Nokea
A client is suffering from stress and tension of the neck and muscles. What manipulative therapy can the nurse suggest that will apply pressure and movement to soft tissues?
- A. Chiropractic
- B. Shiatsu
- C. Massage therapy
- D. Yoga
Correct Answer: C
Rationale: Massage therapy involves applying pressure and movement to stretch and knead soft body tissues. Chiropractic theory proposes that subluxation (misalignment) of the spinal vertebrae alters nerve activities that regulate body functions in distant organs. Shiatsu is similar to acupressure and acupuncture. Yoga does not involve applying pressure to soft tissues.
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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.
Although 25% of prescription drugs are derived from plants, interest in self-treatment using herbs has been on the rise. Which of the following is the reason for this?
- A. Prescribed drugs are subjected to federal regulations.
- B. Herbs are easily available.
- C. There are differences in molecular structure between the source plant and the synthesized drug.
- D. Using only parts of a plant may not have the same effects as using the whole plant.
Correct Answer: D
Rationale: Herbalists argue that consuming the whole plant has different effects. Prescribed drugs contain only one or two extracts or synthetic substances that match the molecular structure of the source plant. Therefore, in many cases, the molecular structure may be the same. Regulations are relevant to producers of drugs or herbal products, not the users.
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.
Proponents of which type of complementary health practice believe that reprogramming the neural reflex improves the body's ability to facilitate natural healing?
- A. Shiatsu
- B. Reflexology
- C. Yoga
- D. Chiropractic
Correct Answer: B
Rationale: Reflexologists believe that reconditioning or reprogramming the neural reflex improves the body's ability to facilitate natural healing. Yoga, shiatsu, and chiropractic do not use this type of healing.
Which type of therapy is speculated to affect the ion exchange of electrolytes, such as calcium, sodium, and potassium?
- A. Electromagnetic therapy
- B. Shiatsu
- C. Hypnosis
- D. Yoga
Correct Answer: A
Rationale: Electromagnetic therapy is speculated to influence ion exchange of electrolytes, such as calcium, sodium, and potassium. Shiatsu uses acupoints, and yoga uses exercises for therapy. Hypnosis is not known to affect ions in the body.