Nokea
A client asks the nurse if watching funny videos can help in the treatment of cancer. Which is the best response from the nurse?
- A. Visualizing your body fighting the cancer can be helpful.
- B. Laughter can stimulate your immune system.
- C. Laughing is better than crying.
- D. Use of humor is an approved form of cancer treatment.
Correct Answer: B
Rationale: Laughter stimulates the immune system by increasing the number of WBCs and suppressing the cortisol levels. Visualizing the fighting of cancer is imagery, not humor therapy. Use of humor is an optional mind-body therapy not an approved evidence-based form of cancer treatment.
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When the nurse aids a client in the selection of a complementary therapy, which factor is most important for the nurse to consider?
- A. Support the client's choice at all costs.
- B. Support only those modalities that are evidence-based.
- C. Implement the client's chosen modality.
- D. Promote client autonomy in decision making.
Correct Answer: D
Rationale: Nurses should promote client autonomy in their decision of using a complementary therapy and support that choice as long as it poses no harm to the client. Not all therapies have extensive research or evidence to support their use so benefits and risks need to be reviewed on an individual basis. Nurses should avoid implementing interventions that may have potential harmful effects or that violate the nurse's legal scope of practice.
A nurse is providing care to a client recently diagnosed with an aggressive form of cancer. The client asks the nurse about integrative medicine. Which statement should the nurse include in response to the client?
- A. Integrative medicine has not been found to be effective in the treatment of disease.
- B. Integrative medicine is a combination of conventional medical practice with nontraditional physical and nonphysical approaches to treatment.
- C. Integrative medicine is a nonorthodox treatment method with no proven basis for effectiveness at promoting health.
- D. Integrative medicine promotes exclusive use of herbal and other dietary supplements to treat disease.
Correct Answer: B
Rationale: Integrative medicine is a combination of conventional medical practice with nontraditional physical and nonphysical approaches to treatment for which there is some scientific evidence of safety and effectiveness. It is not exclusively conventional medical practices or alternative therapies. It is not true that integrative medicine has been found to be ineffective in the treatment of diseases. Alternative therapies, not integrative medicine, are nonorthodox treatment methods that have no proven basis for effectiveness at promoting health. Integrative medicine does not promote exclusive use of herbal and other dietary supplements to treat disease.
In which of the following therapies is it believed that the practitioner gathers knowledge about the disease and its cure from a higher power?
- A. Herbal therapy
- B. Ayurveda
- C. Native American/First Nations system
- D. Chinese medicine
Correct Answer: C
Rationale: In the Native American/First Nations system of medicine, the shaman or medicine man or woman goes into a trance and communicates with a higher power to gather knowledge about the disease and its remedy. Herbal therapy uses herbs with medicinal value, and Ayurveda and Chinese medicine do not involve shamans and such spiritual practices.
In preparing the client for a reflexology consult, the nurse knows to allow full access to which body parts?
- A. Spine
- B. Face
- C. Lower extremities
- D. Abdomen
Correct Answer: C
Rationale: Reflexology is the application of pressure to the foot. Manipulation of the spine is used in chiropractic care. Iridology looks into the eyes, and Reiki uses therapeutic touch to all seven chakras, which involve both head and trunk.
A client with arthritis finds relief of pain in the practice of tai chi, acupuncture, and massage. The nurse understands this medical system approach to originate from which culture?
- A. Ayurvedic medicine
- B. Western medicine
- C. Chinese medicine
- D. Native American/First Nations medicine
Correct Answer: C
Rationale: Balancing life's energy source through the use of tai chi, acupuncture, and massage are a part of Chinese Medicine. Ayurvedic medicine is practiced in India using fasting, yoga, cleansing, etc. Native American/First Nations medicine uses shaman, symbols, and herbs in treatments. Western medicine is a form of conventional medicine.