Nokea
A client is seen in the clinic regarding chronic lower back pain. The client asks the nurse if treatment by a chiropractor might alleviate some of the client's discomfort. What information should the nurse include in the response?
- A. This type of complementary therapy applies pressure to the feet and hands not the back.
- B. This type of therapy applies force to a specific area to improve circulation and relieve discomfort.
- C. Chiropractors manipulate the spine as a method for curing neuromuscular disorders.
- D. Chiropractors work by channeling universal energy to relieve a client's discomfort.
Correct Answer: C
Rationale: According to chiropractic theory, misalignment of the spinal vertebrae changes activities of nerves that control body functions in distant organs. This may lead to diseases. Spinal manipulation treats the disorders by correcting the alignment of the vertebrae. Chiropractic therapy treats not only the feet and hands but also the back. Massage improves circulation, but this is not the main job of the chiropractor. Channeling universal energy happens in Reiki, not with a chiropractor.
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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.
A client with fibromyalgia is using magnets as a form of complementary treatment. Which rationale given by the nurse best explains the physiologic principle of this technique?
- A. Free flow of energy
- B. Stimulates the release of endorphins
- C. A means of therapeutic touch
- D. No therapeutic effects with this technique
Correct Answer: B
Rationale: Static magnet therapy can be used to affect the cell membrane and stimulate the release of endorphins. No scientific basis is available to support this effect, but people continue to claim benefits if nothing other than placebo effect. Free flow of energy refers to acupuncture, whereas therapeutic touch is associated with Reiki therapy.
A nurse is reading about various complementary and alternative medicines (CAMs) and is interested most in mind-body medicine. Which technique can the nurse easily teach a client to use in managing pain?
- A. Acupuncture
- B. Imagery
- C. Reiki
- D. Tai chi
Correct Answer: B
Rationale: Imagery is a psychobiologic technique that uses the mind to visualize a positive physiologic effect. This form of mind-body medicine has few physical risks, can be taught or easily explained, and has provided evidence of positive effects. Tai chi is a manipulative body-based therapy. Acupuncture and Reiki are energy-based manipulative therapies.
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.
Which of the following complementary and alternative therapies uses 7,000 nerve endings to improve the body's ability to facilitate natural healing?
- A. Reflexology
- B. Magnetism
- C. Acupuncture
- D. Chiropractic
Correct Answer: A
Rationale: Practitioners of reflexology claim that reflex centers in the extremities have more than 7,000 nerve endings connected to the body organs and tissues. When pressure is applied to one reflex center, the impulse travels to the spinal cord and brain. This reconditioning of the neural reflex facilitates natural healing. Magnetism seeks to cure by influencing the natural magnetic field of body cells. Acupuncture is a procedure used in or adapted from Chinese medical practice in which specific body areas are pierced with fine needles for therapeutic purposes. Chiropractors manipulate the spine to correct its misalignment.