Chapter 20
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78 questions
| 🇬🇧 | 🇬🇧 |
| What is the responsibility of the national center for complementary and alternative medicine (NCCAM) ? | To evaluate effectiveness of alternative medicine |
| What is the importance of the nurse asking about the patient's use of alternative therapies when obtaining a health history? | Alternative therapies have unfortunate interactions with traditional therapies |
| What should the nurse instruct a patient who takes tincture of rosemary to do several times a day ? | Wear sunscreen |
| What is true regarding manufacturers of herbal remedy products? | They do not have to demonstrate their safety |
| What is the goal of herbal therapy ?: | Restore balance |
| Acupuncture is a complementary therapy that uses fine needles placed in acupoints. What is the believed purpose of these acupoints? | Open meridians to release qi |
| The nurse is educating a patient with phlebitis of the left leg. What alternative therapy should this patient avoid until the condition is resolved ? | Therapeutic massage |
| What is a therapeutic treatment that joins the mind and body and increases muscle tone and flexibility ? | Yoga therapy |
| A patient admitted with lower back pain and is not sure that the prescribed treatment is helping and asks what alternative therapies might help. What should the nurse suggest? | Chiropractic therapy |
| Herbal remedies vary from pharmaceutical remedies in what ways? | Use the whole plant, have no quality control, have no standard dose, are sold as food supplements |
| Founded in 1992 the national center for complementary and alternative medicine has the responsibility for what actions? | Evaluating alternative treatments, distributing information to the public, coordinating and conducting research |
| The nurse recommends that a patient have animal-assisted therapy (AAT) sessions because this therapy has been found to have what effects? | Improvement in mood, decrease in blood pressure, increase in socialization skills |
| Why do people often choose complementary and alternative medicine (CAM)? | Less invasive, is more holistic, dedicated to health maintenance, is within the control of the patient |
| People with fractures, rheumatoid arthritis, and osteoporosis are not candidates for _____ therapy ? | Chiropractic |
| Complementary therapies | Treatments used in addition to conventional health care regimens recommended by a person's health care provider (uses both western medicine and holistic care) |
| Alternative therapies | Method of treatment used in place of biomedical therapies |
| Allopathic medicine | Traditional or conventional western medicine |
| Holistic nursing | Addresses and treats the mind body spirit of the patient |
| Herbal therapy | The use of plants or plant extracts for medicinal purposes (especially plants that are not part of the normal diet). |
| Pharmaceutical | Of or about drugs; also, a drug product |
| Chiropractic therapy | Nontraditional therapy that includes manipulation of the musculoskeletal system |
| Acupuncture | A method of stimulating certain points on the body by the insertion of special needles to modify the perception of pain, normalize physiologic functions, or treat or prevent disease |
| Acupressure | Entails the use of gentle pressure at similar points on the body |
| Reiki | A Japanese technique in which the practitioner transfers healing energy to the patient by means of visualization or gentle touch |
| Therapeutic massage | Massage performed by trained professionals to manipulate the soft tissues of the body and assist with healing |
| Aromatherapy | The use of essential oils of plants to treat symptoms |
| Reflexology | Based on the use of reflex points located throughout the hands, feet, and head that are linked to other parts of the body |
| Imagery | Visualization techniques |
| Relaxation | State of a generalized decrease in cognitive, physiologic, or behavioral arousal |
| Focusing | The ability to identify, differentiate, maintain attention on, and return attention to simple stimuli for an extended period |
| Receptivity | The ability to tolerate and accept experiences that are sometimes uncertain, unfamiliar, or paradoxic |
| Taiji | Martial arts (energy training) |
| Biofeedback | A noninvasive method that an individual can employ to learn control of the body to manage certain conditions |
| Tetrahydrocannabinol (THC) | The main active ingredient of cannabis substances |
| Cannabidiol | Cannabinoid useful in treating drug-resistant epilepsy |
| Cannabinoids | Term applied to marijuana and parts of the plant cannabis sativa in which tetrahydrocannabinol (THC) is the active agent |
| Passivity | The ability to stop unnecessary goal- directed and analytic activity |
| The nursing student has severe test anxiety. She is using guided imagery to help reduce anxiety just before the beginning of each test. What is the desired outcome of this type of therapy? | Controls response to stimuli by regulating expectations perceptions |
| Which patient should be cautioned that inhalation of essential oils could exacerbate symptoms? | Takes as needed medication for asthma |
| The nurse is working in a long term care center and recognizes that older residents are at risk for "skin hunger" What would the nurse do to address this problem? | Ensure that herbal lotion enriched with vitamins and protein is applied after bathing |
| The older patient disrobes to take a shower. The young nursing student who is assigned to assist with hygiene is shocked and repulsed by the appearance and condition of the patient's skin. What should the student do? | Make eye contact, smile, and assist the patient to maintain safety in the shower |
| Which patient would not be a candidate for therapeutic massage? | A postsurgical patient who wants the legs massaged to relieve cramps |
