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.
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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, 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.
Although 25% of prescription drugs are derived from plants, interest in self-treatment using herbs has been on the rise. Which of the following is the reason for this?
- A. Prescribed drugs are subjected to federal regulations.
- B. Herbs are easily available.
- C. There are differences in molecular structure between the source plant and the synthesized drug.
- D. Using only parts of a plant may not have the same effects as using the whole plant.
Correct Answer: D
Rationale: Herbalists argue that consuming the whole plant has different effects. Prescribed drugs contain only one or two extracts or synthetic substances that match the molecular structure of the source plant. Therefore, in many cases, the molecular structure may be the same. Regulations are relevant to producers of drugs or herbal products, not the users.
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.
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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