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Medical-Surgical Nursing | Complementary and Alternative Care Initiatives Exam Questions and Answers

Medical-Surgical Nursing | Complementary and Alternative Care Initiatives Exam Questions and Answers

Medical-Surgical Nursing | Complementary and Alternative Care Initiatives Exam Questions and Answers

Last updated 06 November 2024

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Chapter 12: Complementary and Alternative Care Initiatives

Answers and rationale are found after question 25

Multiple Choice

Identify the choice that best completes the statement or answers the question.

            1.   Which is a guiding principle when using the Recipient/Practitioner Partnership in the delivery of complementary and alternative medicine to a patient?

1)   Defining health as harmonious and balanced

2)   Believing that qi permeates and bonds all living things

3)   Establishing a relationship because building trust instills hope

4)   Emphasizing a healthy lifestyle for a proactive approach to wellness

            2.   Which is a guiding principle when using the Wellness Model of Care in the delivery of complementary and alternative medicine to a patient?

1)   Defining health as harmonious and balanced

2)   Believing that qi permeates and bonds all living things

3)   Establishing a relationship because building trust instills hope

4)   Emphasizing a healthy lifestyle for a proactive approach to wellness

 

            3.   Which is a guiding principle when using the Energy Paradigm in the delivery of complementary and alternative medicine to a patient?

1)   Defining health as harmonious and balanced

2)   Encouraging self-awareness regarding body changes

3)   Establishing a relationship because building trust instills hope

4)   Emphasizing a healthy lifestyle for a proactive approach to wellness

 

            4.   The nurse should offer the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care for patients with which emotional or psychological disorder?

1)   Neuropathy

2)   Fibromyalgia

3)   Chronic fatigue

4)   Carpal tunnel syndrome

 

            5.   The nurse should offer the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care for patients with which pain disorder?

1)   Insomnia

2)   Menopause

3)   Fibromyalgia

4)   Chronic fatigue

 

            6.   Which patient statement indicates the need for further education regarding the benefits of using Energy

Healing Therapies in the plan of care?

1)   “It promotes relaxation.”

2)   “It helps to reduce stress.”

3)   “It will decrease my stamina.”

4)   “It will relieve musculoskeletal discomfort.”

 

            7.   Which gastrointestinal (GI) issue might benefit from the nurse educating the patient about the use of herbal medicine?

1)   Reflux

 

2)   Flatulence

3)   Constipation

4)   Hemorrhoids

 

            8.   A patient is interested in exploring the use of a complementary and alternative medicine (CAM) health-care provider. Which patient statement indicates the need for further education regarding questions that should be asked of any CAM provider?

1)   “I will ask the provider if he or she accepts my insurance plan.”

2)   “None of these providers are licensed so I need to be very careful.”

3)   “I will ask the provider to provide education regarding any side effects.”

4)   “Sessions may be required several times per month, so I will ask about frequency of visits.”

 

            9.   A nurse is interested in implementing complementary and alternative medicine (CAM) into practice. Which research barrier may inhibit this from occurring?

1)   Detailed standardization for interpretation of systematic reviews

2)   Large number of patients involved in clinical trials

3)   Generic treatment plans

4)   Reluctant funding

 

          10.   A patient asks for reliable information from the Internet regarding complementary and alternative medicine

(CAM). Which URL should the nurse provide to this patient?

1)   www.google.com

2)   www.webmd.com

3)   www.cdc.gov

4)   www.fda.gov

 

          11.   Which term should the nurse use when referring to the dominant health-care system within the United States during a training session with other health-care providers regarding complementary and alternative medicine (CAM)?

1)   Eastern medicine

2)   Conventional medicine

3)   Folklore medicine practices

4)   Old-world traditional medicine

 

         12.   When teaching about the use of complementary and alternative medicine (CAM), which patient statement indicates to the nurse the need for additional education?

1)   “The goals of care for CAM and conventional medicine are very different.”

2)   “The term alternative is used when the treatment is outside of conventional methods.”

3)   “The term complementary refers to CAM practices that are paired with conventional

medicine.”

4)   “The top ten reasons adult seek CAM include things such as pain, anxiety, depression, and headaches.”

