Chapter 2: Introduction to Complementary and Alternative Therapies

Chapter 2: Introduction to Complementary and Alternative Therapies

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse wishes to learn more about the client’s use of natural products and their effectiveness. The nurse consults the National Center for Complementary and Alternative Medicine because it is known that this center serves which function?

a.	Educates health professionals about complementary therapies
b.	Educates new mothers on the benefits of massage
c.	Engages in fundraising to offset client expenses with medical care
d.	Provides a scholarship for a student to study naturopathy

 

 

ANS:  A

The purposes of the National Center for Complementary and Alternative Medicine (NCCAM) are to fund studies examining the effectiveness of various complementary therapies, advance knowledge about complementary therapies of health professionals, and serve as a clearinghouse for information about these therapies. It does not fund scholarships, nor is it a nonprofit organization. It focuses on advancing knowledge for health professionals rather than the general public.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 9

TOP:   Client Needs Category: Physiological Integrity (Basic Care and Comfort—Non-Pharmacological Comfort Interventions)

MSC:  Integrated Process: Teaching/Learning

 

2. A client is anxious about having a dressing change. Which statement indicates that the nurse is promoting appropriate complementary therapy?

a.	“I’ll call the doctor and ask for a larger dose of pain medication before the dressing change.”
b.	“As we begin the next dressing change, I want you to think of a beautiful, calm place where you feel happy and peaceful.”
c.	“I’ll get another nurse to stay in the room with us during the dressing change so that you have a hand to hold during the procedure.”
d.	“Are you familiar with acupuncture? It’s a very effective technique.”

 

 

ANS:  B

Because the client’s primary problem is anxiety rather than pain at this point, the use of guided visual imagery should be the most effective intervention. Calling the physician for more pain medication and having another nurse present to help comfort the client will not address the main problem of the client. Acupuncture is used for relief of pain; an experienced practitioner is required to implement this technique.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Basic Care and Comfort—Non-Pharmacological Comfort Interventions)

MSC:  Integrated Process: Nursing Process (Planning)

 

3. The nurse has designed a treatment plan that includes the use of massage. Which intervention will the nurse implement first?

a.	Assess the client to determine the most effective type of massage technique to use.
b.	Inspect the skin over the tissue to be massaged to ensure that it is not infected or bruised.
c.	Determine whether a licensed therapist will be needed to carry out the massage technique
d.	Obtain permission from the client to implement this type of technique.

 

 

ANS:  D

Permission to use the procedure must be obtained from the client before any of the other interventions can be implemented.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Basic Care and Comfort—Non-Pharmacological Comfort Interventions)

MSC:  Integrated Process: Nursing Process (Assessment)

 

4. A client who has been using which therapy requires the most immediate intervention by the nurse?

a.	Aromatherapy to treat depression
b.	Herbal preparations to treat hypertension
c.	Therapeutic touch to decrease level of pain
d.	Tai Chi to improve joint flexibility

 

 

ANS:  B

The client who has been using herbal preparations to treat hypertension may have endangered his or her life by inadvertently ingesting a substance that interacts poorly with another drug or that can be toxic. Aromatherapy may be used as a complementary therapy to treat depression. Therapeutic touch has been shown to decrease pain, and Tai Chi may assist in mobility. These therapies are appropriate and are not life threatening.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Adverse Effects/Contraindications)

MSC:  Integrated Process: Nursing Process (Assessment)