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A client is taking ginkgo to improve memory. In the teaching plan regarding this herb, the nurse should include which of the following?
- A. It may raise blood pressure.
- B. Avoid this herb if allergic to plants.
- C. There is a possible sensitivity to light.
- D. Use caution if taking aspirin.
Correct Answer: D
Rationale: Clients should be advised to use caution if taking aspirin in conjunction with gingko. Ginseng may raise blood pressure. Clients allergic to plants in the daisy family should avoid echinacea. Taking St. John's wort may cause sensitivity to light.
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A client presents to the clinic today requesting a method that has few physical risks, can be taught easily, and has proven evidence of positive effects. What type of treatment would be the best option to suggest to the client?
- A. Reflexology
- B. Magnetism
- C. Acupuncture
- D. Biofeedback
Correct Answer: D
Rationale: Biofeedback is a mind-body medical technique. Mind-body interventions, such as imagery, humor, and hypnosis, have few physical risks, are easy to teach, and have proved to be effective. Magnetism, acupuncture, and Reiki differ from biofeedback in that their focus is on structures and systems of the body including bones and joints, the soft tissues, and the circulatory and lymphatic systems. Although they may have some evidence of positive effects, they are not as easily taught.
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.
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.
What is the best response by the nurse when explaining biofeedback to a client?
- A. It is a spiritual practice that combines exercise with mental focus.
- B. It is beneficial in expressing feelings.
- C. It allows a reduction of symptoms through voluntary control measures.
- D. It requires the use of machines in a controlled environment. EGFR: p. 94, Biofeedback NAT: Client Needs: Physiological Integrity: Basic Care and Comfort KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
Correct Answer: C
Rationale: Biofeedback is a technique in which an individual voluntarily controls physiologic function. Yoga is the spiritual practice that combines exercise with mental focus. Music and art are ways to express feelings. Initially, biofeedback uses a machine but eventually the client can alter physiologic response at will.
Which statement by the nurse best supports an understanding of complementary and/or alternative therapies in the treatment of clients?
- A. Alternative therapies are mainstay to conventional medical care.
- B. Complementary therapies should be avoided in advanced disease.
- C. Complementary therapies are evidence-based in theory.
- D. Alternative and complementary therapies are sensitive to culture and tradition.
Correct Answer: D
Rationale: Complementary and alternative therapies are sensitive to culture and tradition and can be used in conjunction with, or independent of, conventional therapies. In advanced disease processes, complementary therapies can assist with comfort measures for the client.