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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.
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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 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.
What is the primary reason the nurse needs to ascertain client use of vitamins and minerals and the dosage of each?
- A. Intake of vitamins and minerals through diet is more beneficial.
- B. Vitamin and minerals should be used as a complementary therapy.
- C. The recommended daily allowance (RDA) may vary with special populations.
- D. Vitamins and minerals are purchased over-the-counter (OTC)
Correct Answer: C
Rationale: Special populations (such as pregnant women, elderly, and people with certain medical problems) may have different RDA requirements and levels for toxicity. It is true that vitamins and minerals obtained through diet are more beneficial, that they should be used as a complementary therapy, and that they are purchased OTC, but none are the primary reason for accurate information collection.
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.
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.