Exam 22: Complementary and Alternative Therapies

The student nurse is learning about the various complementary and alternative medicine (CAM) therapies, which may be employed as collaborative treatment for the patient with mental illness. What will the student learn about the core concept of Ayurveda?

A nurse is asked to provide a brief presentation comparing and contrasting the types of biologically based therapies. Which will the nurse include in the presentation? Select all that apply.

The nurse is caring for a patient with a sleep disorder who tells the nurse that he takes the supplement valerian to sleep at night. What clinical manifestation is most likely to be present due to the effects of this medication? Select all that apply.

The nurse is caring for a patient with a sleep disorder who tells the nurse that she is considering drinking chamomile tea at night in order to help her sleep. The nurse knows to provide patient education to avoid concurrent use of chamomile with which class of medication?

The nurse is caring for a patient with a circadian rhythm sleep disorder. The patient expresses a desire to try complementary and alternative medicine (CAM) and the use of melatonin for the treatment of the condition. How does melatonin work for circadian rhythm sleep disorders?

The nurse is performing an admission assessment on a patient with depression. The patient takes a prescription antidepressant and tells the nurse that she also takes herbal supplements. The nurse is unsure of whether the medication and herbal supplements interact with one another. What is the nurse's best action?

The nurse is caring for a patient with mental illness who asks the nurse, "I have a friend who tells me that I should look into using complementary and alternative medicine to help treat my disease. What is that?" What is the nurse's best response?

The nurse is caring for an older adult patient with an anxiety disorder who expresses a desire to learn about the various complementary and alternative medicine (CAM) therapies that may help treat the disorder. Which mind and body practices will be most likely to benefit this patient? Select all that apply.

A patient is taking fluoxetine (Prozac) and wonders if adding St. John's wort would help the patient's depression symptoms. The nurse provides the patient with information regarding which adverse effect that occurs when taking fluoxetine and St. John's wort in combination?

The nurse is caring for a patient with an anxiety disorder. The patient asks that nurse, "Do you think complementary and alternative medicine (CAM) would help my condition?" Which factors will guide the nurse in helping the patient determine whether a CAM therapy may be beneficial? Select all that apply.

The nurse is caring for an individual who has been diagnosed with depression. The patient tells the nurse that, in addition to prescription antidepressants, the patient is practicing yoga and meditation. What type of CAM is the patient using?

The nurse is caring for a patient with mental illness who expresses interest in the use of complementary and alternative medicine (CAM). What main categories of CAM will the nurse include when providing education to the patient about CAM? Select all that apply.

The nurse is caring for a patient who is scheduled to undergo a total knee replacement in two weeks. The nurse notes that the patient takes herbal supplements for the treatment of the patient's mental illness. What is the correct pre-surgical instruction the nurse will provide to the patient?

The nurse refers a patient for acupuncture. What conditions has acupuncture been shown effective in treating? Select all that apply.

The nurse is caring for a patient with depression. When obtaining the patient's current medication list, the nurse notes that the patient is taking St. John's wort. What additional class of medication would most concern the nurse if the patient reports taking a medication in that class?

The nurse is caring for a patient with mental illness who desires the use of natural products or supplements for the treatment of the disorder. What symbol of safety will the nurse instruct the patient to look for when purchasing these products?

The nurse is performing an admission assessment on a patient with mental illness. Which question is best when inquiring about the patient's current and past complementary and alternative medicine (CAM) use?

The nurse is caring for a patient with major depressive disorder (MDD) who is taking DHEA in addition to antidepressant medications. Which potential adverse effect will the nurse be most concerned about the patient developing?

The nurse is working in a facility that uses music as therapy. What is true regarding this therapy?

The nurse is caring for a patient with insomnia who asks the nurse about possible complementary and alternative (CAM) practices which may help with the patient's disorder. What is the nurse's best response?