Cultural Diversity In Health And Illness 9th Edition By Spector - Test Bank

Cultural Diversity In Health And Illness 9th Edition By Spector – Test Bank

 

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Cultural Diversity in Health and Illness, 9e (Spector)

Chapter 5   Health Traditions

 

1) Which action do most people take when experiencing a mild illness?

1. Rely on self-treatment or do nothing.
2. Ingest herbs specific to how they are feeling.
3. Consult a local faith HEALER.
4. Immediately seek medical attention.

Answer:  1

Explanation:  1. Most people, upon feeling ill, will rely on self-treatment or do nothing to see how the symptoms develop or disappear.

2. Ingesting herbs specific to the symptoms is not a general practice among all people. Cultures that rely heavily on herbal agents for health use them after consultation regarding symptoms.
3. Faith healers are not part of mainstream health culture, and for those cultures that have faith healers, they are not consulted immediately when someone feels ill.
4. Medical attention is generally not immediately sought when a person feels ill.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

2) When researching different healing traditions, the nurse learns that many of these traditions are based on which premise?

1. The person recovers from what is afflicting them.
2. The person becomes more ill and then recovers.
3. An outside person must help the person recover.
4. Other interventions aid the healing tradition.

Answer:  1

Explanation:  1. The phenomenon of recovery is the basis for all healing traditions. The person recovers, or expects to recover.

2. Healing traditions are used for recovery, and not with the expectation that the person becomes more ill before becoming better.
3. Use of an outside person to help recovery is not a basis of healing traditions. Those who are healers become so through knowledge and uses of plants, herbs, and other methods that aid recovery.
4. Other interventions as adjuncts to healing traditions are not bases for using a specific healing tradition.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

3) Which statement would the nurse utilize to define HEALTH?

1. The balance of a person within the outside world
2. A continuous struggle between balance and imbalance
3. Recovering from an illness
4. Physical wholeness for activity

Answer:  1

Explanation:  1. HEALTH is the balance of a person and the outside world. Health is a complex, interrelated phenomenon.

2. HEALTH is not a continuous struggle.
3. HEALTH is not recovering from an illness.
4. The physical component is part of HEALTH, but not the whole aspect of HEALTH.

Cognitive Level:  Applying

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

4) What would the nurse identify as contributors to ILLNESS?

1. Imbalance of body, mind, or spirit
2. Imbalance with the family
3. Imbalance with the community
4. Imbalance with the forces of the natural world
5. Imbalance with socioeconomic status

Answer:  1, 2, 3, 4

Explanation:  1. ILLNESS is the imbalance of one or all parts of the person, including body, mind, and spirit.

2. ILLNESS includes an imbalance with the family.
3. ILLNESS includes an imbalance with the community.
4. ILLNESS includes an imbalance with the forces of the natural world.
5. ILLNESS does not include an imbalance with socioeconomic status.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

5) A patient practices traditional methods of HEALTH maintenance. To what is this patient referring?

1. Ethnocultural heritage practices that safeguard HEALTH
2. How a population safeguards its health
3. What someone traditionally does to maintain his or her HEALTH
4. Usual and accepted practices of health maintenance

Answer:  1

Explanation:  1. Cultural heritage influences methods that form traditional HEALTH maintenance practices.

2. How a population safeguards its health is comprised of many varied methods and practices that may or may not be considered traditional.
3. What a person traditionally does to maintain his or her health is not sufficient unless the underlying cultural heritage for a practice is known.
4. Usual and accepted practices of health maintenance that do not address a specific tradition are vague.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

6) How would the nurse explain alternative HEALTH care traditions to a patient?

1. Outside of the realm of a person’s cultural heritage medical tradition
2. For use in concert with other aspects of health care
3. An essential component of a cultural heritage medical tradition
4. Traditional methods of health care

Answer:  3

Explanation:  1. Alternative medicine is an integral part of one’s cultural heritage HEALTH tradition.

2. Alternative medicine may be used instead of modern medical practices and traditions.
3. Alternative medicine exists as an outside component of one’s medical tradition and not part of it.
4. Alternative medicine is not considered traditional medicine.

Cognitive Level:  Applying

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

7) After completing a health history, the nurse identifies which patient actions as being those used for traditional HEALTH maintenance? Select all that apply:

1. Washing hands after using the bathroom
2. Wearing boots when it is cold
3. Wear glasses.
4. Boil food.
5. Bathe once a week.

