Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 30: Complementary and Alternative Therapies
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | remain current about important findings related to CAM therapy outcomes. |
| b. | be familiar with CAM information to help patients receive the latest treatments. |
| c. | warn patients about the dangers of applying these therapies without first consulting their primary care provider. |
| d. | recommend CAM therapies as often as possible, since many provide relief without the expense of traditionally prescribed medicines. |
ANS: A
Nurses must continually learn the research findings related to CAM because nurses play an important role in educating consumers about the evidence supporting these new therapies as well as about the dangers involved in using some of them. Evidence-based outcomes provide more information about efficacy, tolerability, dosage, safety, and interactions with other treatments.
DIF: Cognitive Level: Application REF: Text Pages: 606-607
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | “I don’t think these non-traditional treatments can help me at all.” |
| b. | “The latest studies show that kava-kava is as effective as some antidepressants.” |
| c. | “CAM therapies are often more expensive than traditional medical therapies.” |
| d. | “I’m going to discuss adding acupuncture to my depression treatment plan with my health care provider.” |
ANS: D
Because of the adverse effects of these strategies, it is important to teach a patient to discuss any selection of a holistic therapy with the health care provider.
DIF: Cognitive Level: Application REF: Text Page: 608
TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance
| a. | “The research has shown that massage is very beneficial, so this is a good question for you to ask your doctor. Why not bring up the topic with your psychiatrist today during your visit?” |
| b. | “While a few research studies indicate that massage will help relieve depression and anxiety, it’s effective for only a short time, and no studies have compared massage with medication.” |
| c. | “I know very little, because there really is no current research available on the effectiveness of massage. However, many of these new therapies can do damage, so I wouldn’t do it.” |
| d. | “I know very little, because there are few research findings on the effectiveness of massage. It certainly can’t hurt, and it might help, so why not try it?” |
ANS: B
The nurse, who is often the professional that the patient sees as a health teacher and caregiver, must keep informed about the most contemporary research findings on all kinds of therapies.
DIF: Cognitive Level: Application REF: Text Page: 614
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Therapeutic touch is the chief CAM therapy used by advanced nurse practitioners. |
| b. | It is important to check for the most recent research findings concerning the particular therapy being considered. |
| c. | The therapies are generally harmless and can be tried with little risk of any adverse effects. |
| d. | Medical practitioners understand human physiology and the affects of traditional treatment modalities on the patient, making them comfortable prescribing them. |
ANS: B
If a patient is considering a CAM therapy, the nurse should teach the patient the importance of checking on the safety and effectiveness of the therapy or treatment with the appropriate persons.
DIF: Cognitive Level: Application REF: Text Pages: 607-608
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
| a. | No research-based findings of drug interactions have been reported. |
| b. | The introduction of the herb should be postponed for 24 hours after starting an antidepressant. |
| c. | The herbal tea made with this herb can be taken along with a prescribed antidepressant. |
| d. | Side effects such as dry mouth, photosensitivity, gastrointestinal symptoms, and dizziness can occur. |
ANS: D
Side effects are minimal, but dry mouth, photosensitivity, gastrointestinal symptoms, and dizziness can occur.
DIF: Cognitive Level: Application REF: Text Page: 609
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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