Nokea
A client with stage II cancer has opted to use reflexology and herbal therapy for treatment. The nurse understands this treatment falls under which modality?
- A. Cultural competence
- B. Complementary therapy
- C. Integrative therapy
- D. Alternative therapy
Correct Answer: D
Rationale: The use of reflexology and herbs is considered alternative therapy when not used in conjunction with conventional medicine. Integrative therapy would combine alternative, complementary, and conventional medicine. Cultural competence is a nurse's ability to understand the client's worldview as well as the nurse's own and how these worldviews affect nursing care.
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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 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.
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 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.
In preparing the client for a reflexology consult, the nurse knows to allow full access to which body parts?
- A. Spine
- B. Face
- C. Lower extremities
- D. Abdomen
Correct Answer: C
Rationale: Reflexology is the application of pressure to the foot. Manipulation of the spine is used in chiropractic care. Iridology looks into the eyes, and Reiki uses therapeutic touch to all seven chakras, which involve both head and trunk.