Exam 37: Integrative Care

A patient reports frequent sleep disturbances. Which interventions could be considered to help improve the patient's sleep pattern? Select all that apply.

Which vitamin is thought to improve anxiety and depression?

A patient in good health and without any major health needs says, "I want to try some nutritional supplements I read about on the Internet." What information would be appropriate for the nurse to include in a response? Select all that apply.

A patient who emigrated from India is hospitalized. The patient and family use Ayurvedic medicine. The nurse wants to alter this patient's care so that it is more comfortable and familiar. What changes from usual Western practice should be considered? Select all that apply.

Acupuncture is a traditional Chinese medical treatment based on which of the following beliefs?

A patient has tried a variety of traditional, complementary, and alternative medicine (TCAM) approaches to manage health concerns. The nurse asks, "How is going to TCAM practitioners different from seeing your medical doctors?" How is the patient most likely to respond?

A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.

A patient wants to learn more about integrative therapies. Which resource should the nurse suggest for the most reliable information?

A patient shows a nurse this advertisement: "Our product is a scientific breakthrough helpful for depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates circulation and excretes toxins. Satisfaction guaranteed or your money back." Select the nurse's best response.

A patient has just completed 6 weeks of electroconvulsive therapy. When visiting the clinic for a follow-up visit, the patient reports taking ginkgo for memory enhancement. Which nursing diagnosis applies?

During an assessment interview, a patient who reports a high level of pain says, "I've been using St. John's wort in small doses for about a week." When the nurse assesses the patient what would the expected findings be?

An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?

Which traditional, complementary, and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?

A patient tells the nurse, "I have a hard time sleeping and find that my sleeping pill only works when I take valerian as well." How should the nurse respond?

A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient's current prescription drugs. Select the nurse's best comment to the patient.

What is the term used in Canada to describe energy drinks?

A nurse plans health education for a patient who is having difficulty sleeping and wants to try a natural supplement. Which substance should the nurse recommend to the patient?

A patient asks, "What is the major difference between conventional health care and traditional, complementary, and alternative medicine (TCAM)?" Which of the following is the nurse's best reply?

A patient says, "I have taken megadoses of vitamin E for 3 months to improve my circulation, but I think I feel worse." Which action should the nurse take first?

Which patient would most likely benefit from taking St. John's wort?