Question 1

A lethargic client is diagnosed with Major Depressive Disorder.After taking antidepressant medication for 6 weeks,the symptoms have not resolved.Which nutritional deficiency should the nurse identify as potentially contributing to the client's symptoms?

Accepted Answer

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

Question 2

A client asks the nurse to explain the difference between complementary and alternative medicine.Which is an appropriate nursing reply?

Accepted Answer

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

Question 3

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

Accepted Answer

A)  St.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 C

Question 4

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

Accepted Answer

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

Question 5

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?

Accepted Answer

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 6

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

Accepted Answer

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

Question 7

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

Accepted Answer

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."

Question 8

A client is exhibiting short-term memory loss and has a slow capillary refill.Which herbal remedy would best address this client's symptoms?

Accepted Answer

A)  Ginkgo
B)  Fennel
C)  Passion flower
D)  Black cohosh

Question 9

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 teaching points should the nurse provide? Select all that apply.

Accepted Answer

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.

Question 10

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

Accepted Answer

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

Question 11

A nursing student who has no knowledge of alternative treatments states,"Aren't these therapies 'bogus' and,like a fad? Won't they eventually fade away?" Which is the most accurate nursing reply?

Accepted Answer

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 12

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column,the practitioner is employing which therapy?

Accepted Answer

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

Question 13

Which of the following nursing statements best explains to the client the benefits of pet therapy? Select all that apply.

Accepted Answer

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 14

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

Accepted Answer

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 15

A client has been taking 1200 mg/day of St.John's wort during the past year for symptoms of depression.Recently,the client complained of side effects from this herbal remedy.Which symptom should the nurse expect the client to report?

Accepted Answer

A)  Photosensitivity
B)  Insomnia
C)  Hirsutism
D)  Restlessness

Exam 39: Complementary and Psychosocial Therapies