Deck 29: Integrated Health Practices:Complementary and Alternative Therapies

Question 1

Many alternative medical therapies are culturally,ethnically,spiritually,or religiously derived and have a wide range of applications from health promotion to the treatment of illness.Key foundations of several therapies are a focus on universal connectedness (e.g.,that all living and nonliving things are joined together;health will be good if one's mind and body are in harmony and balance;disease arises when a person is out of harmony with the universe).Which of the therapies listed below prescribe to this belief system?

A) Asian medicine
B) Ayurvedic medicine
C) Homeopathic medicine
D) Chiropractic medicine
E) Allopathic medicine

Answer 1

A,B
A significant aspect of Asian medicine is an emphasis on diagnosing and treating disturbances of qi (pronounced "chee"),or vital energy,and restoring its proper balance.Ayurveda is a traditional system from India that strives to restore the innate harmony of the individual while placing equal emphasis on body,mind,and spirit.Ayurvedic practitioners use many products and techniques to cleanse the body and restore balance.

Question 2

Select the true statement that best differentiates biofields from electromagnetic fields.

A) Electromagnetic fields are generated from sources of earth energy,while biofields originate from animal or plant life.
B) The body produces biofields from body hormone secretions,while electromagnetic fields are produced from body electrolytes.
C) Biofields originate from within the body,while electromagnetic fields are from outside of the body.
D) Electromagnetic fields are produced within the body by nerve/muscle interactions (e.g.,SA and AV node),while biofields are micronerve plexuses that distribute sensory perceptions.

Answer 2

C
Energy therapies have been categorized into two groups:biofield therapies (those that focus on fields believed to originate within the body)and electromagnetic fields (those that originate from other sources).

Question 3

Herbal supplements may have a role in the perioperative setting and are an important consideration for nurses.A mistaken assumption is that botanical dietary supplements are safer than prescribed or over-the-counter drugs.What assumption should the nurse make,during the nursing assessment,when the patient describes the use of dietary supplements and herbal products?

A) The patient is probably not well educated.
B) The patient probably uses illegal substances as well.
C) Botanicals may initiate a pharmacologic response and should be considered as a medication.
D) Botanicals are a contraindication for surgery and anesthesia.

Answer 3

C
Botanicals may initiate a pharmacologic response within the body and therefore should be considered as medications from a medical or nursing perspective.Many herbal products have actions that could be dangerous during surgery.Some herbal supplements may accentuate the toxicity of anesthetics or interfere with drug metabolism or clearance.

Question 4

Progressive relaxation techniques,biofeedback,meditation,and cognitive-behavioral approaches have a well-documented theoretical basis with supporting scientific evidence.What is the theoretical clinical justification for this relationship categorized as mind-body medicine?

A) Targeted therapies can balance the equality of the mind with the body.
B) The mind has the ability to affect the body.
C) The body has the ability to positively and negatively affect the mind.
D) All of these scientific theories have been supported by high-level research.

Question 5

Which of the manipulative therapies uses many different hands-on techniques aimed at helping the body heal itself through the manipulation of the soft body tissues?

A) Therapeutic touch manipulation
B) Massage manipulation
C) Osteopathic manipulation
D) Chiropractic manipulation

Question 6

Herbal,orthomolecular,individual biologic therapies and special dietary treatments are encompassed in biologically based therapies.Which of the biologically based therapies listed below are classified as therapeutic nutrition?

A) The diets of Drs.Atkins,Pritikin,and Weil
B) Cartilage products from cattle,sheep,or sharks
C) Bee pollen
D) All of the options are correct.

Question 7

Patients may be reluctant to communicate information about their use of herbal products,botanicals,or dietary supplements,because they may be unsure of the reaction of healthcare professionals to their use of alternative substances.Many herbal products have actions that could be dangerous during surgery.Select all the true statements about herbal supplements and perioperative drugs.

A) Some herbal supplements may accentuate the toxicity of anesthetics.
B) Some herbal supplements may interfere with drug metabolism or clearance.
C) Some herbal supplements may have significant sedative actions.
D) Some herbal supplements may cause central nervous system depression.
E) Some herbal supplements inhibit the binding of naloxone.

Question 8

As a result of the Dietary Supplement Health and Education Act (DSHEA),the Food and Drug Administration (FDA)can restrict a marketed supplement only if its use has shown the product is unsafe.New supplements no longer subject to premarket safety evaluations by the FDA.Because herbal products are so readily available and have such widespread media attention,many people think that they can safely self-medicate.Why should the public be aware and educated about dietary supplements and potential harmful effects?

A) There are no regulations establishing criteria for purity or manufacturing procedures.
B) Impurities and unknown substances may be present in these products.
C) The potential exists for variability in the potency of different batches of the same botanical product.
D) All of the options are correct assumptions about botanical supplements.