 

          13.   Which nursing action indicates a holistic approach to patient care?

1)   Refusing a patient assignment because of differing religious beliefs

2)   Telling the patient’s family that spiritual beliefs should be kept to themselves

3)   Asking the patient to limit responses to information that is pertinent to today’s visit

4)   Providing housing information for a family who seeks care for their child’s ear infection

 

 

 

 

 

 

          14.   Which therapy should the nurse document as a specific category for complementary and alternative medicine

(CAM)?

1)   Naturopathy

2)   Acupuncture

3)   Therapeutic touch

4)   Dietary supplements

 

         15.   Which patient diagnosis would contraindicate the use of massage at a complementary and alternative medicine (CAM) therapy?

1)   Depression

2)   Osteoporosis

3)   Fibromyalgia

4)   Tumor sites

 

          16.   Which patient prescription would contraindicate the use of massage therapy in the nursing plan of care?

1)   Insulin

2)   Warfarin

3)   Propranolol

4)   Acetaminophen

 

         17.   Which patient condition would cause the nurse to assess for physical limitations and mobility restrictions prior to including mind/body therapies in the plan of care?

1)   Cataracts

2)   Pregnancy

3)   Previous back surgery

4)   Controlled hypertension

 

          18.   Which patient condition supports the use of an energy healing therapy with anecdotal evidence?

1)   Asthma

2)   Depression

3)   Bipolar disorder

4)   Anorexia nervosa

 

          19.   Which term should the nurse use to describe the healing properties associated with botanicals?

1)   Natural

2)   Artificial

3)   Alternative

4)   Complementary

 

         20.   The nurse is preparing to administer a prescribed herbal product with a traditional antibiotic. Which should the nurse consult prior to administering these prescribed therapies?

1)   The charge nurse for the shift.

2)   The pharmacologist for the unit.

3)   A physician’s desk reference (PDR).

4)   A reputable Internet site regarding complementary and alternative medicine (CAM).

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

 

 

 

 

 

         21.   Which top ten diagnoses for adult patients should the nurse include complementary and alternative therapies when planning care? Select all that apply.

1)   Cancer

2)   Anxiety

3)   Arthritis

4)   Insomnia

5)   Dyspepsia

 

         22.   Which are the benefits for a patient diagnosed with heart disease, when the nurse includes Mind/Body therapies in the plan of care? Select all that apply.

1)   Decreased fatigue

2)   Decreased headache

3)   Decreased heart rate

4)   Decreased blood pressure

5)   Decreased body temperature

 

         23.   The nurse plans to include the use of Mind/Body therapies for patients with which diagnoses in order to facilitate communication and social interaction? Select all that apply.

1)   Autism

2)   Anxiety

3)   Depression

4)   Sleep disorders

5)   Alzheimer disease

 

         24.   The nurse plans to include the use of Mind/Body therapies for patients with which diagnoses in order to facilitate relaxation? Select all that apply.

1)   Autism

2)   Anxiety

3)   Depression

4)   Sleep disorders

5)   Alzheimer disease

 

         25.   Which are general benefits the nurse would include in a teaching session for a patient who is considering the use of Manipulative and Body-Based therapies? Select all that apply.

1)   Alleviates pain

2)   Relieves insomnia

3)   Decreases heart rate

4)   Facilitates mental clarity

5)   Increases range of motion

Chapter 12: Complementary and Alternative Care Initiatives Answer Section

MULTIPLE CHOICE

 

1.   ANS:  3

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health

Difficulty: Easy

 

Feedback

1

This is a guiding principle when using the Energy Paradigm for the implementation of

complementary and alternative medicine.

2

This is a guiding principle when using the Energy Paradigm for the implementation of

complementary and alternative medicine.

3

This is a guiding principle when using the Recipient/Practitioner Partnership for the

implementation of complementary and alternative medicine.

4

This is the guiding principle when using the Wellness Model of Care for the

implementation of the complementary and alternative medicine.

 

PTS:   1                      CON: Promoting Health

2.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health

Difficulty: Easy

 

Feedback

1

This is a guiding principle when using the Energy Paradigm for the implementation of

complementary and alternative medicine.

2

This is a guiding principle when using the Energy Paradigm for the implementation of

complementary and alternative medicine.

3

This is a guiding principle when using the Recipient/Practitioner Partnership for the

implementation of complementary and alternative medicine.

