Question 1

A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like "everything is out of order." Which nursing diagnosis should the nurse identify for this client?
A)Energy-field disturbance
B)Powerlessness
C)Hopelessness
D)Anxiety

Accepted Answer

The client's description of feeling like "everything is out of order" and experiencing spiritual anguish aligns with an energy-field disturbance, which involves a disruption in the flow of energy surrounding a person.

Question 2

During an interview assessment,the client states a belief in nutritional lifestyle counseling and that the body's vital energy circulates through the body,which can be manipulated through specific anatomical points.Which type of healing practice should the nurse identify that this patient is following?
A)Traditional Chinese medicine
B)Native American healing
C)Ayurveda
D)Curanderismo

Accepted Answer

The belief in nutritional lifestyle counseling and manipulation of vital energy through specific anatomical points is consistent with the traditional Chinese medicine practice of acupuncture and herbal medicine. Native American healing practices often involve spiritual connection and connection to nature. Ayurveda traditionally involves herbal remedies and dietary practices based on one's individual constitution. Curanderismo is a traditional folk healing practice from Latin America that involves the use of herbs, rituals, and spiritual practices.

Question 3

A client visits a clinic that integrates Western medicine with complementary therapies.Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level?
A)Acupressure and reflexology
B)Therapeutic touch and Reiki
C)Aromatherapy and naturopathic remedies
D)Chiropractic and massage therapy

Accepted Answer

Acupressure and reflexology both work with the concept of qi, which refers to the energy flow in the body according to traditional Chinese medicine. These therapies use pressure points or zones on the body to stimulate and balance the flow of qi. Therapeutic touch and Reiki also work with energy fields, but may not specifically use the concept of qi. Aromatherapy and naturopathic remedies may be used for overall health and wellness, but may not directly address the flow of qi. Chiropractic and massage therapy may focus more on physical manipulation of the body rather than the energetic components of health.

Question 4

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain.The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned.What is an appropriate nursing diagnosis for this client?
A)Body Image Disturbance
B)Health-Seeking Behavior
C)Altered Family Processes
D)Spiritual Distress

Accepted Answer

The client's statements indicate a sense of despair and loss of meaning or purpose, which are common features of spiritual distress. This nursing diagnosis is appropriate for clients who are experiencing spiritual or existential discomfort related to illness, injury, or life changes. In this case, the client's uncertain future employability and feelings of loneliness and abandonment suggest that spiritual distress may be a contributing factor to his emotional state. The nurse should assess the client's spiritual beliefs and provide appropriate interventions to address his needs.

Question 5

During a clinic appointment,a client prescribed medication for glaucoma reports vision problems.When taking a medication history,which herbal preparation should the nurse identify as being problematic for this client?
A)Ginseng
B)Echinacea
C)Valerian
D)St.John's wort

Accepted Answer

Ginseng has been shown to increase intraocular pressure and can therefore worsen the symptoms of glaucoma. It can interact with glaucoma medications, leading to further complications. Echinacea, Valerian, and St. John's wort do not have known interactions with glaucoma medications.

Question 6

A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work.Which therapy should the nurse consider doing to help with this problem?
A)Guided imagery
B)Hypnotherapy
C)Qigong
D)Aromatherapy

Accepted Answer

The answer of A nurse who works in a busy...

Question 7

The nurse is working with a client who,during her interview,expresses feelings of groundedness.The nurse interprets this to mean that the client
A)is full of energy.
B)feels connected to her reality.
C)is focused on her center of energy.
D)feels "down in the dumps."

Accepted Answer

Feeling grounded typically means feeling connected to one's reality, present moment, and surroundings. This sense of stability and security can bring positive feelings of calmness and centeredness.

Question 8

A client who resides in a long-term care facility has no family or visitors.Her only social contacts are with the staff.The client is confined to bed and is not able to communicate verbally.As part of the client's care plan,the nurses provide massage therapy three times a week.What is the main benefit of this intervention for this client?
A)Stretch and loosen the muscles
B)Speed the removal of metabolic waste products
C)Help satisfy the need for caring and nurturing touch
D)Relieve pain

Accepted Answer

Since the client has no family or visitors, the only social contact that she has is with the staff. Therefore, providing massage therapy can help fulfill the client's need for caring and nurturing touch, which can improve her psychological well-being. While the other options may also be benefits of massage therapy, they are not as relevant to this specific client's situation.

