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Chapter 036

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 36: Complementary and Alternative Therapies MULTIPLE CHOICE 1. In selecting alternative therapies, the nurse recognizes that therapeutic touch may be most effective with a: 1. Premature infant 2. Headache sufferer 3. Pregnant woman 4. Psychiatric client ANS: 2 Studies have found that therapeutic touch is effective in reducing headache pain. Clients such as premature infants, who are sensitive to energy repatterning, may need
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 3: Complementary and !lternati e Therapies#$%TP%E C'(CE 1.In selecting alternative therapies, the nurse recognizes that therapeutic touch may be mosteffective with a: 1.Premature infant2.Headache sufferer .Pregnant woman!.Psychiatric client #$:2$tudies have found that therapeutic touch is effective in reducing headache pain. %lients such as premature infants, who are sensitive to energy repatterning, may need to avoid therapeutic touch. %lients such as pregnant women, who are sensitive to energy repatterning, may need to avoid therapeutic touch. Persons who are sensitive to human interaction and touch &e.g., those who have been physically abused or have psychiatric disorders' may misinterpret the intent of the treatment and may feel threatened and an(ious by the treatment.)I*: +*:--/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapies2.he nurse is preparing a presentation on alternative therapies for a community group. henurse should identify that herbal therapies are:1. pproved by the *ood and )rug dministration, under the *ood, )rug, and %osmetic ct2.$old as medicines in most stores because they lac9 maor side effects. llowed to be pac9aged as dietary supplements if they are without health claims!.%onsistent in their standards for concentrations of maor ingredients and additives #$:he )ietary $upplement Health and ducation ct passed in 1! allows herbs to be soldas dietary supplements if there are no health claims written on their labels. Herbal medicines have not undergone the same rigorous testing as pharmaceuticals have; therefore the maority have not received approval for use as drugs. 3any herbal medicines are sold as foods or food supplements in health food stores and through privatecompanies because they do not have *) approval to be sold as a drug. <hen herbal medicines are developed, concentrations of the active ingredients have been found to vary considerably. #ot all companies follow strict =uality control and manufacturing guidelines, which set standards for acceptable levels of pesticides, residual solvents,  bacterial levels, and heavy metals. 3osby items and derived items > 2??, 2??@ by 3osby, Inc., an affiliate of lsevier Inc.  est 0an9 )I*: +*:-A1/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapies.he client as9s the nurse about different herbal therapies that may promote physical endurance and reduce stress. 0ased on the clientBs re=uest, the nurse provides informationon:1.Cinseng2.Cinger .chinacea!.%hamomile #$:1Cinseng is believed to have an effect of increased physical endurance, balancing of the  body, and increasing resistance to stress. Cinger is 9nown for its effect as an antiemetic. chinacea is 9nown for stimulation of the immune system and as an antiinflammatory and antibacterial agent. %hamomile is believed to have an antiinflammatory, antispasmodic, and antiinfective effect.)I*: +*:-A2/0:%omprehension/P:#ursing Process: Planning3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapies!.he nurse recognizes that which one of the following statements is correct concerning complementary and alternative medicineD1./ne third to one half of the E.$. population uses one or more forms of alternative therapy.2.Insurance coverage is available at the same amount as for traditional medicine..Ese of alternative therapies is still not incorporated into medical ournals.!.Ese of alternative therapies is primarily by those who are less educated or in a lower socioeconomic group. #$:10etween one third and one half of the population in the Enited $tates uses one or more forms of complementary or alternative medicine. Insurance coverage of complementary and alternative medicine is increasing, but it is not available at the same amount as for traditional medicine. he interest in complementary and alternative medicine is evident in the increased number of articles about it in respected medical ournals and the development of several ournals that specifically focus on complementary and alternative medicine. ypically those who use alternative therapies are professional, wellFeducated, and from a higher socioeconomic standing.)I*: +*:--2/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 3osby items and derived items > 2??, 2??