Question 1

Which patient would be a candidate for biofeedback therapy?

Accepted Answer

A)   A patient with a history of heart failure and hypotension
B)   A diabetic patient with difficulty managing blood sugar levels
C)   A patient with an anxiety disorder after a traumatic experience
D)   A forgetful,anxious patient with a history of senile dementia C

Question 2

The nurse is caring for a patient who is taking garlic for high cholesterol.Which assessment finding puts the patient at high risk for an adverse reaction?

Accepted Answer

A)   The patient is training for a marathon.
B)   The patient is severely allergic to beestings.
C)   The patient takes enoxaparin daily.
D)   The patient has a history of hypothyroid disease. C

Question 3

Which is an example of allopathic treatment?

Accepted Answer

A)   Prescription of antibiotic medication for a bacterial infection
B)   Use of tai chi exercises to relieve chronic back pain
C)   Manipulation of the spine to relieve migraine headaches
D)   Burning dried herbs to relieve chronic abdominal pain and diarrhea A

Question 4

Which patient would be a candidate for animal-assisted therapy?

Accepted Answer

A)   An elderly patient with Clostridium difficile diarrhea
B)   A patient who has just undergone bone marrow transplantation
C)   A young patient with an acute asthma exacerbation and dyspnea
D)   A forgetful,irritable patient with a history of Alzheimer's disease

Question 5

Which herbal supplement is likely to worsen symptoms for a patient with rheumatoid arthritis?

Accepted Answer

A)   Echinacea
B)   Ginger
C)   Turmeric
D)   Valerian

Question 6

Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

Accepted Answer

A)   The patient has several herniated lumbar disks.
B)   The patient follows a lactose-free diet.
C)   The patient is allergic to latex and strawberries.
D)   The patient has a history of thrombocytopenia.

Question 7

The patient reports using chaparral to ease breathing.Which assessment finding leads the nurse to advise stopping the supplement immediately?

Accepted Answer

A)   The patient has a history of hepatitis C.
B)   The patient is morbidly obese.
C)   The patient requires supplemental oxygen.
D)   The patient has frequent sinus infections.

Question 8

The nurse is caring for a patient who is taking ephedra for weight loss.Which assessment finding puts the patient at high risk for an adverse reaction?

Accepted Answer

A)   The patient takes three different antihypertensive medications.
B)   The patient has been unemployed for the last 8 months.
C)   The patient is deaf and communicates through sign language.
D)   The patient has a strong family history of breast cancer.

Question 9

Which assessment finding indicates to the nurse that the patient has begun to master the cognitive skill of receptivity?

Accepted Answer

A)   The patient readily accepts feedback from the nurse about how to perform dressing changes.
B)   The patient calmly accepts the physician's recommendation for surgery without a request for a second opinion.
C)   The patient chooses not to inform family members about the complications and risks of upcoming surgery.
D)   The patient uses guided imagery techniques to minimize anxiety and push negative thoughts out of the mind.

Question 10

The patient reports taking valerian root capsules regularly.What is the patient's rationale for taking the supplement?

Accepted Answer

A)   Relief of constipation
B)   Relief of nausea and vomiting
C)   Relief of arthritis pain
D)   Inability to fall asleep at night

Question 11

Which assessment findings indicate to the nurse that the patient is experiencing a stress response?

Accepted Answer

A)   The patient's pupils are dilated.
B)   The patient's blood sugar is 36 mg/dL.
C)   The patient's blood pressure is 104/56.
D)   The patient's pulse is 132 beats/minute.
E)   The patient is unable to sleep at night.

Question 12

Which nursing diagnosis is a priority for a patient using tai chi to relieve arthritis pain?

Accepted Answer

A)   Risk for falls
B)   Sleep deprivation
C)   Risk for contamination
D)   Ineffective individual coping

Question 13

Which supplement will help minimize the discomfort of seasickness for a patient going on a sailing cruise?

Accepted Answer

A)   Garlic
B)   Ginger
C)   Ginseng
D)   Gingko biloba

Question 14

The patient prefers to take an herbal supplement rather than the prescription medication ordered by the physician.Which is the most appropriate response of the nurse?

Accepted Answer

A)   "It is very convenient to take herbal supplements because they can be obtained without a prescription."
B)   "Herbal supplements are significantly less expensive than prescription medications."
C)   "Herbal supplements are not held to the same high-quality standards as prescription medications."
D)   "Herbal supplements are made from plant materials so they are organic and nontoxic."

Question 15

Which action by the nurse best demonstrates the concept of integrative nursing?

Accepted Answer

A)   The nurse evaluates the patient's medications to determine if the patient is at a high risk for falls or drug interactions.
B)   The nurse educates the patient about perineal care and fluid intake to help prevent urinary tract infections.
C)   The nurse regularly assesses the patient's pain level and administers analgesic medication as needed.
D)   The nurse is authentically present when providing care to the patient while accepting the patient as an individual.

Exam 19: Complementary and Alternative Therapies