Question 9

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St.John's wort.Which vital sign should the nurse assess for possible adverse effects?
A)Temperature
B)Respiratory rate
C)Oxygen saturation
D)Pulse rate

Accepted Answer

The nurse should assess the pulse rate for possible adverse effects of taking both an antidepressant and St. John's wort. St. John's wort can interact with antidepressant medication and potentiate its effects, potentially leading to an increase in heart rate as a side effect. Other vital signs may also be assessed, but pulse rate is the most relevant in this situation.

Question 10

A nurse is helping a hospice client who has had difficulty with making end-of-life decisions.The nurse has encouraged the client to focus on her self-worth,her accomplishments,and having positive self-esteem in order to process through some of these decisions.The nurse is helping the client to achieve balance in which component?
A)Environmental
B)Physical
C)Mental
D)Spiritual

Accepted Answer

The nurse is addressing the client's mental component by focusing on self-worth, accomplishments, and positive self-esteem, which are all aspects of mental health and well-being. This approach helps the client in making end-of-life decisions by ensuring a balanced mental state.

Question 11

A nurse working on an Alzheimer's unit notes that just before the supper hour,many of the residents become more anxious and confused-exhibiting typical "sundowner's syndrome"-making the evening meal an unpleasant ordeal.As a method to try to decrease their turmoil during this time,which therapy should the nurse introduce into the daily routine?
A)Biofeedback
B)Music therapy
C)Pilates
D)Spiritual therapy

Accepted Answer

Music therapy has been used for many years to help calm and soothe those with dementia or Alzheimer's. It has been shown to decrease agitation and improve overall mood, making it a good choice for reducing sundowner's syndrome during the evening meal. Biofeedback, Pilates, and spiritual therapy may also have some benefits but are not typically used specifically for this issue.

Question 12

A client has been undergoing therapy as a victim of severe emotional abuse.The goal of the client's therapy is to gain self-control of the situation,improve self-esteem,and become self-sufficient.Which application should the nurse suggest become a part of the client's therapy sessions?
A)Yoga
B)Meditation
C)Hypnotherapy
D)Guided imagery

Accepted Answer

The answer of A client has been undergoing therapy as...

Question 13

After having a difficult time saying "no" when asked to work yet another overtime shift,the nurse begins to feel overwhelmed and irritable.As a method to most effectively promote self-healing,what should this nurse do?
A)Clarify values and beliefs.
B)Set realistic goals.
C)Learn to manage stress.
D)Challenge the belief that others always come first.

Accepted Answer

The nurse is struggling to say "no" to their work demands, indicating that they may have a belief that others always come before their own needs. Challenging this belief and prioritizing their own self-care is crucial for promoting self-healing. Clarifying values and beliefs and setting realistic goals may be helpful in the long term, but in this specific situation, challenging this limiting belief is the most immediate and effective solution. Learning to manage stress may also be helpful, but it is not the most relevant solution to this specific issue.

Question 14

A client asks the nurse about chiropractic medicine.What should the nurse explain as being among the goals of this type of health intervention?
(Select all that apply)
A)Improvement of blood and lymph flow through the body
B)Stimulation of specific points to help with pain relief,cures certain illnesses,and promote wellness
C)Reduce or eliminate pain
D)Correct spinal dysfunction
E)Preventive maintenance

Accepted Answer

The answer of A client asks the nurse about chiropractic...

Question 15

A client undergoing chemotherapy becomes very anxious and stressed just before the treatments.Which would be an appropriate therapy for this person to learn?
A)Meditation
B)Aromatherapy
C)Homeopathy
D)Yoga

Accepted Answer

Meditation is a technique that can help people to relax and reduce stress. It can be a helpful therapy for people who are anxious and stressed before chemotherapy treatments.

