Exam 20: Complementary and Alternative Therapies

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A nurse has been working overtime shifts on a regular basis for the past month. Having a difficult time saying "no" when the supervisor asks, the nurse begins to feel overwhelmed and irritable. As a method to promote self-healing, this nurse should:

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A

Goals of chiropractic intervention include which of the following?

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C, D, E

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, the nurse introduces which therapy into the daily routine?

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D

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months. During his follow-up clinic visit, he states that he has also been trying St John's wort because he heard it was helpful in treating depression. Which vital signs should the nurse be attentive to for possible adverse effects?

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Systems of healing with emphasis on client responsibility, client education, disease prevention, or natural substances that stimulate a person's self-healing capacity are components of which of the following?

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

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A client was in a motor vehicle accident where he sustained injury (but no paralysis) to his spinal cord. The client has difficulty with balance and holding his posture. The nurse working with the client asks if he is familiar with therapy that might help improve these symptoms. The nurse is referring to which of the following?

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

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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 a positive self-esteem in order to process through some of these decisions. The nurse is helping the client to achieve balance in which of the following components?

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A client living in a long-term care centre has been withdrawn and subdued and does not eat in the dining room because of embarrassment about her physical decline. The nurse has been researching the use of complementary therapies for this client. Which of the following may provide opportunities for unconditional love, achievement of trust, responsibility and empathy toward others?

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A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff members. 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. Which of the following is the main benefit of this intervention for the client?

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A client comes to the clinic with a chief complaint of feeling "dirty" and asks the nurse how colonics would work to improve the client's overall wellbeing. Which response is the most appropriate?

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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. Of the following, which application is most likely used in the client's therapy sessions?

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

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A client diagnosed with hypertension has had well-controlled follow-up of her blood pressure for the past six months. At today's clinic appointment, the client's blood pressure is 198/102. The client insists she has been taking her prescribed antihypertensive medication, but also added a "herbal" tablet because she heard it was supposed to be good for her. Of the following, which is most likely interfering with the client's antihypertensive?

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Match the herb with the drug.
Digoxin
Willow tree bark
Aspirin
Nightshade
Cocaine
Indian snakeroot
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Responses:
Digoxin
Willow tree bark
Aspirin
Nightshade
Cocaine
Indian snakeroot
Reserpine
Foxglove
Atropine
Coca leaves
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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, the nurse may implement which of the following as part of the therapy?

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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 of the following would alert the nurse to a possible interaction with oral contraceptives?

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The nurse attended a workshop on the use of essential oils and their effects on body functions such as sleep, eating habits and the immune system. The nurse works in a multispecialty clinic where a variety of clients are seen on a daily basis. The nurse should be attentive to clients with which chronic disease if using essential oils?

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A nurse is explaining the difference between ancient health care practices and the biomedical model to a nursing student. She states that the biomedical model is reductionist, unlike the ancient therapies that are:

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