Nokea
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.
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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.
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.
Which of the following is an important benefit of incorporating laughter therapeutically?
- A. Increases cortisol levels
- B. Increases the number of white blood cells
- C. Blocks the release of endorphins
- D. Suppresses the immune system
Correct Answer: B
Rationale: Laughter stimulates the immune system by increasing the number of white blood cells and lowering cortisol, which suppresses immune function.
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.
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.