Answer:  1, 2, 3

Explanation:  1. Washing hands after using the bathroom is an activity that a person would do to stay well or healthy.

2. Wearing boots when it is cold is an activity that a person would do to stay well or healthy.
3. Wearing glasses to improve vision is an activity that a person would do to stay well or healthy.
4. Boiling food is not an activity that a person would do to stay well or healthy. This would depend upon the person’s cultural heritage.
5. Bathing once a week is not an activity that a person would do to stay well or healthy. The frequency of bathing will depend upon the health of the patient’s skin, other health problems, and cultural heritage.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

8) Which actions would the nurse categorize as traditional mental HEALTH maintenance?

1. Activities to concentrate and stimulate the mind
2. Avoiding physically demanding hobbies
3. Using medications to preserve chemical balance in the brain
4. Wearing head covering in the cold to preserve head warmth

Answer:  1

Explanation:  1. Activities that stimulate and concentrate the mind help maintain mental acuity and health.

2. Even physically engaging hobbies will help to stimulate mental acuity.
3. Medications may be necessary for mental function, but are not within a traditional mental health maintenance model.
4. Wearing head covering when cold helps to preserve body heat, but is not a mental HEALTH tradition.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

9) Which action does the nurse recognize as essential for maintaining HEALTH?

1. Having a strong familial and social support system
2. Practicing moderation in all activities
3. Ensuring proper balance in all aspects of life
4. Taking a daily multivitamin

Answer:  1

Explanation:  1. Having a familial and social support system is a key element for traditional HEALTH maintenance, as that identity contributes to HEALTH and well-being.

2. Moderation in activities is a worthy element of HEALTH, but is not its key element.
3. Balance in all aspects of life is a component to HEALTH, but is not its key element.
4. Taking a daily multivitamin will help physical health, but family and social support is key to maintaining HEALTH.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

10) A patient tells the nurse that an ILLNESS was caused by the evil eye. What are common beliefs about this cause of ILLNESS? Select all that apply:

1. Power comes from the eye and strikes a victim.
2. The onset of illness is sudden.
3. The person who cast the evil eye may not be aware of the power.
4. The illness may be cured with rituals.
5. The illness will become chronic.

Answer:  1, 2, 3, 4

Explanation:  1. One common belief about the evil eye is that power comes from a person’s eye and strikes a victim.

2. One common belief about the evil eye is that the onset of ILLNESS is sudden.
3. One common belief about the evil eye is that the person who cast the evil eye may not be aware of his or her power.
4. One common belief about the evil eye is that the ILLNESS may be cured with rituals.
5. ILLNESS believed to be caused by the evil eye is not believed to become chronic.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

11) While working with community members of different cultures, the nurse learns a variety of beliefs about the evil eye. What are the consistent variables of this cause of ILLNESS? Select all that apply:

1. How it is cast
2. Who can cast it
3. Who receives it
4. Degree of power it has
5. What body part is afflicted

Answer:  1, 2, 3, 4

Explanation:  1. One variable of the evil eye is how it is cast.

2. One variable of the evil eye is who can cast it.
3. One variable of the evil eye is who receives it.
4. One variable of the evil eye is the degree of power it has.
5. The body part that is afflicted is not a variable of the evil eye.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

12) In some cultures, spitting is a health protection activity done after giving someone else a compliment. What is the purpose of this action?

1. Prevents the recipient of the compliment from receiving an evil spell
2. Avoids direct speech afterwards with the person who receives the compliment
3. Prevents the recipient of the compliment from being too flattered
4. Makes the air better to take in the compliment

Answer:  1

Explanation:  1. Spitting after giving a compliment is thought to prevent the recipient from having an evil spell cast on his or her health.

2. Avoiding direct speech after giving a compliment is not done through spitting.
3. Spitting is not done to prevent the compliment’s recipient from being too flattered.
4. Spitting after giving a compliment has nothing to do with making the air better to receive it.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

13) While assessing a patient from the Jewish heritage, the nurse learns that the patient believes that an ILLNESS is being caused by another soul. With what is this HEALTH belief concerned?

