Nokea
A nurse is providing care to a client recently diagnosed with an aggressive form of cancer. The client asks the nurse about integrative medicine. Which statement should the nurse include in response to the client?
- A. Integrative medicine has not been found to be effective in the treatment of disease.
- B. Integrative medicine is a combination of conventional medical practice with nontraditional physical and nonphysical approaches to treatment.
- C. Integrative medicine is a nonorthodox treatment method with no proven basis for effectiveness at promoting health.
- D. Integrative medicine promotes exclusive use of herbal and other dietary supplements to treat disease.
Correct Answer: B
Rationale: Integrative medicine is a combination of conventional medical practice with nontraditional physical and nonphysical approaches to treatment for which there is some scientific evidence of safety and effectiveness. It is not exclusively conventional medical practices or alternative therapies. It is not true that integrative medicine has been found to be ineffective in the treatment of diseases. Alternative therapies, not integrative medicine, are nonorthodox treatment methods that have no proven basis for effectiveness at promoting health. Integrative medicine does not promote exclusive use of herbal and other dietary supplements to treat disease.
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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 nursing comment would best describe the conventional medical system to a client?
- A. Focus is on treating illness or injury.
- B. Sensitive to cultural traditions
- C. Health results from harmony between person and universe.
- D. Approach is based on traditional use.
Correct Answer: A
Rationale: Conventional medical systems are based on scientific approach for treating illness or injury. Alternative medical systems are sensitive to cultural traditions, harmony between person and universe, and focus on maintaining a healthy state.
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.
Which key information can the nurse provide to the client regarding the health-related benefits of herbals and botanicals? Select all that apply.
- A. Certain herbs can interact with prescription drugs.
- B. No one should take herbs while acutely ill.
- C. Herbs can mimic disease symptoms.
- D. Not all herbs are safe.
- E. Herbs are regulated by the U.S. Food and Drug Administration.
- F. Only natural herbs are safe.
Correct Answer: A,D
Rationale: Herbal therapy is one of the greatest risk factors for adverse effects when combined with other conventional drugs. Some herbs have been placed on the 'unsafe' list due to known impurities and adverse effects, even though all herbs are considered natural. Herbs can be used to treat some acute illnesses. Herbal therapy is not regulated by the FDA.
The nurse is concerned when the prothrombin time (PT) for a client receiving warfarin is fluctuating beyond normal range. The client also takes several herbal supplements. The nurse suspects which supplement to be the cause of this elevation?
- A. Garlic
- B. Saw palmetto
- C. Kava
- D. Capsicum
Correct Answer: A
Rationale: Combining garlic with other anticoagulants can prolong bleeding. Saw palmetto is used to treat enlarged prostate and has no effects on bleeding. Kava is used to treat anxiety and stress and does not affect bleeding. Capsicum is used to relieve neuralgic and bladder pain, and as an antipruritic for psoriasis.