Deck 12: Complementary and Psychosocial Therapies

Question 1

Which of the following statements reflect current attitudes toward complementary and alternative therapies? (Select all that apply.)

A)Some health insurance companies are beginning to cover treatments such as acupuncture and massage therapy.
B)The majority of third-party payers do not cover chiropractic client treatments.
C)A large number of U.S.medical schools,among them Harvard and Yale,now offer coursework in holistic methods
D)The AMA encourages members to be better informed regarding alternative medicine.
E)Interest in holistic health care is decreasing worldwide.

Answer 1

Some health insurance companies are beginning to cover treatments such as acupuncture and massage therapy.
A large number of U.S.medical schools,among them Harvard and Yale,now offer coursework in holistic methods
The AMA encourages members to be better informed regarding alternative medicine.

Question 2

A client who prefers to use St.John's wort and psychotherapy in lieu of antidepressant therapy asks for tips on using herbal remedies.Which of the following teaching points should a nurse provide? (Select all that apply.)

A)Select a reputable brand.
B)Increasing dosage does not lead to improved effectiveness.
C)Monitor for adverse reactions.
D)Gradually increase dosage to gain maximum effect.
E)Most herbal remedies are best absorbed on an empty stomach.

Answer 2

Select a reputable brand.
Increasing dosage does not lead to improved effectiveness.
Monitor for adverse reactions.

Question 3

A client inquires about the practice of therapeutic touch.Which nursing response best explains the goal of this therapy?

A)"The goal is to improve circulation to the body by deep,circular massage."
B)"The goal is to re-pattern the body's energy field by the use of rhythmic hand motions."
C)"The goal is to improve breathing by increasing oxygen to the brain and body tissues."
D)"The goal is to decrease blood pressure by body toxin release."

Answer 3

"The goal is to re-pattern the body's energy field by the use of rhythmic hand motions."

Question 4

A lethargic client is diagnosed with major depressive disorder.After taking antidepressant therapy for 6 weeks,the client's symptoms have not resolved.Which nutritional deficiency should a nurse identify as potentially contributing to the client's symptoms?

A)Vitamin A deficiency
B)Vitamin C deficiency
C)Iron deficiency
D)Folic acid deficiency

Question 5

A client with chronic lower back pain says,"My nurse practitioner told me that acupuncture may enhance the effect of the medications and physical therapy prescribed." What type of therapy is the nurse practitioner recommending?

A)Alternative therapy
B)Physiotherapy
C)Complementary therapy
D)Biopsychosocial therapy

Question 6

Which of the following practices should a nurse describe to a client as being incorporated during yoga therapy? (Select all that apply.)

A)Deep breathing
B)Meridian therapy
C)Balanced body postures
D)Massage therapy
E)Meditation

Question 7

A client diagnosed with chronic migraine headaches is considering acupuncture.The client asks a clinic nurse,"How does this treatment work?" Which is the best response by the nurse?

A)"Western medicine believes that acupuncture stimulates the body's release of pain-fighting chemicals called endorphins."
B)"I'm not sure why he suggested acupuncture.There are a lot of risks,including HIV."
C)"Acupuncture works by encouraging the body to increase its development of serotonin and norepinephrine."
D)"Your acupuncturist is your best resource for answering your specific questions."

Question 8

A nursing instructor is teaching about complementary therapies.Which student statement indicates that learning has occurred?

A)"Complementary therapies view all humans as being biologically similar."
B)"Complementary therapies view a person as a combination of multiple,integrated elements."
C)"Complementary therapies focus on primarily the structure and functions of the body."
D)"Complementary therapies view disease as a deviation from a normal biological state."

Question 9

A client inquires about pet therapy.Which of the following nursing responses provides the client with accurate information? (Select all that apply.)

A)"Pet therapy allows the therapist to assess the client's social relationships."
B)"Pet therapy decreases blood pressure."
C)"Pet therapy enhances client mood."
D)"Pet therapy improves sensory functioning."
E)"Pet therapy mitigates the effects of loneliness."

Question 10

Which of the following are included in the U.S.Departments of Agriculture and Health and Human Services guidelines to promote health and prevent disease.(Select all that apply.)

A)Increase physical activity and reduce time spent in sedentary behaviors.
B)Limit total calorie intake to 2,000 mg per day.
C)Reduce daily sodium intake to 3,000 mg per day.
D)Consume less than 10 percent of calories from saturated fatty acids.
E)Limit alcohol consumption to one drink per day for women and two drinks per day for men.

Question 11

Alternative approaches refer to interventions that are used instead of conventional treatment.A client asks a nurse to explain the difference between alternative and complementary medicine.Which is an appropriate nursing response?

A)"Alternative medicine is a more acceptable practice than complementary medicine."
B)"Alternative and complementary medicine are terms that essentially mean the same thing."
C)"Complementary medicine disregards traditional medical approaches."
D)"Complementary therapies partner alternative approaches with traditional medical practice."

Question 12

A nursing student,having no knowledge of alternative treatments,states,"Aren't these therapies 'bogus' and,like a fad,will eventually fade away?" Which is an accurate nursing response?

A)"Like nursing,complementary therapies take a holistic approach to healing."
B)"The American Nurses Association is researching the effectiveness of these therapies."
C)"It is important to remain nonjudgmental about these therapies."
D)"Alternative therapy concepts are rooted in psychoanalysis."

Question 13

A client reports taking St.John's wort for major depressive episode.The client states,"I'm taking the recommended dose,but it seems like if two capsules are good,four would be better!" Which is an appropriate nursing response?

A)"Herbal medicines are more likely to cause adverse reactions than prescription medications."
B)"Increasing the amount of herbal preparations can lead to overdose and toxicity."
C)"FDA does not regulate herbal remedies,therefore,ingredients are often unknown."
D)"Certain companies are better than others.Always buy a reputable brand."

Question 14

Interventions that are different from,but used in conjunction with,traditional or conventional medical treatment are termed _____________________ medicine.

Question 15

A nurse teaches a client about alternative therapies for back pain.When a practitioner corrects subluxation by manipulating the vertebrae of the spinal column,what therapy is the practitioner employing?

A)Allopathic therapy
B)Therapeutic touch therapy
C)Massage therapy
D)Chiropractic therapy

Question 16

Herbs and plants can be useful in treating a variety of conditions.Which treatment should a nurse determine is appropriate for a client experiencing frequent migraine headaches?

A)Saint John's wort combined with an antidepressant
B)Ginger root combined with a beta-blocker
C)Feverfew,used according to directions
D)Kava-kava added to a regular diet