1. The Dybbuk
2. Kayn aynhoreh
3. Szatan
4. Aberglobin

Answer:  1

Explanation:  1. The Dybbuk is a controlling spirit in the Jewish tradition that occurs when a person is temporarily controlled by a spirit which is not his or her own.

2. Kayn aynhoreh is the evil eye in Yiddish.
3. Szatan is the evil eye in Polish tradition.
4. Aberglobin is the evil eye in German tradition.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

14) While performing a home assessment, the home care nurse identifies traditional practices that the patient uses to protect HEALTH. Which are practices used to protect health? Select all that apply:

1. Picture of a saint hanging on the wall in the bedroom
2. String of garlic hanging in the kitchen
3. Burning a candle on the kitchen table
4. Wearing a purple scarf
5. Chanting prayers

Answer:  1, 2, 3, 4, 5

Explanation:  1. A traditional practice used to protect HEALTH includes the use of protective objects that are hung in the home.

2. A traditional practice used to protect HEALTH includes the use of substances worn or hung in the home.
3. A traditional practice used to protect HEALTH includes the practice of religion such as burning a candle.
4. A traditional practice used to protect HEALTH includes wearing a particular type of clothing.
5. A traditional practice used to protect HEALTH includes chanting prayers.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

15) While caring for an infant of Puerto Rican descent, the nurse sees a black amulet on a chain on the wrist of the baby’s right hand. What should the nurse do with the amulet?

1. Leave it on the baby’s wrist.
2. Remove the amulet.
3. Ask that the amulet be removed until the baby is older.
4. Move it to the baby’s ankle.

Answer:  1

Explanation:  1. A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby from the evil eye.

2. A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby from the evil eye. This should not be removed by the nurse.
3. A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby from the evil eye.
4. A mano negro (black hand) is often placed on a Puerto Rican baby as an amulet to protect the baby from the evil eye. The amulet is placed on the wrist on a chain or pinned to the diaper or the shirt. The amulet is not worn on the ankle.

Cognitive Level:  Applying

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

16) During an assessment, a patient tells the nurse, “An onion a day keeps everyone away.” How does this philosophy protect HEALTH?

1. An onion protects the person from coming in contact with those who might be ill.
2. This philosophy affirms the belief in the power of onions to prevent disease.
3. This philosophy recognizes the special antibiotic properties contained within onions.
4. This philosophy advertises that onions have special healing abilities.

Answer:  1

Explanation:  1. The rationale behind the saying is that the odor from onions is strong enough to keep people away from that person, so that they can avoid potentially coming into contact with someone who might be ill.

2. Onions do not prevent disease, but can help maintain HEALTH.
3. While onions are thought to have some special properties, it is not universally held that they have unique antibiotic properties.
4. Onions are used in many cultures, but are not recognized as having special healing properties.

Cognitive Level:  Understanding

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

17) While caring for a patient from the Chinese culture, the nurse learns the patient has a specific practice that follows yin and yang. What impact will this have on the patient’s dietary intake?

1. The patient will eat only specified combinations of food.
2. Some foods are only eaten at different times of the year.
3. There are specific foods for specific purposes.
4. Identifies if foods should be eaten hot or cold

Answer:  1

Explanation:  1. Yin and yang addresses balance in Chinese life. Regarding food, it means foods are eaten in specified combinations.

2. Foods eaten at different times of the year are not within the yin and yang.
3. Specific foods eaten for specific purposes are not necessarily within the yin and yang of Chinese tradition.
4. Hot or cold foods are within the Chinese traditions.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

18) Which patient statement reflects a spiritual belief that defines ILLNESS?

1. “I am being punished for breaking a religious code.”
2. “It is a necessary part of my religious culture.”
3. “I failed to wear special amulets to ward it off.”
4. “I am sick because I violated dietary practices.”

Answer:  1, 3, 4

Explanation:  1. ILLNESS can sometimes be considered a result of breaking a religious code.

2. ILLNESS is not a necessary part of religious culture.
3. ILLNESS is believed to be caused by the failure to wear religious amulets as protection.
4. Violating dietary practices is serious, and may be believed to be the cause of ILLNESS.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

 

 

19) Which activities does the nurse recognize as being used by a patient to restore HEALTH? Select all that apply:

1. Drinking herbal tea
2. Using massage
3. Prayer
4. Meditation
5. Purging

Answer:  1, 2, 3, 4

Explanation:  1. HEALTH restoration can be accomplished by the use of herbal tea.

