Chapter 37 Integrative Care

Chapter 37  Integrative Care

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1) A client tells the nurse “I always buy St. John’s wort manufactured by Company X so I know what I am getting.” The best response for the nurse would be
A.
“That is fine. This will ensure continuity of therapy.”
B.
“That is not really necessary because industry standards exist.”
C.
“No manufacturing standards exist, so you may get variations even from Company X.”
D.
“You should really use a drug rather than an herbal preparation to treat your depression.”

ANS: C
No standards for preparation of herbal remedies exist, so dosages may vary widely even in preparations made by one company. Option A: Continuity is not guaranteed. Option D is not advisable because it does not recognize the importance of the alternative treatment to the client.

DIF: Cognitive Level: Application REF: Text Page: 749, Text Page: 750
TOP: Nursing Process: Implementation MSC: NCLEX: Physiologic Integrity

2) A client shows a nurse the following advertisement for a product: “Product X is a miraculous cure for a wide range of ailments, including depression, anxiety, and sleeplessness. Made from an ancient formula and containing a secret ingredient, Product X will cure you or you will receive your money back. Only $45 for a 1-month supply. Order now and receive a free month’s supply.” The nurse should assess this as most likely being
A.
a bargain.
B.
worth a try.
C.
dangerous.
D.
worthless.

ANS: D
Advertisements promising miracles are usually for products that are useless and being fraudulently marketed. Some may even be harmful. Caution clients that things that sound “too good to be true” probably are.

DIF: Cognitive Level: Analysis REF: Text Page: 764
TOP: Nursing Process: Assessment MSC: NCLEX: Physiologic Integrity

3) When a client wishes to learn more about alternative or complementary treatments the nurse should refer the client to
A.
The American Medical Association.
B.
The American Nurses Association.
C.
The National League for Nursing.
D.
The National Center of Complementary and Alternative Medicine.

ANS: D
The National Center of Complementary and Alternative Medicine has a clearinghouse from which individuals may request information. The organizations named in the other options do not provide extensive information about this topic.

DIF: Cognitive Level: Application REF: Text Page: 750
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance

4) A client informs a nurse that he is sold on the idea that aromatherapy is a viable cure for his agoraphobia and that he plans to order several hundred dollars’ worth of oils from an Internet site that promises swift results when their products are used. The client mentions that the Internet provides up-to-date, reliable information. The nurse should
A.
offer praise for seeking information from an independent source.
B.
tell the client that aromatherapy is little more than a fraudulent money-making scam.
C.
advise the client that aromatherapy has not been proven to be helpful in the treatment of phobias.
D.
suggest that the client report the offer to the local police and have them investigate the Internet site.

ANS: C
The nurse should view alternative treatments with an open mind and try to recognize the importance of the treatment to the client while trying to give the client accurate information about the treatment.

DIF: Cognitive Level: Application REF: Text Page: 761
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance

5) A client states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse. The priority action for the nurse should be to
A.
assess the client for symptoms and signs of hypervitaminosis E: headaches, fatigue, blurred vision, and thrombophlebitis.
B.
remind the client that the Food and Drug Administration has not evaluated vitamin E as preventive or curative of any disease.
C.
formulate the outcome that the client will use a reliable resource to investigate megadosing before her next visit.
D.
evaluate the effectiveness of the vitamin by performing ultrasound examination of the legs and a mental status examination.

ANS: A
Megadoses of any vitamin taken over long periods may produce untoward side effects. The priority for the nurse is to assess for problems associated with megadosage and urge caution in continuing the practice. Option B and C are not as viable alternatives as option A. Option D: Ordering an ultrasound examination is not within the limits of the nurse’s license.

DIF: Cognitive Level: Analysis REF: Text Page: 757
TOP: Nursing Process: Implementation MSC: NCLEX: Physiologic Integrity