Nokea
Which nursing comment would best describe the conventional medical system to a client?
- A. Focus is on treating illness or injury.
- B. Sensitive to cultural traditions
- C. Health results from harmony between person and universe.
- D. Approach is based on traditional use.
Correct Answer: A
Rationale: Conventional medical systems are based on scientific approach for treating illness or injury. Alternative medical systems are sensitive to cultural traditions, harmony between person and universe, and focus on maintaining a healthy state.
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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.
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.
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 presents to the clinic today requesting a method that has few physical risks, can be taught easily, and has proven evidence of positive effects. What type of treatment would be the best option to suggest to the client?
- A. Reflexology
- B. Magnetism
- C. Acupuncture
- D. Biofeedback
Correct Answer: D
Rationale: Biofeedback is a mind-body medical technique. Mind-body interventions, such as imagery, humor, and hypnosis, have few physical risks, are easy to teach, and have proved to be effective. Magnetism, acupuncture, and Reiki differ from biofeedback in that their focus is on structures and systems of the body including bones and joints, the soft tissues, and the circulatory and lymphatic systems. Although they may have some evidence of positive effects, they are not as easily taught.
A client, who is taking a variety of herbal preparations, makes the following comment to the nurse: 'Herbs are natural products and therefore safe.' Which is the best response by the nurse?
- A. Just because a product is natural does not mean safe.
- B. If the manufacturer is reputable, the product is considered safe.
- C. Many herbs are safe, but serious effects can occur if mixed with prescribed drugs.
- D. The chemicals used when growing herbs can prove to be poisonous or toxic to people.
Correct Answer: C
Rationale: Herbal therapy is one of the greatest risk factors for adverse effects when combined with other conventional treatment such as drugs. The U.S. Food and Drug Administration (FDA) do not regulate herbals making natural not necessarily safe. The use of reputable manufacturers should be considered but again not a guarantee for safety. The process of growing and harvesting herbs is not regulated.