Chapters 27, 29, 30, 31, 33, 34, 35, 36, 37, 41 42 43

Chapters 27, 29, 30, 31, 33, 34, 35, 36, 37, 41 42 43

CHAPTER 27: Complementary and Alternative Therapy

• At a follow-up visit, a patient recovering from a myocardial infarction tells the nurse:

“I feel like my life is out of control ever since I had the heart attack. I would like to sign up for yoga, but I don’t think I’m strong enough to hold poses for long.” What would be the nurse’s best response?

• “Right now you should concentrate on relaxing and taking your blood pressure

medicine regularly, instead of worrying about doing yoga.”

• “There is a slower-paced yoga called Kripaula that focuses on coming into

balance and relaxation that you could look into.”

• “Ashtanga yoga is a gentle paced yoga that would help with your breathing

and blood pressure.”

• “Yoga is contraindicated for patients who have had a heart attack.”
• A nurse is providing a lecture on CAT to a group of patients in a rehabilitation facility.

Which teaching point should the nurse include?

• CAT is a safe intervention used to supplement traditional care.
• Many patients use CAT as outpatients, but do not wish to continue as

inpatients.

• Many nurses are expanding their clinical practice by incorporating CAT to meet

the demands of patients.

• Most complementary and alternative therapies are relatively new and their

efficacy has not been established.

• A nurse mentor is teaching a new nurse about the underlying beliefs of CAT vs.

allopathic therapies. Which statements by the new nurse indicate that teaching was effective? Select all that apply.

• “CAT proponents believe the mind, body, and spirit are integrated and

together influence health and illness.”

b. “CAT proponents believe that health is a balance of body systems:

mental, social and spiritual, as well as physical.”

• “Allopathy proponents believe that the main cause of ill- ness is an

imbalance or disharmony in the body systems.”

• “Curing according to CAT proponents seeks to destroy the invading

organism or repair the affected part.”

• “The emphasis is on disease for allopathic proponents and drugs,

surgery, and radiation are key tools for curing.”

• “According to CAT proponents, health is the absence of disease.”
• A nurse is caring for a patient who has crippling rheumatoid arthritis. Which

nursing intervention best represents the use of integrative care?

• The nurse administers Naproxen (Aleve) and uses guided imagery to

take the patient’s mind off the pain.

• The nurse prepares the patient’s physician-approved herbal tea and

uses meditation to relax the patient prior to bed.

• The nurse administers Naproxen (Aleve) and performs prescribed range-

of-motion exercises.

• The nurse arranges for acupuncture for the patient and designs a menu

high in Omega-3 fatty acids.

• A nurse works for a physician who practices the naturopathic system of

medicine. What is the focus of nursing actions based on this type of medical practice? Select all that apply.

• Treating the symptoms of the disease
• Providing patient education
• Focusing on treating individual body systems
• Making appropriate interventions to prevent illness
• Believing in the healing power of nature f. Encouraging patients to take

responsibility for their own health

• A nurse cares for patients in a chiropractic office. What patient education

might this nurse perform? Select all that apply.

• Applying heat or ice to an extremity
• Explaining the use of electrical stimulation
• Teaching a patient relaxation techniques
• Teaching a patient about a prescription
• Explaining an invasive procedure to a patient
• Teaching about dietary supplements
• A nurse is caring for a postoperative patient who is experiencing pain. Which

CAT involves active participation by the patient and is effective for pre- or postoperative pain control?

• Acupuncture
• Therapeutic touch
• Botanical supplements
• Guided imagery
• A nurse is guiding a patient in the practice of meditation. Which teaching point

is most useful in helping the patient to achieve a state of calmness, physical relaxation, and psycho- logical balance?

• Teach the patient to always lie down in a comfortable position during

meditation.

• Teach the patient to focus on multiple problems that the patient feels

demand attention.

• Teach the patient to let distractions come and go naturally without

judging them.

• Teach the patient to suppress distracting or wandering thoughts to

maintain focus.

• A nurse working in a long-term care facility incorporates aromatherapy into her

practice. For which patient would this nurse use the herb ginger?

• A patient who has insomnia
• A patient who has nausea
• A patient who has dementia
• A patient who has migraine headaches