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.
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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 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.
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.
Which of the following complementary and alternative therapies uses 7,000 nerve endings to improve the body's ability to facilitate natural healing?
- A. Reflexology
- B. Magnetism
- C. Acupuncture
- D. Chiropractic
Correct Answer: A
Rationale: Practitioners of reflexology claim that reflex centers in the extremities have more than 7,000 nerve endings connected to the body organs and tissues. When pressure is applied to one reflex center, the impulse travels to the spinal cord and brain. This reconditioning of the neural reflex facilitates natural healing. Magnetism seeks to cure by influencing the natural magnetic field of body cells. Acupuncture is a procedure used in or adapted from Chinese medical practice in which specific body areas are pierced with fine needles for therapeutic purposes. Chiropractors manipulate the spine to correct its misalignment.
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.
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