Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Integrative Medicine and Alternative Therapies

Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Integrative Medicine and Alternative Therapies Related

Review Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition - Integrative Medicine and Alternative Therapies related questions and content

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.

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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.

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.

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.

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.

Which statement by the nurse best supports an understanding of complementary and/or alternative therapies in the treatment of clients?

  • A. Alternative therapies are mainstay to conventional medical care.
  • B. Complementary therapies should be avoided in advanced disease.
  • C. Complementary therapies are evidence-based in theory.
  • D. Alternative and complementary therapies are sensitive to culture and tradition.
Correct Answer: D

Rationale: Complementary and alternative therapies are sensitive to culture and tradition and can be used in conjunction with, or independent of, conventional therapies. In advanced disease processes, complementary therapies can assist with comfort measures for the client.

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