supplements will help support and maintain hydration.&#34;&#10;D) &#34;Soy isoflavone will help prevent Alzheimer's disease.&#34;

Accepted Answer

The answer of The older adult asks the nurse how...

Question 14

Clients at a senior citizen centre have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan of the nurse?&#10;A) &#34;Herbal preparations can be dangerous if you are allergic to them.&#34;&#10;B) &#34;Herbal preparations actually are drugs; you must be careful with them.&#34;&#10;C) &#34;As long as the herbal preparation has been tested in the clinical setting, it is safe.&#34;&#10;D) &#34;Herbal preparations are safe as long as you carefully read the label.&#34;

Accepted Answer

The answer of Clients at a senior citizen centre have...

Deck 11: Natural Health Products and Alternative Therapies