@ by 3osby, Inc., an affiliate of lsevier Inc. GF2  est 0an9 %omfort7%omplementary and lternative herapies@.he nurse is aware of the positive responses that may be obtained with the use of alternative therapies. benefit that the client can gain from rela(ation therapy is a decrease in:1.+eceptivity2.Peripheral s9in temperature./(ygen consumption!. lpha brain activity #$:he rela(ation response is characterized by decreased heart and respiratory rates, decreased blood pressure, decreased o(ygen consumption, and increased alpha brain activity and peripheral s9in temperature. cognitive benefit of rela(ation therapy is increased receptivity &i.e., the ability to tolerate and accept e(periences that may be uncertain, unfamiliar, or parado(ical'. +ela(ation therapy increases peripheral s9in temperature, not decreases it. +ela(ation therapy increases alpha brain activity, not decreases it.)I*: +*:--@/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapiesG.In selecting an appropriate alternative therapy, the nurse 9nows that the client who may  benefit the most from the passive type of rela(ation is one who is e(periencing:1.Hypertension2.erminal cancer .<or9Frelated stress!.)ysfunctional grieving #$:2Passive rela(ation is useful for persons for whom the effort and energy e(penditure of active muscle contraction lead to discomfort or e(haustion, such as the person with terminal cancer. +ela(ation has been shown to contribute significantly to cancer palliativecare. he person with hypertension would not re=uire the passive type of rela(ation. he  person with wor9Frelated stress would not re=uire the passive type of rela(ation. he client e(periencing dysfunctional grieving would not re=uire the passive type of rela(ation. herapeutic touch has been found effective in improving the mood in  bereaved adults.)I*: +*:--G/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapies 3osby items and derived items > 2??, 2??@ by 3osby, Inc., an affiliate of lsevier Inc. GF  est 0an9 -.In selecting an appropriate alternative therapy, the nurse 9nows that the client who has +aynaudBs disease with intermittent peripheral ischemia may benefit the most from:1.+ela(ation therapy2.Imagery.0iofeedbac9 !. cupuncture #$:0iofeedbac9 techni=ues are used to assist individuals in learning how to control specific autonomic nervous system responses. <ith +aynaudBs disease, clients e(perience intermittent vasospastic attac9s of small arteries and arterioles of the hands &most commonly' and7or the feet. 0iofeedbac9 can be used to control this autonomic response. +ela(ation therapy is not the best selection of an alternative therapy for the client with +aynaudBs disease. Imagery has not been proven to help the client with +aynaudBs disease. cupuncture is not the best selection of an alternative therapy for the client with +aynaudBs disease. cupuncture is more fre=uently used to treat pain.)I*: +*:--A/0:%omprehension/P:#ursing Process: Planning3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapiesA. nurse needs to be alert to possible negative responses to biobehavioral therapies. %lients who have reacted negatively have most often e(perienced:1. ggressive behaviors2.)elusions.Insomnia!.4ossFofFcontrol sensations #$:! person who has a strong fear of losing control, or who has e(perienced sensations of loss of control, may perceive meditation as a form of mind control and thus may be resistant to learning the techni=ue. $ome clients may uncover repressed emotions or feelings they cannot cope with during rela(ation and7or biofeedbac9 sessions. benefit of most biobehavioral therapies, such as meditation, is that it lowers irritability. ggression is an unli9ely response. )elusions are not a result of biobehavioral therapies. 3any biobehavioral therapies, such as meditation, reduce insomnia.)I*: +*:---/0:%omprehension/P:#ursing Process: ssessment3$%:#%456 test plan designation: Physiological Integrity70asic %are 8 %omfort7%omplementary and lternative herapies. practitioner or client who uses traditional %hinese medicine bases the therapy on the  primary concept of:1.in7yang2.3eridians 3osby items and derived items > 2??, 2??@ by 3osby, Inc., an affiliate of lsevier Inc. GF!

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