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NSG 201H -Complementary and Alternative Care Initiatives
NSG 201H -Complementary and Alternative Care Initiatives
Chapter 12: Complementary and Alternative Care Initiatives
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 |
NSG 201H -Complementary and Alternative Care Initiatives
____ 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 |
NSG 201H -Complementary and Alternative Care Initiatives
____ 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). |
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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 |
NSG 201H -Complementary and Alternative Care Initiatives
____ 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 |