2. HEALTH restoration can be accomplished by the use of massage.
3. HEALTH restoration can be accomplished by the use of prayer.
4. HEALTH restoration can be accomplished by the use of meditation.
5. Purging is not identified as a method of HEALTH restoration.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Describe the interrelated components of the HEALTH Traditions Model.

20) During a health history, a patient tells the nurse about following traditional epidemiological practices. What is the purpose of these practices?

1. Preserve a heritage
2. Used as a part of the patient’s religion.
3. Cure an illness
4. Uses folk medicine herbal remedies

Answer:  1, 2

Explanation:  1. Traditional epidemiologies are those traditional HEALTH care beliefs and practices observed by people who have maintained a heritage within their ethnocultural background.

2. Macro-religious HEALTH practices may be a part of traditional epidemiology.
3. Not every method of treatment to cure an illness is traditional epidemiology.
4. Folk medicine herbal remedies may be part of a traditional epidemiology, but they are not the whole epidemiological tradition.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO02 – Describe the factors that constitute traditional epidemiology.

 

 

21) During a history, a patient tells the nurse that a red string is worn to protect HEALTH. What heritage may this patient be from? Select all that apply:

1. Japanese
2. French
3. Swedish
4. Italian

Answer:  4

Explanation:  1. The red string is usually not worn by people from Japan.

2. The red string is usually not worn by people from France.
3. The red string is usually not worn by people from Sweden.
4. The red string is frequently worn by people from Italy.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO02 – Describe the factors that constitute traditional epidemiology.

22) A patient uses folk medicine to prevent ILLNESS. On what will the nurse focus when assessing this patient’s use of folk medicine?

1. Knowing what herbs are used for prevention
2. Use of amulets to ward off disease
3. Avoiding eating certain animal parts in the diet
4. Having special ceremonies for preventing certain illnesses

Answer:  1

Explanation:  1. Herbal uses for medicine include knowing what herbs are used for what means.

2. Amulets may be part of folk medicine but are not herbal in nature.
3. Avoidance of certain animal parts for consumption does not have herbs as its base.
4. Special ceremonies could have significance in folk medicine, but they do not have herbs as their base.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO03 – Give examples of the choices that people have in healthcare.

 

 

23) The nurse learns that a patient used to follow homeopathic medicine, but now only uses allopathic medicine approaches. What is the significance of allopathic medicine?

1. Espouses empiric methods for treating disease
2. Accepts other forms of therapy as valid for treating disease
3. Is practiced only where it is accepted
4. Encompasses different treatment modalities within its framework

Answer:  1

Explanation:  1. Allopathic medicine is the major form of medical care today, as it relies on empirical evidence to successfully treat disease.

2. Allopathic medicine does not accept other forms of therapy as valid for treating disease.
3. Allopathic medicine is practiced in most nations.
4. Allopathic medicine is not holistic in nature, and does not accept other treatment modalities as valid within its overall framework.

Cognitive Level:  Understanding

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO05 – Give examples of the traditional HEALTHCARE philosophies and systems.

24) The nurse is trying to determine if a treatment that a patient has been taking for an illness is considered a homeopathic remedy. Which are criteria of homeopathy? Select all that apply:

1. The person, and not the disease, is being treated.
2. Does not conform to scientific standards
3. A substance used would cause symptoms in a healthy person.
4. Spinal manipulation realigns mental impulses.

Answer:  1, 2, 3

Explanation:  1. In homeopathy, the person, and not the disease, is treated.

2. Homeopathy includes medical practices that do not conform to the scientific standards set by the allopathic medical community.
3. In homeopathic medicine, a substance that is used to treat a specific set of symptoms is the same substance that, if given to a healthy person, would cause the symptoms.
4. Spinal manipulation is a part of chiropractic medicine, and not homeopathy.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO05 – Give examples of the traditional HEALTHCARE philosophies and systems.

 

 

25) A patient wants to use a complementary medicine approach for a chronic health problem. Which approach would the nurse suggest the patient use? Select all that apply:

1. Hypnotherapy
2. Qi gong
3. Biofeedback
4. Reiki

Answer:  4

Explanation:  1. Hypnotherapy is used to control emotions.