4

This is the guiding principle when using the Wellness Model of Care for the

implementation of complementary and alternative medicine.

 

 

 

 

 

 

 

 

PTS:   1                      CON: Promoting Health

3.   ANS:  1

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Nursing Process – Planning Client Need: Health Promotion and Maintenance Cognitive level: Comprehension [Understanding] Concept: Promoting Health

Difficulty: Easy

 

Feedback

1

This is a guiding principle when using the Energy Paradigm for the implementation of

complementary and alternative medicine.

2

This is the guiding principle when using the Wellness Model of Care for the

implementation of complementary and alternative medicine.

3

This is a guiding principle when using the Recipient/Practitioner Partnership for the

implementation of complementary and alternative medicine.

4

This is the guiding principle when using the Wellness Model of Care for the

implementation of complementary and alternative medicine.

 

PTS:   1                      CON: Promoting Health

4.   ANS:  3

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classification of CAM

Integrated Processes: Nursing Process – Planning

Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing

Difficulty: Moderate

Feedback

1

Neuropathy is a pain, not emotional or psychological, disorder that might be treated with

the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

2

Fibromyalgia is a pain, not emotional or psychological, disorder that might be treated

with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

3

Chronic fatigue is an emotional or psychological disorder that might be treated with the

inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

4

Carpal tunnel syndrome is a pain, not emotional or psychological, disorder that might be

treated with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

 

 

 

 

 

 

 

 

PTS:   1                      CON: Nursing

5.   ANS:  3

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classification of CAM

Integrated Processes: Nursing Process – Planning

Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing

Difficulty: Moderate

 

Feedback

1

Insomnia is an emotional or psychological, not pain, disorder that might be treated with

the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

2

Menopause is an emotional or psychological, not pain, disorder that might be treated

with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

3

Fibromyalgia is a pain disorder that might be treated with the inclusion of the Whole

Medical Systems/Alternative Medical Systems in the plan of care.

4

Chronic fatigue is an emotional or psychological, not pain, disorder that might be treated

with the inclusion of the Whole Medical Systems/Alternative Medical Systems in the plan of care.

 

PTS:   1                      CON: Nursing

6.   ANS:  3

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 208

Heading: Box 12.6 Benefits of Energy Healing Therapies

Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Difficult

 

Feedback

1

Energy Healing Therapies are known to promote relaxation. This statement indicates

correct understanding of the information presented.

2

Energy Healing Therapies are known to reduce stress. This statement indicates correct

understanding of the information presented.

3

Energy Healing Therapies are known to increase, not decrease, stamina. This statement

indicates the need for further education.

4

Energy Healing Therapies are known to relieve musculoskeletal discomfort. This

statement indicates correct understanding of the information presented.

 

PTS:   1                      CON: Promoting Health

 

 

 

 

 

 

7.   ANS:  3

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 208-209

Heading: Herbal Medicine and Botanicals

Integrated Processes: Nursing Process – Planning

Client Need: Physiological Integrity – Basic Care and Comfort

Cognitive level: Comprehension [Understanding] Concept: Bowel Elimination

Difficulty: Easy

 

Feedback

1

The treatment of reflux is not a GI issue that is supported by evidence to benefit from

herbal medicines.

2

The treatment of flatulence is not a GI issue that is supported by evidence to benefit from

herbal medicines.

3

Evidence supports the use of herbal medicines in the treatment of constipation.

4

The treatment of hemorrhoids is not a GI issue that is supported by evidence to benefit

from herbal medicines.

 

PTS:   1                      CON: Bowel Elimination

8.   ANS:  2

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 209-211

Heading: Nursing Implications: Assessment, Education, and Research

Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Analysis [Analyzing]

Concept: Promoting Health

Difficulty: Difficult

 

Feedback

1

The patient should be encouraged to ask the provider if he or she accepts the patient’s

health insurance plan.

2

Many CAM providers are licensed; therefore, this statement indicates the need for

further education by the nurse.

3

The patient should be sure that he or she is educated regarding any possible side effects

associated with the CAM treatment.

4

Many CAM treatments require follow-up visits; therefore, this statement indicates

appropriate understanding of the information presented.

