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.
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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.
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.
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.
A client asks the nurse if watching funny videos can help in the treatment of cancer. Which is the best response from the nurse?
- A. Visualizing your body fighting the cancer can be helpful.
- B. Laughter can stimulate your immune system.
- C. Laughing is better than crying.
- D. Use of humor is an approved form of cancer treatment.
Correct Answer: B
Rationale: Laughter stimulates the immune system by increasing the number of WBCs and suppressing the cortisol levels. Visualizing the fighting of cancer is imagery, not humor therapy. Use of humor is an optional mind-body therapy not an approved evidence-based form of cancer treatment.
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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