Nokea
In which of the following therapies is it believed that the practitioner gathers knowledge about the disease and its cure from a higher power?
- A. Herbal therapy
- B. Ayurveda
- C. Native American/First Nations system
- D. Chinese medicine
Correct Answer: C
Rationale: In the Native American/First Nations system of medicine, the shaman or medicine man or woman goes into a trance and communicates with a higher power to gather knowledge about the disease and its remedy. Herbal therapy uses herbs with medicinal value, and Ayurveda and Chinese medicine do not involve shamans and such spiritual practices.
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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 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.
When the nurse aids a client in the selection of a complementary therapy, which factor is most important for the nurse to consider?
- A. Support the client's choice at all costs.
- B. Support only those modalities that are evidence-based.
- C. Implement the client's chosen modality.
- D. Promote client autonomy in decision making.
Correct Answer: D
Rationale: Nurses should promote client autonomy in their decision of using a complementary therapy and support that choice as long as it poses no harm to the client. Not all therapies have extensive research or evidence to support their use so benefits and risks need to be reviewed on an individual basis. Nurses should avoid implementing interventions that may have potential harmful effects or that violate the nurse's legal scope of practice.
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.