Deck 20: Complementary and Alternative Therapies

Question 1

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for body aches, for pain relief and as anti-inflammatories. The nurse may offer the client information about the use of which oil?

A) Lavender.
B) Chamomile.
C) Tea tree.
D) Eucalyptus.

Answer 1

Eucalyptus.

Question 2

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?

A) Homeopathy.
B) Meditation.
C) Aromatherapy.
D) Yoga.

Answer 2

Meditation.

Question 3

Match the following terms with the relevant concept. (Select only one answer for each term.)
1. Holism
2. Humanism
3. Balance
4. Spirituality
5. Energy
6. Healing environments
A. Mind and body are indivisible
B. To become all that one can be
C. The time to be "present"
D. Entity is seen as more than sum of its parts
E. Equilibrium among components
F. A force that connects all

Answer 3

1D, 2A, 3E, 4B, 5F, 6C

Question 4

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?

A) Biofeedback.
B) Spiritual therapy.
C) Pilates.
D) Music therapy.

Answer 4

Music therapy.

Question 5

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:

A) challenge the belief that others always come first.
B) set realistic goals.
C) learn to manage stress.
D) clarify values and beliefs.

Question 6

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?

A) Acupressure and reflexology.
B) Aromatherapy and naturopathic remedies.
C) Therapeutic touch and Reiki.
D) Chiropractic and massage therapy.

Question 7

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?

A) Naturopathic medicine.
B) Homeopathic medicine.
C) Aromatherapy.
D) Chiropractic.

Question 8

A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long day's work. The nurse states to a co-worker that "It's hard to get my mind to relax after spending 12 hours focusing on alarms, machines and sick, tiny babies; not to mention their worried parents". Which of the following might be an appropriate therapy for this nurse to utilise?

A) Qigong.
B) Aromatherapy.
C) Hypnotherapy.
D) Guided imagery.

Question 9

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?

A) Hypnotherapy.
B) Meditation.
C) Yoga.
D) Guided imagery.

Question 10

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?

A) Meditation.
B) Hypnotherapy.
C) Guided imagery.
D) Yoga.

Question 11

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?

A) Relieve pain.
B) Help satisfy the need for caring and nurturing touch.
C) Speed the removal of metabolic waste products.
D) Stretch and loosen the muscles.

Question 12

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?

A) Valerian.
B) Garlic.
C) Echinacea.
D) Milk thistle.

Question 13

Goals of chiropractic intervention include which of the following?

A) Improvement of blood and lymph flow through the body.
B) Stimulation of specific points to help with pain relief, cure certain illnesses, and promote wellness.
C) Reduce or eliminate pain.
D) Correct spinal dysfunction.
E) Preventive maintenance.

Question 14

Match the herb with the drug.
1. Reserpine
2. Digoxin
3. Cocaine
4. Atropine
5. Aspirin
A. Coca leaves
B. Willow tree bark
C. Indian snakeroot
D. Nightshade
E. Foxglove

Question 15

During an interview assessment, the client states a belief in nutritional lifestyle counselling and the belief that the body's vital energy circulates through the body, which can be manipulated through specific anatomical points. This client most likely practices which of the following?

A) Ayurveda.
B) Indigenous healing.
C) Botanical healing.
D) Traditional Chinese medicine.

Question 16

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

A) is focused on her centre of energy.
B) feels "down in the dumps".
C) is full of energy.
D) feels connected to her reality.

Question 17

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:

A) alternative.
B) holistic.
C) futuristic.
D) botanic.

Question 18

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?

A) Respiratory rate.
B) Pulse rate.
C) Oxygen saturation.
D) Temperature.

Question 19

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?

A) Garlic.
B) Milk thistle.
C) Ginseng.
D) Valerian.

Question 20

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?

A) Mental.
B) Spiritual.
C) Physical.
D) Environmental.

Question 21

The client asks whether herbal medicines are a "good idea". The nurse's best response is:

A) "Are there specific ones you're wondering about?"
B) "Things found in nature are always healthy."
C) "If your doctor didn't prescribe it, don't take it."
D) "Everything is good in moderation."

Question 22

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?

A) Hypertension.
B) Asthma.
C) Cardiac problems.
D) Cancer.

Question 23

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?

A) Meditation.
B) Animal-assisted therapy.
C) Chelation therapy.
D) Pilates.

Question 24

An insulin-dependent diabetic client has reduced sensation to his feet from peripheral neuropathy, which causes him constant pain. The nurse is discussing options with him and includes which of the following?

A) Bioelectromagnetics therapy.
B) Music and dance therapy.
C) Infrared photoenergy therapy.
D) Hypnotherapy.

Question 27

The practice of T'ai chi has many benefits for older people including all of the following except:

A) reduces the risks of falls.
B) increased muscle mass.
C) sleep enhancement.
D) increased immunity.

Question 28

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?

A) "There is much controversy about colonics. What do you know about it?"
B) "You'd better ask your doctor about this."
C) "This is a good way to get rid of toxins in your system."
D) "Colonics is a dangerous and non-useful technique that no-one should try."

Question 29

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?

A) Detoxification.
B) Hypnotherapy.
C) Chelation therapy.
D) Hippotherapy.