2. Qi gong used to enhance the flow of qi, vital energy, to improve circulation.
3. Biofeedback is used to control involuntary responses
4. Reiki is used to channel energy.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO05 – Give examples of the traditional HEALTHCARE philosophies and systems.

 

26) The nurse notes that a patient’s religion is identified as being Christian Science. How will this religious belief impact the health care that the patient will want?

1. The patient will choose the method of health care that is the most effective.
2. The patient will use similar treatments for healing disease.
3. The patient uses aromas for healing.
4. The patient will ask for spinal manipulation.

Answer:  1

Explanation:  1. Christian Scientists are free to choose the method of health care they feel is the most effective.

2. The use of “similars” is a homeopathic modality.
3. Using aromas is a form of aromatherapy.
4. Spinal manipulation for healing is part of chiropractic medicine.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO05 – Give examples of the traditional HEALTHCARE philosophies and systems.

 

27) What is an advantage of using complementary medicine for treatment of an illness?

1. Complementary medicine can be used with allopathic medicine.
2. Complementary medicine replaces allopathic medicine as a primary form of treatment.
3. Complementary medicine lessens a patient’s discomfort with allopathic treatments.
4. Complementary medicine is never used with allopathic medicine.

Answer:  1, 3

Explanation:  1. Complementary medicine can be used together with allopathic medicine to complement its treatment.

2. Complementary medicine does not replace allopathic medicine as a primary form of treatment. It is meant to be used in concert with allopathic medicine, or other treatment modalities.
3. While complementary medicine may lessen discomfort from allopathic treatment.
4. Complementary medicine can be used with allopathic medicine, or on its own.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO06 – Describe examples of the information available from the National Center for Complementary and Integrative Health.

 

28) During a home visit, the nurse observes several bottles of a dietary supplement. How common was the use of the supplements in 2012?

1. Dietary supplements were used by 5.9% of the population in 2012.
2. Dietary supplements were used by 11.5% of the population in 2012.
3. Dietary supplements were used by 17.7% of the population in 2012.
4. Dietary supplements were used by 22.8% of the population in 2012.

Answer:  3

Explanation:  1. According to the National Health Interview Survey, dietary supplements were not used by 5.9% of the population in 2012.

2. According to the National Health Interview Survey, dietary supplements were not used by 11.5% of the population in 2012.
3. According to the National Health Interview Survey, dietary supplements were used by 17.7% of the population in 2012.
4. According to the National Health Interview Survey, dietary supplements were used by 22.8% of the population in 2012.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Implementation

Learning Outcome:  LO06 – Describe examples of the information available from the National Center for Complementary and Integrative Health.

 

29) A patient asks the nurse to help identify alternative care approaches for a newly diagnosed illness. Why would the patient want to use an alternative care approach?

1. Allopathic treatments may cause adverse effects that a person can’t tolerate.
2. It has a better empirical basis than do allopathic treatments.
3. Insurance reimburses alternative care treatments at the same rate or better than allopathic treatments.
4. Training for alternative care practitioners is closely regulated and licensed.

Answer:  1

Explanation:  1. People may seek alternative care treatments as they may produce fewer adverse effects than allopathic treatments.

2. Alternative care treatments have not received the same degree of empirical research as allopathic treatments.
3. Insurance can reimburse for some alternative treatments, but allopathic treatments have a better reimbursement history from insurance.
4. Training for alternative care practitioners is not as closely regulated as that for practitioners of allopathic medicine.

Cognitive Level:  Analyzing

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO06 – Describe examples of the information available from the National Center for Complementary and Integrative Health.

 

30) For which patient would the nurse be sure to include an assessment about the use of complementary alternative medical (CAM) treatments?

1. A thirty-five-year-old patient who is dissatisfied with care
2. A male patient who desires to control his healthcare
3. A patient whose family believes CAM is a hoax
4. A patient with an eighth grade education

Answer:  1

Explanation:  1. Frequent users of CAM are people who are dissatisfied with allopathic care

2. People with a need for personal control may use CAM.
3. The medical establishment often views the use of CAM as a hoax if it is scientifically ineffective.
4. People with higher levels of education, not rudimentary education, are more likely to use CAM.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO06 – Describe examples of the information available from the National Center for Complementary and Integrative Health.