Question 16

The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils.For which health problem should the nurse particularly assess the clients?
A)Hypertension
B)Cardiac problems
C)Asthma
D)Cancer

Accepted Answer

Clients with asthma may use essential oils as a complementary or alternative therapy, and the nurse should assess their use and potential interactions with prescribed medications. While essential oils may have effects on hypertension, cardiac problems, and cancer, these conditions are not specifically linked to the use of essential oils.

Question 17

A client comes to the family planning clinic for follow-up and is currently taking an oral contraceptive.During the interview assessment,the client states she has been using some "natural medicines." Which herbal preparation should alert the nurse to a possible interaction with oral contraceptives?
A)Valerian
B)Echinacea
C)Garlic
D)Milk thistle

Accepted Answer

The answer of A client comes to the family planning...

Question 18

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?
A)Chamomile
B)Eucalyptus
C)Lavender
D)Tea tree

Accepted Answer

Chamomile is known for its anti-inflammatory properties and is often used to treat digestive issues such as stomach ulcers, indigestion, and diarrhea. It may also help reduce joint inflammation and pain associated with degenerative joint disease. Eucalyptus, lavender, and tea tree oils are not typically recommended for stomach problems.

Question 19

A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares.In working with this client to overcome the problem,what should the nurse implement as part of therapy?
A)Guided imagery
B)Hypnotherapy
C)Yoga
D)Meditation

Accepted Answer

The answer of A client has been diagnosed with post-traumatic...

Question 20

The client asks whether herbal medicines are a "good idea." What should the nurse respond?
A)"Things found in nature are always healthy."
B)"If your doctor didn't prescribe it,don't take it."
C)"Are there specific ones you're wondering about?"
D)"Everything is good in moderation."

Accepted Answer

It is important to gather more information about the specific herbal medicines the client is considering before giving a definitive answer. Different herbal medicines can have different effects and potential interactions with other medications or health conditions, so it is important to assess each one individually. Simply stating that "things found in nature are always healthy" or "everything is good in moderation" may not give the client a clear answer or address any potential concerns. Additionally, while it is important to consult with a doctor before taking any new medication or supplements, not all doctors may be knowledgeable about herbal medicines specifically.

Quiz 19: Complementary and Alternative Healing Modalities

A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like "everything is out of order." Which nursing diagnosis should the nurse identify for this client?

A client visits a clinic that integrates Western medicine with complementary therapies.Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level?

During a clinic appointment,a client prescribed medication for glaucoma reports vision problems.When taking a medication history,which herbal preparation should the nurse identify as being problematic for this client?

A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work.Which therapy should the nurse consider doing to help with this problem?

The nurse is working with a client who,during her interview,expresses feelings of groundedness.The nurse interprets this to mean that the client

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St.John's wort.Which vital sign should the nurse assess for possible adverse effects?

A client has been undergoing therapy as a victim of severe emotional abuse.The goal of the client's therapy is to gain self-control of the situation,improve self-esteem,and become self-sufficient.Which application should the nurse suggest become a part of the client's therapy sessions?

After having a difficult time saying "no" when asked to work yet another overtime shift,the nurse begins to feel overwhelmed and irritable.As a method to most effectively promote self-healing,what should this nurse do?

A client asks the nurse about chiropractic medicine.What should the nurse explain as being among the goals of this type of health intervention? (Select all that apply)

A client undergoing chemotherapy becomes very anxious and stressed just before the treatments.Which would be an appropriate therapy for this person to learn?

The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils.For which health problem should the nurse particularly assess the clients?

A client comes to the family planning clinic for follow-up and is currently taking an oral contraceptive.During the interview assessment,the client states she has been using some "natural medicines." Which herbal preparation should alert the nurse to a possible interaction with oral contraceptives?

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for "stomach problems." The nurse should offer the client information about the use of which oil?

A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares.In working with this client to overcome the problem,what should the nurse implement as part of therapy?

The client asks whether herbal medicines are a "good idea." What should the nurse respond?