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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.
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A client is seen in the clinic regarding chronic lower back pain. The client asks the nurse if treatment by a chiropractor might alleviate some of the client's discomfort. What information should the nurse include in the response?
- A. This type of complementary therapy applies pressure to the feet and hands not the back.
- B. This type of therapy applies force to a specific area to improve circulation and relieve discomfort.
- C. Chiropractors manipulate the spine as a method for curing neuromuscular disorders.
- D. Chiropractors work by channeling universal energy to relieve a client's discomfort.
Correct Answer: C
Rationale: According to chiropractic theory, misalignment of the spinal vertebrae changes activities of nerves that control body functions in distant organs. This may lead to diseases. Spinal manipulation treats the disorders by correcting the alignment of the vertebrae. Chiropractic therapy treats not only the feet and hands but also the back. Massage improves circulation, but this is not the main job of the chiropractor. Channeling universal energy happens in Reiki, not with a chiropractor.
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.
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.
What is the best response by the nurse when explaining biofeedback to a client?
- A. It is a spiritual practice that combines exercise with mental focus.
- B. It is beneficial in expressing feelings.
- C. It allows a reduction of symptoms through voluntary control measures.
- D. It requires the use of machines in a controlled environment. EGFR: p. 94, Biofeedback NAT: Client Needs: Physiological Integrity: Basic Care and Comfort KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
Correct Answer: C
Rationale: Biofeedback is a technique in which an individual voluntarily controls physiologic function. Yoga is the spiritual practice that combines exercise with mental focus. Music and art are ways to express feelings. Initially, biofeedback uses a machine but eventually the client can alter physiologic response at will.
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.