| Which patient statement indicates understanding of therapy that could help with smoking cessation? | "acupuncture stimulates acupoints and has been used to treat addictions" |
| The patient has heart failure and takes digoxin. He tells the nurse that he is thinking about taking Ginkgo biloba because it is supposed to improve memory by increasing circulation to the brain. What is the best response? | "let me contact your provider so you can discuss this with him" |
| The nurse is seeking evidence-based practice information related to complementary and alternative medicine therapies for cancer patients. What would be the best source of this information? | Access national center for complementary and integrative health website |
| The nurse is collecting data for the health history of a new patient. What is the best rationale for directly asking the patient about the use of complementary and alternative medicine therapies? | About 50% of patients use herbal supplements but usage is rarely reported |
| What is the most common element of relaxation strategies? | Rhythmic breathing |
| Which outcome statement indicates that the prescribed dronabinol is a successful therapy for a patient with cancer? | The patient reports decreased nausea and an improvement in appetite |
| Currently, which patients are most likely to be prescribed and benefit from THC? | Patients with cancer or acquired immunodeficiency syndrome |
| For most patients, magnet therapy has neither beneficial or detrimental effects; however, for which patient would magnet therapy be contradicted? | The patient has a pacemaker |
| The patient has a bone infection in the lower leg. Which patient education brochure is the nurse most likely to prepare for the patient? | Antibiotic therapy and surgery for osteomyelitis |
| Which outcome statement indicates that valerian is being used appropriately and is a successful therapy for the patient? | The patient feels that he is sleeping more soundly, and quality of sleep seems much better |
| Receptivity | The ability to tolerate and accept experiences that are sometimes uncertain, unfamiliar, or paradoxical |
| Holistic nursing | Addresses and treats the mind-body-spirit of the patient |
| Asian ginseng | Improves overall health and well being, bleeding disorders, diabetes -do not administer to pregnant or breast feeding women, patients with diabetes, or hypertension |
| Aloe vera | Used for burns , skin irritation, has laxative properties - internal uses produces a cathartic action, painful cramps, kidney damage,etc |
| Cayenne | Reduces cholesterol levels, controls bleeding - repeated uses produce analgesia that results from a neuronal depletion of substance P |
| Comfrey | Stimulates quick healing strains and slow healing wounds -do not use internally because it can be harmful, reports of live toxicity |
| Echinacea | Stimulates immune function , excellent blood cleanser adverse reactions include fever, taste disturbance, vomiting, diarrhea |
| Evening primrose oil | Helps with premenstrual syndrome, cardio problems, hot flashes - do not give to a patient with history of epilepsy , use of this oil occasionally un masks previously undiagnosed epilepsy |
| Ginger | Helps improve symptoms of nausea, vomiting , motion sickness sometimes enhances the effect of anticoagulants, drug interaction with antacids, anticoagulants |
| Ginkgo | Improves memory, increases circulation to the extremities and the brain adverse reactions dizziness, headache, cardiac insufficency |
| Goldenseal | Is an antibiotic and antiseptic, digestive aid do not give to children |
| Kava | Reduces anxiety, stress, and restlessness, wound healing patient should not use kava when ingesting alcohol or during pregnancy or breast feeding |
| Lavender | Antiseptic, antidepressant excessive inhalation of lavender can cause vertigo, nausea, and syncope |
| St. John's wart | Treats mild to moderate depression, anxiety, viral infections do not give to pregnant or breast feeding women do not give to children |
| Tea tree oil | Reduces skin irritation, acne, athletes foot do not apply around nose, mouth, eyes because it can cause burns |
| Valerian | Treats insomnia, stress, and anxiety do not give to patient who is breast feeding or pregnant , can be toxic |
| Reiki | Energy healing, is an alternative method of care |
| Chamomile | For pain, stress, insomnia Avoid giving to pregnant patients because of potential abortifacient and teratogenic effects. Instruct patients with atopic eczema to avoid use because of potential allergic reactions. |
| Eucalyptus | Reduces respiratory problems Eucalyptus oil sometimes causes nausea, vomiting, diarrhea, and asthma-like attacks. It may enhance the effects of hypoglycemic agents. |
| Lemon | Reduces cold and flue, diuretic, anti inflammatory Patients who are pregnant or breast-feeding should avoid oral ingestion of expressed oil. Do not give to patients who are hypersensitive to members of the citrus family. Skin reactions of photo dermatotoxicity from expressed oil are possible. |
| Peppermint | Reduces acne, upset stomach Do not give peppermint teas and mentholated ointment to infants and small children. Menthol sometimes causes sensitization and allergic reactions. |
| Rosemary | Mental stimulant, migraines promotes menstral flow, induces abortion |
| Tea tree | Antiseptic, viral illness, respiratory infections Topical applications have not shown to be toxic, but ingesting the oil possibly will produce CNS depression and gastrointestinal irritation. |
| Reflexology demonstrates what four main benefits? | -relaxes the body and removes stress -enhances the circulation -assists the body in normalizing metabolism normally -Complements all other healing modalities |
| Meridians | Channels of energy |