Question 1

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

Accepted Answer

Meditation is a mind-body intervention that requires privacy to allow the individual to focus and concentrate fully without other distractions. Reading, praying, and practicing aromatherapy do not necessarily require privacy as they can be done in a public or shared setting.

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?

Accepted Answer

Saw palmetto is commonly used to improve symptoms of benign prostatic hyperplasia (BPH), a condition that causes difficulty in initiating urination and weak urine flow. Therefore, a decrease in difficulty initiating urination would indicate that the product is helpful. The other options do not directly relate to the benefits of saw palmetto.

Question 3

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

Accepted Answer

Adding dietary supplements can help prevent nutritional deficits in older adults, which is important because many older adults have deficiencies in certain nutrients. It is important to note that dietary supplements should not be used as a substitute for a balanced diet, but rather as a way to supplement it. The other options (A, B, D) are not relevant benefits of adding dietary supplements to an older adult's treatment plan.

Question 4

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

Accepted Answer

It is important for clients to know that the active chemicals in herbal plants can be found in one part or all parts of the plant. This information will help them ensure that they are collecting the correct parts of the plant and not wasting their effort on parts that do not contain the active chemicals they are seeking.

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?

Accepted Answer

St. John's wort is a known herbal supplement that has been found to decrease the effectiveness of many medications, including cyclosporine. It can also worsen depression symptoms in some individuals, which is concerning given this client's history of depression. The other options, flaxseed, saw palmetto, and black cohosh, are not known to interact with cyclosporine or affect depression symptoms.

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?

Accepted Answer

The answer of The client asks the nurse how to...

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?

Accepted Answer

Kava kava has been reported to worsen Parkinson symptoms, including increased tremors and muscle rigidity. Therefore, the nurse can expect to find it on the client's medication list. Saw palmetto, garlic, and ginkgo are not associated with exacerbation of Parkinson symptoms.

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?

Accepted Answer

Aggressive marketing by the herbal industry has increased the public's awareness and interest in herbal supplements as a treatment option.

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.

Accepted Answer

The answer of A client experiencing occasional minor digestive problems...

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?

Accepted Answer

The Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 requires that marketers of dietary supplements notify the FDA of serious adverse events reported by consumers. It does not require safety testing or the labeling of the condition the supplement is designed to treat, and the USP verification mark is not mandated.

Question 11

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

Accepted Answer

The DSHEA of 1994 requires that dietary supplements must include a disclaimer stating that the product is not intended to diagnose, treat, cure, or prevent any disease. This disclaimer is a legal requirement for all dietary supplement manufacturers. The other choices are not legal requirements under DSHEA.

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?

Accepted Answer

Tinctures typically contain an alcohol base and therefore should be avoided since the client's religious beliefs prohibit the consumption of alcohol in any form. Teas, decoctions, and infusions can be alcohol-free and may be acceptable alternatives for the client.

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?

Accepted Answer

Both amiodarone and echinacea are known to cause liver toxicity, therefore it is important to notify the health care provider and potentially adjust the medication regimen. Palpating for hepatomegaly and preparing for a liver biopsy may be necessary in the future, but notifying the provider takes priority in this situation. Documenting the findings is also important, but not the highest priority.

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?

Accepted Answer

As a healthcare provider, the nurse has a responsibility to stay informed about the most up-to-date information regarding herbal products, including interactions and side effects. They should use this information to educate clients and recommend products that are safe and effective for their individual needs. Recommending herbal products based solely on alternative medicine practitioners or assuming that labeling on herbal products is always trustworthy are not appropriate approaches.

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?

Accepted Answer

Evening massages utilizing CAM techniques such as aromatherapy or relaxation techniques can have a calming effect on clients, potentially decreasing the need for antianxiety medication. CAM can also provide a non-pharmacologic option for clients who may have drug interactions with their current medications. Improved communication and consistent sleep times may also be benefits, but they are not directly related to pharmacologic effects.

Question 16

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

Accepted Answer

Standardization is the process of ensuring consistent potency of an herbal supplement by controlling the amount of active ingredients in each dose. This allows for a comparison of potency among herbal products, which can help the consumer choose the most effective supplement for their needs. It does not necessarily indicate FDA approval, clinical trials or effectiveness.

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?

Accepted Answer

Ginkgo biloba can increase the risk of bleeding and interacts with anticoagulant drugs, so it can be particularly dangerous for clients taking these medications.

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?

Accepted Answer

Herbal products can interact with prescribed medications and affect drug action. This could lead to potential harmful effects on the client's treatment plan. Therefore, it is important to obtain a complete history of all the herbal supplements the client is taking before initiating any treatment plan. This will help to prevent potential drug interactions and ensure the client's safety.

Question 19

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

Accepted Answer

The answer of Which is an advantage to the use...

Question 20

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

Accepted Answer

Feverfew has antiplatelet properties that can increase the risk of bleeding, especially when used with anticoagulant medications such as warfarin. Therefore, the nurse should assess the client for any signs of increased bleeding potential, including bruising, petechiae, hematomas, or unusual bleeding from the nose or gums. It is important for the client to inform their healthcare provider of their use of feverfew to avoid potential drug interactions and complications.

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