Chapter 32 Complementary and Alternative Therapies

Chapter 32  Complementary and Alternative Therapies

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When asked to give an example of complementary therapies, the nurse gives:
a.
eating a macrobiotic diet to treat cancer instead of having surgery.
b.
using imagery along with pain medication to increase comfort.
c.
practicing naturopathic medicine, a natural means of promoting health.
d.
practicing traditional Chinese medicine based on yin and yang.

ANS: B
Complementary therapies are used jointly with conventional methods to treat a problem. All the other possibilities listed are alternative therapies.

DIF: Cognitive Level: Comprehension REF: p. 614 OBJ: Theory #1
TOP: Complementary Therapies KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

2. When the patient asked the nurse about the use of acupuncture for the control of back pain, the nurse warned that acupuncture can put the patient at risk for:
a.
meningitis.
b.
streptococcal infection.
c.
hepatitis.
d.
Shigella.

ANS: C
The main concern of acupuncture therapy is the use of needles for this treatment. If sterile needles are not used, there is a high risk of HIV or hepatitis transmission.

DIF: Cognitive Level: Comprehension REF: p. 615 OBJ: Theory #3
TOP: Acupuncture KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. A nurse is caring for a patient admitted for electrolyte imbalance who has been practicing Ayurveda, a traditional Hindu system of medicine. The nurse should inform the physician that the patient is practicing this traditional form of medicine, because Ayurveda:
a.
uses purgatives as part of the treatment.
b.
forbids invasive treatment methods.
c.
requires that the shaman and physician confer.
d.
uses natural electrical currents in meridian areas.

ANS: A
Ayurveda uses special diets and purgatives as part of the practice, which could cause electrolyte imbalance. It does not forbid invasive procedures such as IVs.

DIF: Cognitive Level: Knowledge REF: p. 615
OBJ: Clinical Practice #2 TOP: Ayurveda
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk

4. A Mexican patient is admitted to the hospital with abdominal pain. The nurse learns that the patient has been treated for the same condition by a curandero and wants the curandero to visit and perform rituals. The best response via the interpreter by the nurse is:
a.
“I’m sorry, but only immediate family can visit.”
b.
“It is not safe to have burning of herbs in the hospital.”
c.
“Trust your doctor; he knows what is best for you.”
d.
“I will inform the doctor so that they can perhaps confer.”

ANS: D
In Mexico, the use of the curandero is very common. It is best for the doctor to talk to the curandero to learn about the herbs used to treat the abdominal pain.

DIF: Cognitive Level: Application REF: p. 620 OBJ: Theory #2
TOP: Folk Medicine KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

5. An elderly Hispanic male was admitted with a severe headache and is anxious. The patient tells the nurse that he was given the mal de ojo. The culturally competent nurse understands that mal de ojo means that the patient believes that he:
a.
has a blockage in the intestine from the influence of Susto.
b.
has an opposition in polarities problem because of the effect of empacho.
c.
was given the evil eye, which is thought to cause weeping and headache.
d.
has had a separation of the soul from the body.

ANS: C
The mal de ojo literally means “the evil eye” cast from someone, which can bring fear, irritability, headache, and weeping.

DIF: Cognitive Level: Comprehension REF: p. 620
OBJ: Clinical Practice #1 TOP: Folk Medicine
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation