Chapter 48: Herbal and Dietary Supplement Therapy

Chapter 48: Herbal and Dietary Supplement Therapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. For what is black cohosh used?

A.	Preventing miscarriage during the first trimester
B.	Reducing symptoms of premenstrual syndrome
C.	Providing antispasmodic activity of the GI system
D.	Controlling migraine headaches

 

 

ANS:   B

 

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

 

 

DIF:    Cognitive Level: Comprehension      REF:    807

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

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

A.	Ginger
B.	Green tea
C.	Feverfew
D.	Ginkgo biloba extract

 

 

ANS:   D

 

	Feedback
A	Ginger is used to relieve nausea.
B	Green tea has antioxidant effects.
C	Feverfew is used to relieve migraines.
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.

 

 

DIF:    Cognitive Level: Knowledge             REF:    811

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

3. Which statement about dietary supplements is true?

A.	Dietary supplements are considered safe and effective.
B.	Dietary supplements have not been tested for safety or efficacy.
C.	There are no serious adverse effects to taking dietary supplements.
D.	Dietary supplements have full FDA and USP approval.

 

 

ANS:   B

 

	Feedback
A	Dietary supplements may not be safe and effective.
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.
C	There can be serious adverse effects when taking dietary supplements.
D	Dietary supplements are not fully approved by the FDA or the USP.

 

 

DIF:    Cognitive Level: Comprehension      REF:    804

TOP:    Nursing Process Step: Evaluation

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

 

4. What is the primary use of echinacea?

A.	Reduce premenstrual symptoms
B.	Decrease blood pressure
C.	Stimulate the immune system
D.	Increase energy

 

 

ANS:   C

 

	Feedback
A	Echinacea does not relieve PMS.
B	Echinacea does not have a hypotensive effect.
C	Echinacea is a nonspecific stimulator of the innate (nonspecific) immune system. It stimulates phagocytosis and effector cell activity. Echinacea causes an increased release of tumor necrosis factors and interferons from macrophages and T lymphocytes, which increases the body’s resistance to bacterial and viral infections. Echinacea may have anti-inflammatory effects, but it has no direct bactericidal or bacteriostatic effects.
D	Echinacea does not enhance energy.

 

 

DIF:    Cognitive Level: Comprehension      REF:    808

TOP:    Nursing Process Step: Evaluation

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