Chapter 35: Integrative Care

Chapter 35: Integrative Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient tells the nurse, “I’ve been having problems with my memory.  I read some information on the Internet and started taking gingko.”  Select the nurse’s best response.

a.	“The Internet does not have reliable health information for consumers.”
b.	“More recent studies indicate gingko does not help memory problems.”
c.	“Valerian has been shown to have better effects for treating memory problems.”
d.	“Your memory problems are related to your circulation problems.  Herbs will not help.”

 

 

ANS:  B

Recent studies indicate gingko is does not help with cognition or memory problems. Valerian is useful for treating mild depression or anxiety. The other distracters are misleading.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 642-643                                  TOP:   Nursing Process: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

 

2. A patient shows a nurse this advertisement: “Our product is a scientific breakthrough helpful for depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates circulation and excretes toxins. Satisfaction guaranteed or your money back.” Select the nurse’s best response.

a.	“Over-the-counter products for sleep problems are ineffective.”
b.	“Do not take anything unless it’s prescribed by your doctor.”
c.	“Let’s do some additional investigation of that product.”
d.	“It sounds like you are trying to self-medicate.”

 

 

ANS:  C

Helping consumers actively evaluate the quality of information available to them is important.  It is important for the nurse to work with the patient and include the patient’s preferences regarding management of health. Advertisements indicating scientific breakthroughs or promising miracles for multiple ailments are usually for products that are useless and being fraudulently marketed. Some may even be harmful. Some over-the-counter products can be useful, and patients do not need a prescription for these products.  The broader issue is safety and efficacy, rather than whether the patient is trying to self-medicate.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 638-639                                  TOP:   Nursing Process: Implementation

MSC:  Client Needs: Safe, Effective Care Environment

 

3. A patient wants to learn more about integrative therapies. Which resource should the nurse suggest for the most reliable information?

a.	Internet
b.	American Nurses Association (ANA)
c.	Food and Drug Administration (FDA)
d.	National Center for Complementary and Alternative Medicine (NCCAM)

 

 

ANS:  D

The National Center for Complementary and Alternative Medicine has a clearinghouse from which individuals may request information. The FDA has information, but it is not as extensive as NCCAM. The Internet has many resources but some are unreliable. The ANA does not provide extensive information about this topic.

 

PTS:   1                    DIF:    Cognitive Level: Understand (Comprehension)

REF:   Page 637 | Page 645                         TOP:   Nursing Process: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

 

4. A patient with a history of asthma says, “I’ve been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results.”  Select the nurse’s best action.

a.	Support the patient’s efforts to become informed and to find health solutions.
b.	Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
c.	Remind the patient, “If you spend that much on oils, you may not be able to buy your prescribed medication.”
d.	Tell the patient, “Aromatherapy can complicate respiratory problems such as asthma. Let’s consider some other options.”

 

 

ANS:  D

Safety is paramount, and aromatherapy may cause complications for a patient with asthma.  The nurse should view alternative treatments with an open mind and try to recognize the importance of the treatment to the patient while trying to give the patient accurate, reliable information about the treatment. Although efforts to become health literate should be supported, educating the patient about the pitfalls of relying on the Internet is essential. The opinions of others, whether they are positive or negative, lack a scientific basis and are subject to confounding variables such as the placebo effect and individual factors such as age and health history. Admonishing the patient may jeopardize the relationship.

 

PTS:   1                    DIF:    Cognitive Level: Apply (Application)

REF:   Page 645-646                                  TOP:   Nursing Process: Implementation

MSC:  Client Needs: Health Promotion and Maintenance