Chapter 46 Holistic Healing

Chapter 46  Holistic Healing

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The concept of holism focuses on which of the following?
a)
Relationship between nurse and patient
b)
Practice of spiritualism
c)
Relationships among all living things
d)
Totality of the body

ANS: C
The concept of holism focuses on the relationships among all living things.

Difficulty: Difficult
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

2. A patient is receiving healthcare focused on his illness and counteracting his symptoms. What type of healthcare is he receiving?
a)
Holistic
b)
Integrative
c)
Complementary
d)
Allopathic

ANS: D
Allopathic care is conventional medical care focused on counteracting symptoms. Holistic healthcare uses the concept of holism to focus on the relationships among all living things. Integrative healthcare encompasses all traditional and alternative health practices used by a patient. Complementary healthcare is alternative care used in conjunction with traditional medical care.

Difficulty: Moderate
Client Need: Safe and Effective Care
Cognitive Level: Knowledge

PTS: 1

3. A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation, TT is considered to be which of the following?
a)
A complementary modality
b)
An alternative modality
c)
A placebo response
d)
Holistic healthcare

ANS: A
A complementary modality is one that is used alongside traditional medical care. The patient receives prescription medication from a physician and also receives TT. An alternative modality is one that is used instead of traditional medical care. A placebo response is the client’s expectation that a treatment will be effective. Holistic healthcare uses the concept of holism to focus on the relationships among all living things.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: PHSI
Cognitive Level: Application

PTS: 1

4. A client tells the nurse that he is having difficulty sleeping. He says, “I don’t want to use sleeping pills, but I’m thinking about getting some melatonin.” Which of the following is most important for the nurse to include in a response to the client?
a)
“Melatonin is an effective treatment for certain sleep disorders.”
b)
“Melatonin appears to be a relatively safe sleep aid for most people.”
c)
“You may experience some side effects, such as elevated blood pressure.”
d)
“Before taking melatonin, you should consult your primary care provider.”

ANS: D
All of the statements are true about melatonin; however, side effects are rare. It is most important to consult the primary care provider because melatonin is known to interact with other medications, including prescription medications. Therefore, the client should talk with the provider about this possibility.

Difficulty: Difficult
Nursing Process: Interventions
Client Need: PHSI
Cognitive Level: Application

PTS: 1

5. A woman is receiving physical therapy after surgery to repair a hip fracture. She tells the therapist before therapy begins that she expects therapy to be very painful. She rates her pain as 1 on a scale of 1 to 10 before therapy. Three minutes into the treatment session, the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer. The therapist is concerned with the amount of pain, because severe pain is not expected during that form of exercise. The therapist considers the patient could be experiencing:
a)
Phantom limb pain
b)
Ineffective pain medication
c)
A nocebo effect
d)
A complication from the surgery

ANS: C
The nocebo effect is a demonstration of the power of the mind to create bodily distress. The patient was expecting the treatment to be very painful, and this tends to increase the treatment discomfort. Phantom limb pain is sometimes experienced after an amputation but has nothing to do with surgery to repair a hip fracture. There is no evidence that the patient’s pain medication is ineffective or that she is experiencing a complication from surgery.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: PHSI
Cognitive Level: Analysis

PTS: 1