 

PTS:   1                      CON: Promoting Health

9.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 209-211

Heading: Nursing Implications: Assessment, Education, and Research

Integrated Processes: Caring

 

 

 

 

 

 

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice

Difficulty: Easy

 

Feedback

1

Inadequate, not detailed, standardization for interpretation of systematic reviews is a

research barrier for the implementation of CAM into practice.

2

A limited, not large, number of patients involved in clinical trials is a research barrier for

the implementation of CAM into practice.

3

Personalized, not generic, treatment plans is a research barrier for the implementation of

CAM into practice.

4

Funding for research is an issue for the implementation of CAM into practice.

 

PTS:   1                      CON: Evidence-Based Practice

10.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 209-211

Heading: Nursing Implications: Assessment, Education, and Research

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Application [Applying] Concept: Promoting Health

Difficulty: Moderate

 

Feedback

1

A google search will not yield reliable information from the Internet regarding CAM.

2

WebMD is not a reliable source for information on the Internet regarding CAM.

3

While the CDC is a reputable Internet resource, it is not known as a reliable resource

regarding CAM.

4

The FDA is a reputable Internet resource regarding CAM. This is the URL the nurse

should provide to this patient.

 

PTS:   1                      CON: Promoting Health

11.   ANS:  2

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Application [Applying] Concept: Health Care System

Difficulty: Moderate

 

Feedback

1        Western, not eastern, medicine is another term for the traditional health-care system within the United States.

 

 

 

 

 

 

2

Conventional medicine is another term for the traditional health-care system within the

United States.

3

Folklore medicine practices refers to CAM, not the traditional health-care system within

the United States.

4

Old-world traditional medicine refers to CAM, not the traditional health-care system

within the United States.

 

PTS:   1                      CON: Health Care System

12.   ANS:  1

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Analysis [Analyzing] Concept: Health Care System Difficulty: Difficult

Feedback

1

The goals of care for CAM and conventional medicine are quite similar. This statement

indicates the need for further education.

2

The term alternative in CAM refers to treatment that is outside of the conventional

methods.

3

The term complementary in CAM refers to practices that are paired with conventional

medicine.

4

Pain, anxiety, depression, and headaches are included in the top 10 reasons adult patients

seeks CAM.

 

PTS:   1                      CON: Health Care System

13.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Nursing Process – Implementation

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Application [Applying] Concept: Nursing

Difficulty: Moderate

 

Feedback

1

Refusing a patient assignment due to differing religious beliefs does not indicate a

holistic approach to patient care.

2

Telling a patient’s family that their spiritual beliefs should be kept to themselves does not

indicates a holistic approach to patient care.

3

Asking the patient to limit responses to information that is pertinent to today’s visit does

not indicates a holistic approach to patient care.

 

 

 

 

 

 

4        Providing information to a family about housing, when they seek care for their child’s ear infection indicates a holistic approach to patient care.

 

PTS:   1                      CON: Nursing

14.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classification of CAM

Integrated Processes: Communication and Documentation

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Application [Applying] Concept: Critical Thinking

Difficulty: Moderate

 

Feedback

1

Naturopathy is a type of Whole medical systems/Alternative medical systems therapy but

not a category of CAM.

2

Acupuncture is a type of Whole medical systems/Alternative medical systems therapy

but not a category of CAM.

3

Therapeutic touch is a type of healing energy touch therapy but not a category of CAM.

4

Dietary supplements a specific therapy that is also a category of CAM.

 

PTS:   1                      CON: Critical Thinking

15.   ANS:  4

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 206

Heading: Massage Therapy

Integrated Processes: Nursing Process – Planning

Client Need: Physiological Integrity – Physiological Adaptation

Cognitive level: Application [Applying] Concept: Critical Thinking

Difficulty: Moderate

 

Feedback

1

Depression is not a patient diagnosis that contraindicates the use of massage therapy.

2

Osteoporosis is not a patient diagnosis that contraindicates the use of massage therapy.

3

Fibromyalgia is not a patient diagnosis that contraindicates the use of massage therapy.

4

The use of massage therapy over tumor sites is contraindicated.

 

PTS:   1                      CON: Critical Thinking

16.   ANS:  2

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 207

Heading: Safety Alert

Integrated Processes: Nursing Process – Planning

Client Need: Physiological Integrity – Pharmacological and Parenteral Therapies

 

 

 

 

 

 

Cognitive level: Application [Applying] Concept: Medication

Difficulty: Moderate

 

Feedback

1

The use of insulin by the patient does not contraindicate the use of massage therapy in

the nursing plan of care.

2

The use of warfarin, an anticoagulant agent, contraindicates the use of massage therapy

in the nursing plan of care due to the increased risk for bleeding.

3

The use of propranolol by the patient does not contraindicate the use of massage therapy

in the nursing plan of care.

4

The use of acetaminophen by the patient does not contraindicate the use of massage

therapy in the nursing plan of care.

 

PTS:   1                      CON: Medication

17.   ANS:  2

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 207

Heading: Safety Alert

Integrated Processes: Nursing Process – Assessment Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

 

Feedback

1

Glaucoma, not cataracts, is a patient diagnosis which would necessitate the need for the

nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies.

2

Pregnancy is a patient diagnosis which would necessitate the need for the nurse to assess

for physical limitations and mobility restrictions prior to the implementation of mind/body therapies.

3

Recent back surgery, not previous back surgery, is a patient diagnosis which would

necessitate the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies.

4

Uncontrolled, not controlled, hypertension is a patient diagnosis which would necessitate

the need for the nurse to assess for physical limitations and mobility restrictions prior to the implementation of mind/body therapies.

 

PTS:   1                      CON: Assessment

18.   ANS:  1

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 207-208

Heading: Energy Healing Therapy

Integrated Processes: Nursing Process – Planning

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Knowledge [Remembering]

 

 

 

 

 

 

Concept: Evidence-Based Practice

Difficulty: Easy

 

Feedback

1

The use of energy healing therapies is supported by anecdotal evidence for patients

diagnosed with asthma.

2

This condition does not support the use of energy healing therapies by anecdotal

evidence.

3

This condition does not support the use of energy healing therapies by anecdotal

evidence.

4

This condition does not support the use of energy healing therapies by anecdotal

evidence.

 

PTS:   1                      CON: Evidence-Based Practice

19.   ANS:  1

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 208-209

Heading: Herbal Medicine and Botanicals

Integrated Processes: Communication and Documentation

Client Need: Safe and Effective Care Environment – Management of Care

Cognitive level: Comprehension [Understanding] Concept: Communication

Difficulty: Easy

 

Feedback

1

Natural is a term that is often used to describe the healing properties associated with

botanicals.

2

This is not the term that is used to describe the healing properties associated with

botanicals.

3

This is not the term that is used to describe the healing properties associated with

botanicals.

4

This is not the term that is used to describe the healing properties associated with

botanicals.

 

PTS:   1                      CON: Communication

20.   ANS:  2

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Discussing the nursing implications of complementary and alternative medicine

Chapter page reference: 209

Heading: Safety Alert

Integrated Processes: Nursing Process – Assessment

Client Need: Physiological Integrity – Pharmacological and Parenteral Therapies

Cognitive level: Analysis [Analyzing] Concept: Medication; Safety Difficulty: Difficult

Feedback

1       The charge nurse for the shift may not be the best resource for the nurse to consult prior

 

 

 

 

 

 

 

to administering this combination of prescribed therapies.

2

The nurse should consult with the provider, pharmacist, or herbalist prior to

administering any herbal product with a prescribed drug.

3

While a PDR is an appropriate reference for prescribed drugs, this resource many not

have information regarding the prescribed herbal product.

4

A reputable Internet site for CAM may not have the specific information needed

regarding the prescribed drug the nurse needs to administer with the herbal product.

 

PTS:   1                      CON: Medication | Safety

 

 

MULTIPLE RESPONSE

 

21.   ANS:  2, 3, 4, 5

Chapter number and title: 12, Complementary and Alternative Care Initiatives Chapter learning objective: Defining complementary and alternative medicine Chapter page reference: 202-203

Heading: Introduction

Integrated Processes: Nursing Process – Planning

Client Need: Physiological Integrity – Basic Care and Comfort

Cognitive level: Knowledge [Remembering] Concept: Nursing

Difficulty: Easy

 

Feedback

1.

This is incorrect. Cancer is not a top ten diagnosis for adult patients regarding the use of

complementary and alternative therapies.

2.

