Question 1

A patient states,"My cancer is in remission finally after all that chemotherapy,my friend used the same chemotherapy and wasn't so lucky.I want to continue participating in spiritual care and 'mind games' to keep my memory intact.I am also enrolled in Tai chi,but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?

Accepted Answer

A)   A negative alteration in the body produces a parallel effect on the mind and spirit.
B)   The body can heal itself with the help of complementary alternative therapies.
C)   Approaches to therapy are individualized.
D)   There is a focus on the total lifestyle. A

Question 2

A patient informs the nurse,"I can't sit in the yard for even 10 minutes without my skin turning red and tender." The nurse would assess for the use of which complementary alternative medicine (CAM)?

Accepted Answer

A)   St.John's wort
B)   Ginkgo biloba
C)   Feverfew
D)   Echinacea A

Question 3

A young adult experiencing pain states,"I want to see a chiropractor,but I don't have any money.However,I do have health insurance." What is the most appropriate response the nurse can provide regarding payment for this form of health care service?

Accepted Answer

A)   "Most insurance companies will pay for chiropractic treatment."
B)   "Because chiropractors are not required to be licensed,services must be paid for by the patient."
C)   "Chiropractic medicine is a new complementary alternative medicine (CAM) therapy that has not yet been recognized by insurance companies."
D)   "Chiropractic medicine is more than 100 years old,but because it is preventive in nature,it is not covered by most insurance." A

Question 4

A patient diagnosed with kyphosis is visiting a practitioner of chiropractic medicine for the first time and asks,"How does this therapy work?" The practitioner replies,"I will use my hands along with heat to correct the misalignment of your spine by placing pressure on the nerves that have produced pain." What term will the practitioner use to refer to the misalignment of the spine?

Accepted Answer

A)   Subluxation
B)   A sprain
C)   A fracture
D)   Epicondylitis

Question 5

The massage therapist uses kinesthesia to correct habits that cause poor posture and limited movement.What is this type of massage called?

Accepted Answer

A)   Alexander technique
B)   Feldenkrais method
C)   healing touch
D)   Reiki

Question 6

A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice.The practitioner responds by referring to this practice using what term?

Accepted Answer

A)   Doshas
B)   Moxibustion
C)   Yoga
D)   Kapha

Question 7

A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM)therapy.The nurse knows that which CAM would be contraindicated?

Accepted Answer

A)   Magnet therapy
B)   Aromatherapy
C)   Imagery
D)   Therapeutic touch

Question 8

Which complementary alternative medicine (CAM)may interfere with early detection of the dementia?

Accepted Answer

A)   Large doses of calcium can cause cerebral plaques to form,thereby disguising atrophy of the brain.
B)   Excess doses of folic acid can mask a vitamin B12 deficiency that led to dementia.
C)   Hypnotherapy focused on current pleasant thoughts can eliminate clues to the past.
D)   The electrical current from magnetic fields can interfere with normal brain waves,resulting in confusion and inability to concentrate.

Question 9

The use of plants in conventional modern medicine is evidenced by the drug atropine,which is derived from which plant?

Accepted Answer

A)   Digitalis purpurea
B)   Cephaelis ipecacuanha
C)   Rauwolfia serpentina
D)   Atropa belladonna

Question 10

A patient regularly experiences migraine headaches that are not relieved by traditional Western medical practices.Why does the family physician suggest acupuncture? (Select all that apply. )

Accepted Answer

A)   It is based on the belief that meridians are vital for life,and when they are out of balance,pain occurs.
B)   It uses strategically placed,slender needles for pain relief.
C)   It uses breathing exercises and meditation to relieve pain.
D)   It corrects metabolic imbalance through purification regimens.
E)   It determines distinct metabolic body types.

Question 11

A patient who is pregnant has used the herb feverfew for a history of migraine headaches.The nurse should provide teaching related to a risk for what side effect?

Accepted Answer

A)   Uterine contractions resulting in possible miscarriage
B)   Reduced fetal growth
C)   Insomnia
D)   Tiredness the following day

Question 12

A patient informs the nurse,"I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using what complementary alternative medicine (CAM)?

Accepted Answer

A)   The mind-body intervention of aromatherapy
B)   An energy technique known as qi gong
C)   The manipulative method using the Alexander technique
D)   Conventional medicine,also called allopathic

Question 13

A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands,increasing blood supply circulation to various parts of the body and relieving pain.The massage technique used by the practitioner is referred to by term?

Accepted Answer

A)   Reflexology
B)   Feldenkrais method
C)   Reiki
D)   Rolfing

Question 14

Despite the presence of safety aids such as handrails in the bathrooms at an assisted living facility,the number of fractures due to unsteady ambulation upon arising from the bed and when attempting to perform activities of daily living has increased.Which complementary alternative medicine (CAM)would be an effective intervention for this population?

Accepted Answer

A)   Yoga
B)   Acupuncture
C)   Tai chi
D)   Magnet therapy

Question 15

A patient who is just beginning to use homeopathy to treat depression is concerned because symptoms are becoming worse with increasing sadness,anxiety,and fatigue.The practitioner of homeopathy bases teaching on the Law of Cure and provides what instructions to the patient?

Accepted Answer

A)   Discontinue the therapy and seek another alternative therapy.
B)   Concentrate the preparation to increase its potency in hopes to improve depressive symptoms.
C)   Increase the dosage of the substance to increase its effectiveness.
D)   Remain on the current regimen since worsening is a positive sign that healing is occurring.

Question 16

A patient has fallen at home and complains that joints are very painful when trying to climb stairs.The patient desires to use an alternative complementary medicine rather than pain medication.The practitioner begins treatment with touch consisting of rocking,rhythmical motions to loosen tense,sore muscles and joints.The patient is receiving which type of treatment?

Accepted Answer

A)   Swedish massage
B)   Rolfing
C)   Trager approach
D)   Reflexology

Question 17

A person who is recovering from a stroke is becoming more forgetful and is unable to recall people's names.A friend suggests the use of a natural ingredient,ginkgo biloba.The nurse is concerned about which serious risk associated with this herb?

Accepted Answer

A)   Thromboembolism
B)   Seizures
C)   Hypertension
D)   Photosensitivity

Question 18

Why is the various forms of complementary alternative medicine (CAM)gaining popularity in Western society? (Select all that apply. )

Accepted Answer

A)   Consumers want knowledgeable,trained physicians to control their care.
B)   CAM consumers want personalized health care.
C)   Quantity,rather than quality,of life is most important in Western society.
D)   Consumers have access to evidence that support CAMs.
E)   Consumers want to remain indifferent to the health care provider.

Question 19

The nurse who presents a class on different methods of complementary alternative medicine (CAM)differentiates between imagery and hypnosis in which of the following ways?

Accepted Answer

A)   Imagery involves the dependent mental construction of a picture,whereas hypnosis requires the patient to recall and verbally describe difficult times in his or her life.
B)   Hypnosis requires a trained psychologist,but imagery can be performed by any health care practitioner.
C)   Imagery produces a temporary sense of well-being compared with hypnosis,which evokes a permanent positive effect.
D)   Although both therapies focus on specific problems and guide the patient into relaxation,imagery requires the patient to formulate the impression,whereas the hypnotist constructs the image for the patient.

Question 20

A patient is prescribed reserpine to decrease mild anxiety and treat hypertension.The patient researches the medication on the Internet and finds that this medication comes from which plant?

Accepted Answer

A)   Atropa belladonna
B)   Digitalis purpurea
C)   Rauwolfia serpentina
D)   Cephaelis ipecacuanha

Exam 11: Complementary and Alternative Healing

A patient informs the nurse,"I can't sit in the yard for even 10 minutes without my skin turning red and tender." The nurse would assess for the use of which complementary alternative medicine (CAM) ?

A young adult experiencing pain states,"I want to see a chiropractor,but I don't have any money.However,I do have health insurance." What is the most appropriate response the nurse can provide regarding payment for this form of health care service?

The massage therapist uses kinesthesia to correct habits that cause poor posture and limited movement.What is this type of massage called?

A patient observes the practitioner burning a dried herb on the needle during an acupuncture session and asks about this practice.The practitioner responds by referring to this practice using what term?

A pregnant woman reports back pain and wants to try a complementary alternative medicine (CAM) therapy.The nurse knows that which CAM would be contraindicated?

Which complementary alternative medicine (CAM) may interfere with early detection of the dementia?