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?

Accepted Answer

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

Question 2

The National Center for Complementary and Alternative Medicine (NCCAM)has categorized the many integrative health practice modalities into five major domains.Biofield therapies are therapies that focus on fields believed to originate within the body.To which domain category does biofield therapy belong?

Accepted Answer

A)   Mind-body interventions
B)   Energy therapies
C)   Manipulative and body-based methods
D)   Biologically based therapies B

Question 3

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?

Accepted Answer

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. B

Question 4

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

Accepted Answer

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

Question 5

Because of DSHEA,the FDA can restrict a marketed supplement only if its use has shown the product is unsafe.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?

Accepted Answer

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)   There are no regulations establishing criteria for identification of ingredients.

Question 6

The therapeutic and healing properties of music have been recognized throughout history.Which statements reflect the impact of music therapy in the perioperative period?

Accepted Answer

A)   Music with lyrics is more effective in reducing anxiety.
B)   Music lowers sensory thresholds.
C)   Music delivered through a headset can serve as a distraction from the noise of the PACU.
D)   Music has been shown to decrease metabolism.
E)   Music therapy is cost-effective.

Question 7

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?

Accepted Answer

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

Question 8

A certified clinical aromatherapy practitioner (CCAP)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:

Accepted Answer

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

Question 9

What ancient Egyptian treatment promotes balance and wellness through nerve stimulation by pressure applications?

Accepted Answer

A)   Tai chi
B)   Reflexology
C)   Trephining
D)   Ayurveda

Question 10

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

Accepted Answer

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., sinoatrial [SA] and atrioventricular [AV] node) , while biofields are micronerve plexuses that distribute sensory perceptions.

Question 11

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.

Accepted Answer

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 12

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?

Accepted Answer

A)   Veganism, vegetarianism, raw food diets
B)   Cartilage products from cattle, sheep, or sharks
C)   Bee pollen
D)   Orthomolecular megavitamins

Question 13

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.Which modality is considered within the scope of naturopathic medicine?

Accepted Answer

A)   Herbal saunas
B)   Buddhism
C)   Therapeutic fasting
D)   Homeopathy

Question 14

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

Accepted Answer

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 15

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

Accepted Answer

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

Question 16

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

Accepted Answer

A)   Water
B)   Amino acid
C)   Food and Drug Administration (FD
A)  -approved coloring
D)   Nonorganic fiber

Question 17

Which 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?

Accepted Answer

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

Question 18

Anesthesiologists recommend that patients stop taking any herbal supplements before surgery to prevent adverse herb-drug interactions.How long before surgery should the patient stop taking herbal supplements?

Accepted Answer

A)   5 days
B)   10 days
C)   2 weeks
D)   3 weeks

Question 19

In many cultures,a naturalistic or holistic approach often assumes that there are external factors (some good,some bad)that must be kept in balance if we are to remain well.Select the balance system that is common across several cultural belief systems.

Accepted Answer

A)   "open" and "closed"
B)   "hot" and "cold"
C)   "dawn" and dusk"
D)   "fire" and "water"

Question 20

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.

Accepted Answer

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 (CNS)  depression.
E)   Some herbal supplements inhibit the binding of naloxone.

Exam 30: Integrative Health Practices: Complementary and Alternative Therapies

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?