Question 1

The nurse reviews the evidence of an herb's effectiveness and notes a rating of a grade 6. Which is an accurate description of this grade?

Accepted Answer

A) Strong evidence against use 
B) Strong evidence for the herb's use 
C) Moderate evidence for the herb's use 
D) No literature found on this herb A

Question 2

A patient informs the nurse she is taking echinacea. The nurse suspects the patient is attempting to treat which condition?

Accepted Answer

A) Diabetes 
B) Osteoarthritis 
C) Anxiety 
D) Flu D

Question 3

The nurse is reviewing a medication list for a patient about to undergo abdominal surgery. Which would warrant a phone call to the surgeon? (Select all that apply.)

Accepted Answer

A) Garlic 
B) Atenolol 
C) Ginkgo 
D) Ginseng 
E) Insulin A,C,D

Question 4

The nurse learns that a patient plans to try St. John's wort for depression. How should the nurse respond to the patient about this herbal remedy?

Accepted Answer

A) "Some people believe it can be helpful for depression. Because it is an herb, it would be safe to try it." 
B) "Herbs are medicines. You should not try anything without first consulting your primary care provider." 
C) "Herbs can be dangerous. You should avoid taking them while you are on other medications because interactions could occur." 
D) "St. John's wort has been shown in research to be safe and effective for treating depression. Be sure to follow the package instructions."

Question 5

Which statement accurately describes an alternative modality?

Accepted Answer

A) Alternative modalities are used in addition to a conventional modality. 
B) Alternative modalities are not effective. 
C) An alternative modality is a therapy used instead of a conventional modality. 
D) Only hippies use alternative modalities.

Question 6

The nurse is teaching a patient about the practice of chiropractic medicine. Which statement indicates an understanding of the teaching?

Accepted Answer

A) "The chiropractor can prescribe me some medication for my neck pain." 
B) "The practitioner will insert needles along meridians of qi flows." 
C) "The chiropractor will perform manipulation of the vertebral column." 
D) "The practitioner will lead me through a visualization exercise."

Question 7

The nurse is teaching a patient about biologically based modalities. Which topics should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

A) Pet therapy 
B) Magnet therapy 
C) Hypnosis 
D) Herbal medicine 
E) Diet therapies

Question 8

A patient experiencing symptoms of menopause asks the nurse which herbal remedy can help alleviate the symptoms. Which remedy should the nurse suggest?

Accepted Answer

A) Feverfew 
B) Echinacea 
C) Black cohosh 
D) Red yeast rice

Question 9

The nurse is educating a patient regarding herbal therapies. Which statements indicate the need for further teaching? (Select all that apply.)

Accepted Answer

A) "All herbal medications are covered by insurance." 
B) "There is a chance herbal therapies will interact with my prescription drugs." 
C) "Herbal remedies are safer than prescription drugs because they are just food." 
D) "I need to ask my doctor before taking any herbal remedy." 
E) "Herbal medications are safe because they are FDA approved."

Question 10

The nurse is assisting a patient with aquatherapy. The patient likely has which condition?

Accepted Answer

A) Arthritis 
B) Insomnia 
C) AIDS 
D) Hypertension

Question 11

The nurse is teaching a class about mind-body modalities. Which topics should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

A) Acupressure 
B) Herbal medicine 
C) Reiki 
D) Art therapy 
E) Yoga

Question 12

A patient with migraines tells the nurse she is using a technique to alleviate pain that involves pressure and kneading of the body. The nurse knows the patient is using which technique?

Accepted Answer

A) Biofeedback 
B) Aquatherapy 
C) Massage therapy 
D) Guided imagery

Question 13

The nurse is taking a medication history and the patient is reluctant to tell the nurse about a certain herb because it has been banned by the Food and Drug Administration (FDA). The nurse should suspect the patient is taking which herb?

Accepted Answer

A) Garlic 
B) Ginger 
C) St. John's wort 
D) Ephedra

Question 14

The staff development instructor is preparing a presentation on the different types of medicine being used by the patients cared for in the organization. Which definition should the instructor use to describe the allopathic system or philosophy of health care?

Accepted Answer

A) A system that holds that disease is a result of nerve dysfunction 
B) A system that maintains that illness is the result of falling out of balance with nature 
C) A method of treating disease with remedies that produce effects different from those caused by the disease 
D) A system that uses tiny doses of a substance that create the symptoms of disease in a healthy person to relieve those symptoms in a sick person

Question 15

The nurse reviews a list of patients scheduled for appointments in a cancer clinic and notes the types of treatments each patient is using. Which patients are using complementary therapy? (Select all that apply.)

Accepted Answer

A) A 74-year-old with leukemia uses self-hypnosis prior to a bone marrow biopsy. 
B) A 17-year-old with sarcoma practices relaxation and imagery during radiation therapy. 
C) A 66-year-old with lymphoma uses headphones to listen to music during chemotherapy. 
D) A 41-year-old with breast cancer chooses to have radiation therapy instead of a mastectomy. 
E) A 52-year-old with colon cancer stops chemotherapy and goes to Mexico for shark cartilage therapy.

Question 16

The nurse is assisting a patient with using guided imagery to relieve pain. Which instructions should the nurse include? (Select all that apply.)

Accepted Answer

A) "Picture what this place looks like and how comfortable you feel." 
B) "Feel the sense of deep relaxation and peace of this place." 
C) "The doctor will adjust your spine at this time, take a deep breath." 
D) "I am going to shine this light on you for 2 hours." 
E) "Close your eyes and keep them closed until the exercise is complete."

Question 17

The nurse is caring for a patient who reports that he practices traditional Chinese medicine. The nurse knows this includes which practices? (Select all that apply.)

Accepted Answer

A) Acupressure 
B) Acupuncture 
C) Qi Gong 
D) Guided imagery 
E) Chiropractic medicine

Question 18

The nurse is assisting a patient to use guided imagery. Which health problem is the patient most likely experiencing?

Accepted Answer

A) Gallstones 
B) Hypertension 
C) Hyperthyroidism 
D) Diabetes mellitus

Question 19

The nurse is caring for a patient experiencing poor appetite, nausea, and vomiting from chemotherapy. Which herbs should the nurse suggest the patient use to help with these symptoms? (Select all that apply.)

Accepted Answer

A) Kava 
B) Ginger 
C) Ginkgo 
D) Feverfew 
E) Echinacea

Question 20

A patient with chronic pain tells the nurse she wants to learn more about body-based modalities. The nurse will teach the patient about which techniques? (Select all that apply.)

Accepted Answer

A) Guided imagery 
B) Acupressure 
C) Chiropractic medicine 
D) Massage 
E) Aquatherapy

Exam 5: Complementary and Alternative Modalities