This is correct. Anxiety is a top ten diagnosis for adult patients for the use of complementary

and alternative medicine.

3.

This is correct. Arthritis is a top ten diagnosis for adult patients for the use of complementary

and alternative medicine.

4.

This is correct. Insomnia is a top ten diagnosis for adult patients for the use of complementary

and alternative medicine.

5.

This is correct. Dyspepsia, or stomach upset, is a top ten diagnosis for adult patients for the use

of complementary and alternative medicine.

 

PTS:   1                      CON: Nursing

22.   ANS:  3, 4, 5

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classification of CAM

Integrated Processes: Nursing Process – Planning

Client Need: Physiological Integrity – Physiological Adaptation

Cognitive level: Application [Applying] Concept: Perfusion

Difficulty: Moderate

 

 

 

 

 

 

Feedback

1.

This is incorrect. Decreased fatigue is a benefit when including Mind/Body therapies in the plan

of care for a patient diagnosed with an emotional or psychological disorder, not heart disease.

2.

This is incorrect. Decreased incidence of headache is a benefit when including Mind/Body

therapies in the plan of care for a patient diagnosed with an emotional or psychological disorder, not heart disease.

3.

This is correct. A decrease in the heart rate is a benefit of including Mind/Body therapies in the

plan of care for a patient who is diagnosed with heart disease.

4.

This is correct. A decrease in the blood pressure is a benefit of including Mind/Body therapies

in the plan of care for a patient who is diagnosed with heart disease.

5.

This is correct. A decrease in body temperature is a benefit of including Mind/Body therapies in

the plan of care for a patient who is diagnosed with heart disease.

 

PTS:   1                      CON: Perfusion

23.   ANS:  1, 5

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classifications of CAM

Integrated Processes: Nursing Process – Planning

Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Communication

Difficulty: Moderate

 

Feedback

1.

This is correct. Mind/Body therapies are helpful to facilitate communication and social

interaction for patients diagnosed with autism.

2.

This is incorrect. While Mind/Body therapies are helpful to patients with anxiety, they do not

facilitate communication and social interaction for these patients.

3.

This is incorrect. While Mind/Body therapies are helpful to patients with depression, they do

not facilitate communication and social interaction for these patients.

4.

This is incorrect. While Mind/Body therapies are helpful to patients with sleep disorders, they

do not facilitate communication and social interaction for these patients.

5.

This is correct. Mind/Body therapies are helpful to facilitate communication and social

interaction for patients diagnosed with Alzheimer disease.

 

PTS:   1                      CON: Communication

24.   ANS:  2, 3, 4

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 203-209

Heading: Classifications of CAM

Integrated Processes: Nursing Process – Planning

Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Communication

 

 

 

 

 

 

Difficulty: Moderate

 

Feedback

1.

This is incorrect. Mind/Body therapies are helpful to facilitate communication and social

interaction, not relaxation, for patients diagnosed with autism.

2.

This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed

with anxiety.

3.

This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed

with depression.

4.

This is correct. Mind/Body therapies are helpful to facilitate relaxation for patients diagnosed

with sleep disorders.

5.

This is incorrect. Mind/Body therapies are helpful to facilitate communication and social

interaction, not relaxation, for patients diagnosed with Alzheimer disease.

 

PTS:   1                      CON: Communication

25.   ANS:  2, 4, 5

Chapter number and title: 12, Complementary and Alternative Care Initiatives

Chapter learning objective: Differentiating the classifications of complementary and alternative medicine

Chapter page reference: 205-206

Heading: Mind/Body Therapies

Integrated Processes: Teaching and Learning Client Need: Health Promotion and Maintenance Cognitive level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

 

Feedback

1.

This is incorrect. Pain reduction is not a general benefit for the use of Manipulative and Body-

Based therapies.

2.

This is correct. Relief of insomnia is a general benefit for the use of Manipulative and Body-

Based therapies.

3.

This is incorrect. A reduction in heart rate is not a general benefit for the use of Manipulative

and Body-Based therapies. This is a cardiovascular benefit.

4.

This is correct. The facilitation of mental clarity is a general benefit for the use of Manipulative

and Body-Based therapies.

5.

This is correct. An increase in range of motion is a general benefit for the use of Manipulative

and Body-Based therapies.

 

 

PTS:1CON:Promoting Health

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