Chapter 47: Herbal and Dietary Supplement Therapy

Chapter 47: Herbal and Dietary Supplement Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. What is black cohosh used for?

ANS:  B

Black cohosh is used to reduce symptoms of premenstrual syndrome, dysmenorrhea, and menopause. Therapy is not recommended for longer than 6 months. Because of its effect of relaxing the uterus, black cohosh is not used in pregnant women. Black cohosh does not affect the GI system or relieve migraines.

DIF:    Cognitive Level: Comprehension     REF:   Page 758        OBJ:   1

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Health Promotion

2. Which herbal medicine may improve a patient’s short-term memory loss and cognitive function?

ANS:  D

Ginkgo biloba extract is used primarily for increasing cerebral blood flow, particularly in geriatric patients. Conditions treated are short-term memory loss, headache, dizziness, tinnitus, and emotional instability with anxiety. Ginger is used to relieve nausea. Green tea has antioxidant effects. Feverfew is used to relieve migraines.

DIF:    Cognitive Level: Knowledge            REF:   Page 762        OBJ:   1

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Health Promotion; Cognition; Perfusion

3. Which statement about dietary supplements is true?

ANS:  B

Labels and advertisements of dietary supplements must contain a statement that the product has not yet been evaluated by the FDA for the treatment, cure, or prevention of disease. Legally, dietary supplements are not required to be safe and effective, and unfounded claims of therapeutic benefits abound. There can be serious adverse effects when taking dietary supplements. Dietary supplements are not fully approved by the FDA or the United States Pharmacopeia (USP).

DIF:    Cognitive Level: Comprehension     REF:   Page 755        OBJ:   1

TOP:   Nursing Process Step: Evaluation

MSC:  NCLEX Client Needs Category: Safe, Effective Care Environment

NOT:  CONCEPT(S): Clinical Judgment; Safety

4. Which dietary supplement should be used with extreme caution if the patient is on a platelet inhibitor?

ANS:  D

Garlic reduces platelet aggregation and should be used with extreme caution in patients receiving platelet inhibitors (e.g., aspirin, ticlopidine, dipyridamole, clopidogrel).

DIF:    Cognitive Level: Comprehension     REF:   Page 761 | Page 762

OBJ:   2                    TOP:   Nursing Process Step: Evaluation

MSC:  NCLEX Client Needs Category: Health Promotion and Maintenance

NOT:   CONCEPT(S): Clinical Judgment; Safety; Clotting