Question 9

What therapeutic and healing therapy can the patient use throughout the perioperative experience (e.g.,preoperative,intraoperative,and postoperative phases)?

A) Biofield therapy with transcutaneous electrodes
B) Music therapy with headphones
C) Aromatherapy with saturated cotton balls in a net bag
D) Warmed herbal packs placed on the neck and chest

Question 10

Palpation during the nursing assessment is considered a "laying on of hands," and may be interpreted as therapeutic by the patient.Select the statement that best reflects the nurse-patient relationship during nursing assessment.

A) This can be interpreted as a physical invasion of the patient's body.
B) The nurse's hands should be warm and the touch gentle to promote calmness and trust.
C) Warm,gentle palpation symbolizes respect for the patient and for the privilege the patient gives the nurse.
D) Palpation is best performed without emotional communication or evidence of caring behaviors.

Question 11

A dietary supplement,as defined by the Dietary Supplement Health and Education Act (DSHEA),is a product that contains a number of ingredients that are intended to supplement the individual's diet.What ingredient is considered an appropriate additive to classify a product as a dietary supplement?

A) Water
B) Amino acid
C) FDA-approved coloring
D) Nonorganic fiber

Question 12

Therapeutic touch (TT)is a contemporary interpretation of several ancient healing modalities now used in perioperative practice.Why does the title therapeutic touch sound like a misnomer?

A) There is no scientific evidence to support this modality as therapeutic.
B) The practitioner does not have to touch,or make skin contact with,the patient.
C) TT does not fit with the fast-paced surgical environment.
D) The practitioner absorbs the negative energy of the patient,which is not therapeutic for the practitioner.

Question 13

Trina Gasterson,a 7-year-old girl recovering from a successful kidney transplant,is visited by her perioperative nurse on her day of discharge.While they conversed,Trina's mother opened a bottle of herbal supplement tablets from a local nutrition and dietary supplement store,whose label the nurse recognized.The mother proceeded to offer the supplement to Trina,but the nurse intervened and questioned the mother about the supplement.After reading the label,the nurse explained that the tablets could have an adverse interaction with Trina's immunosuppressive drugs that she must take to prevent transplant rejection.What herbal supplement was in the bottle?

A) Astragalus,licorice,and echinacea
B) Feverfew and valerian
C) St.John's wort and gingko
D) Goldenseal and chamomile

Question 14

Select the alternative or complementary therapy that would be appropriate to integrate into the plan of care in the perioperative setting.

A) Chiropractic manipulation under anesthesia
B) Homeopathic medications integrated into the anesthesia plan
C) Guided imagery before and during anesthesia induction
D) Ayurveda cleansing practices integrated into the skin preparation

Question 15

Naturopathic medicine emphasizes health restoration as well as disease treatment based on the belief that disease is a manifestation of alterations in the body's natural healing processes.What modalities from the list below are considered within the scope of naturopathic medicine?

A) Herbal medicine
B) Acupuncture
C) Therapeutic counseling
D) All of the options are correct.

Question 16

What therapy is guided by the principle that dysfunction of one part of the body often affects secondarily the function of other discrete,possibly indirectly connected body parts?

A) Ayurvedic medicine
B) Mind-body medicine
C) Reiki therapy
D) Manual healing methods

Question 17

Anesthesia providers are concerned about the potential increased risk of instability intraoperatively resulting from inhibition of coagulation.Which herbal supplement,from the list below,would be implicated in a coagulation interaction?

A) Feverfew
B) Lavender
C) Rosemary
D) Licorice

Question 18

Postoperative nausea and vomiting (PONV)are significant problems for many patients administered general anesthetics.This complication not only is distressing for the patient but also,if uncontrolled,can result in additional complications such as wound dehiscence,fatigue,dehydration,and electrolyte imbalances.What herbal substance was studied by researchers in Thailand and found to be an effective option in the prevention of PONV?

A) Chamomile
B) Lavender
C) Ginger
D) Rosemary

Question 19

The anesthesia provider asks the pediatric patient for a favorite flavor from a short list of banana,strawberry,bubble gum,mint,or tutti-fruiti,and then proceeds to place a drop of the chosen flavor into the inhalation mask before anesthesia induction.The child inhales the favorite flavor while drifting off to sleep.This complementary therapy falls within the category of:

A) clinical aromatherapy.
B) herbal sedation.
C) aroma anxiolysis.
D) PONV (postoperative nausea and vomiting) prevention.

Question 20

Select the herbal supplement that may cause potential adverse cardiac effects such as palpations and hypertension.

A) Lavender
B) Garlic
C) Ephedra
D) Ginger