Question 1

Which action by the nurse best demonstrates the concept of integrative nursing?

Accepted Answer

Integrative nursing focuses on the development of a caring-healing relationship between the patient and nurse.The nurse best demonstrates this concept by being authentically present for the patient and accepting the patient as an individual.Educating about UTI prevention,administering pain medication,and reducing fall risks are nursing interventions but do not embody the concept of integrative nursing.

Question 2

Which supplement will help minimize the discomfort of seasickness for a patient going on a sailing cruise?

Accepted Answer

Ginger is used to relieve nausea and vomiting including from seasickness.Garlic is used to lower high cholesterol.Ginseng is used to increase endurance and immune function.Gingko biloba is used to improve memory.

Question 3

The nurse is caring for a patient who is taking garlic for high cholesterol.Which assessment finding puts the patient at high risk for an adverse reaction?

Accepted Answer

Garlic will inhibit platelet function and clotting so it should not be taken with blood thinners such as enoxaparin.Marathon training,bee sting allergies,and hypothyroid disease will not put the patient at high risk of adverse reaction from garlic.

Question 4

Which is an example of allopathic treatment?

Accepted Answer

Allopathic medicine is also known as biomedicine or conventional western medicine.An example of allopathic medicine is prescription of antibiotic medication for a bacterial infection.Tai chi and burning herbs are both examples of complementary medicine.Manipulation of the spine to relieve migraine headaches is an example of chiropractic treatment,also considered to be a form of complementary medicine.

Question 5

The patient prefers to take an herbal supplement rather than the prescription medication ordered by the physician.Which is the most appropriate response of the nurse?

Accepted Answer

The US Food and Drug Administration closely monitors the production of prescription medications but not herbal supplements.Even though it is convenient for patients to obtain herbal supplements without a prescription,it is more important for the nurse to inform the patient that herbal supplements are not held to the same high-quality standards as prescription medications.Herbal supplements may or may not be more expensive than prescription medications.Some plant materials may be toxic or even poisonous.

Question 6

The patient reports taking valerian root capsules regularly.What is the patient's rationale for taking the supplement?

Accepted Answer

Valerian root is a central nervous system depressant commonly used to help patients fall asleep at night and relieve mild anxiety.Valerian root will not relieve constipation,nausea,or arthritis pain.

Question 7

Which patient would be a candidate for biofeedback therapy?

Accepted Answer

Biofeedback therapy is very helpful for anxiety disorders.Biofeedback is not recommended for patients with unstable endocrine disorders,hypotension,bradycardia,or dementia.

Question 8

Which patient would be a candidate for animal-assisted therapy?

Accepted Answer

Patients with Alzheimer's disease are often excellent candidates for animal-assisted therapy.The animals help to calm and reorient the patients,improving cognitive functions.Clostridium difficile is a highly contagious bacterial infection that could be spread by the therapy animals.Patients who have just undergone bone marrow transplantation are severely immunocompromised and should not be exposed to animals.Animal fur or dander may worsen asthma and dyspnea.

Question 9

Which nursing diagnosis is a priority for a patient using tai chi to relieve arthritis pain?

Accepted Answer

Tai chi is a form of exercise with gentle,flowing movements,inner serenity,and deep breathing.Patients are at risk for falls if balance is lost during the movements.Tai chi will not cause insomnia,contamination,or ineffective coping.

Question 10

Which assessment finding indicates to the nurse that the patient has begun to master the cognitive skill of receptivity?

Accepted Answer

Receptivity is the ability to accept and tolerate differing views or unfamiliar circumstances.The patient demonstrates receptivity by accepting feedback from the nurse about how to perform the dressing changes.Accepting recommendations without question or comment demonstrates passivity.Choosing not to inform family members is maintaining privacy.Guided imagery to minimize anxiety demonstrates focusing.

Question 11

The nurse is caring for a patient who is taking ephedra for weight loss.Which assessment finding puts the patient at high risk for an adverse reaction?

Accepted Answer

Ephedra is a central nervous system stimulant and will elevate blood pressure.The patient has a history of hypertension and use of ephedra can raise the blood pressure to dangerous levels.Unemployment,deafness,and a history of breast cancer will not put the patient at high risk of adverse reaction from ephedra.

Question 12

The patient reports using chaparral to ease breathing.Which assessment finding leads the nurse to advise stopping the supplement immediately?

Accepted Answer

Chaparral has been found to cause severe liver damage and should not be taken by patients with preexisting liver diseases including hepatitis C.The patient should be advised to stop taking chaparral immediately for that reason.Obesity,supplemental oxygen,and sinus infections are not reasons for the patient to stop taking chaparral immediately.

Question 13

Which herbal supplement is likely to worsen symptoms for a patient with rheumatoid arthritis?

Accepted Answer

Echinacea is an immune system stimulant and can cause exacerbation of symptoms in patients with autoimmune diseases.Ginger relieves nausea and is not known to affect the immune system.Valerian is a mild herbal sedative.Turmeric is an antiinflammatory supplement which may help relieve the pain and stiffness of arthritis.

Question 14

Which assessment findings indicate to the nurse that the patient is experiencing a stress response?

Accepted Answer

Dilated pupils,tachycardia,and insomnia are common indicators of stress.Elevated blood sugar and blood pressure would also be expected.

Question 15

Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

Accepted Answer

Patients with bleeding disorders such as thrombocytopenia are not candidates for acupuncture therapy.Herniated lumbar disks would be an indication for acupuncture therapy.Lactose-free diet and allergies to latex and strawberries are not contraindications for acupuncture therapy.

Quiz 19: Complementary and Alternative Therapies