Nokea
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.
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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.
The client is presently taking a multivitamin and is considering adding a supplement with extra vitamin A to promote eye health. Which is the best response by the nurse?
- A. Why do you feel the need to take vitamins?
- B. Let's review the vitamin containers together.
- C. Some vitamins can have toxic effects.
- D. Are you experiencing problems with your sight?
Correct Answer: B
Rationale: Reviewing the vitamin containers will provide the nurse and client with information on the dosages and whether they fall within the RDA. This can also provide an opportunity for further teaching. Asking the client why they feel the need to take vitamins is not the best response because it can imply that the client has made a wrong decision to take vitamins. The Dietary Supplement Health and Education Act of 1994 was passed to 'preserve the consumer's right to choose dietary supplements.' Some vitamins do have toxic effects, including Vitamin A, which is why the best response is for the nurse to review the bottles with the client. Then the nurse can see if the dosage is appropriate or not. Although Vitamin A is associated with improved vision, asking if the client is experiencing vision problems is not the best response.
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.
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.
A client with multiple sclerosis (MS) reports an improvement of symptoms after apitherapy. The nurse knows that apitherapy falls under which category of treatment?
- A. Mind-body medicine
- B. Natural products
- C. Manipulative and body-based therapies
- D. Energy medicine
Correct Answer: B
Rationale: Apitherapy is the medicinal use of bee venom and falls under the category of natural products. Mind-body, manipulative, and energy medicine are categories of complementary and alternative therapies but do not include apitherapy.