Chapter 27: Complementary and Alternative Therapies

Chapter 27: Complementary and Alternative Therapies

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient who experiences panic attacks when he is alone at home has been instructed in the use of meditation techniques. The technique can be evaluated as having proved most useful when the patient explains to a friend that meditation:

ANS: B

When implemented effectively, meditation has wide-ranging effects that include a sense of control over one’s situation. All the remaining options are correct but they lack the connection to a patient’s sense of well-being and control.

DIF:   Cognitive Level: Analysis             REF:  Page 630        TOP:  Nursing Process: Evaluation

MSC: NCLEX: Psychosocial Integrity

2. A patient reports little change in her blood pressure even though she has been doing the biofeedback exercises stating that, “The machine has not been successful.” The nurse will observe the next session being aware that:

ANS: A

With biofeedback, a patient can learn to gain conscious control over bodily responses thought to be beyond voluntary command. Listening to the monitoring device makes the patient aware of whether or not the mental exercises, breathing, or other techniques being used are effective. The machine is only needed early in therapy. Muscle relaxation and emotions have a role to play but are not the only significant factors to be considered.

DIF:   Cognitive Level: Application        REF:  Page 632        TOP:  Nursing Process: Planning

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

3. The nurse when entering the room to find a terminally ill child laughing at an old The Three Stooges movie decides to postpone a scheduled treatment. This intervention is based on the knowledge that humor:

ANS: B

Research has shown humor may have positive effects on cognitive ability, heart and respiratory rates, blood pressure, muscle tension, and pain. Humor does have the effects reflected in the remaining options but none would be the basis for postponing a treatment.

DIF:   Cognitive Level: Analysis             REF:  Page 631

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

4. The nurse describes in a balanced and neutral manner traditional medicine options that are available to treat a patient’s health problems. The patient thanks the nurse and shares that he prefers to continue treatment with acupuncture and Ayurvedic medicine. The nurse encourages the patient to carefully consider his choices and tells him that the staff is available if needed. The nurse’s response demonstrates:

ANS: C

After receiving all relevant, current information, patients have the right to make their own decisions about health care. This response shows respect for the patient’s right to make such a choice and the nurse’s understanding of the philosophy of holistic nursing. Although an understanding of patient rights is vital, it is not the best description of the nurse’s response. The nurse must remain objective and empathetic but may not interfere with the patient’s choices. There is no need for confrontation.

DIF:   Cognitive Level: Application        REF:  Page 629

TOP:  Nursing Process: Implementation

MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies