Exam 36: Integrative Care

A patient reports to the nurse that last night she had difficulty falling sleep after a social evening with friends,during which she consumed several alcoholic drinks.When unable to fall sleep after half an hour in bed,she brewed herself two cups of herbal tea containing valerian.In the morning,she awakened feeling very groggy and with a severe headache.The nurse should explain that:

A patient has tried a variety of CAM approaches to her health concerns.The nurse asks a patient to describe what it was like going to CAM practitioners.The patient is most likely to recount,"The CAM practitioners:

A patient is receiving acupuncture as a complementary treatment for alcoholism.An expected outcome would be that the patient will:

A patient informs a nurse that he is sold on the idea that aromatherapy is a viable cure for his agoraphobia.He plans to order several hundred dollars' worth of oils from an Internet site that promises swift results when their products are used.The patient mentions that the Internet provides more information about agoraphobia than his doctor did,so he trusts what he reads there.Which response by the nurse would be most appropriate?

An immigrant from China requires a colonic resection.He follows traditional Chinese health practices and is very anxious and reluctant regarding Western surgery.Which comment would most likely help reduce the patient's anxiety and reluctance?

A patient in good health and without any particular health needs asks about whether she should try any of the various nutritional supplements she hears about.What information would be appropriate for the nurse to include in her response? Select all that apply.

A patient describes herself as a social drinker,but the nurse realizes that the patient's intake is excessive.The patient tells the nurse that her memory has gotten a bit "spotty," so she is taking Ginkgo biloba along with her daily dose of aspirin.The nursing assessment should include that use of ginkgo by this patient may produce:

A patient tells the nurse,"I prefer to try to treat my physical problems with CAM remedies.After all,they are natural substances,and natural products are safe." Which response by the nurse would be most appropriate?

A patient states,"I have been trying to lose weight.I am not hungry at breakfast,so I wait until lunch to eat.I have a small lunch and then use most of my calorie allotment for dinner.Lately,I have noticed that my mood has been off.I seem to be more anxious,and my mood is lower." Which response would be most appropriate?

When a patient wishes to learn more about alternative or complementary treatments,the nurse should refer the patient to the:

Allergy shots,which are injections with a small amount of an allergen in solution,closely match the theory of:

A nurse who is to provide health education for a patient who will be receiving warfarin (Coumadin)for several weeks after knee-replacement surgery should include caution to avoid the CAM remedy of:

A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse.Which action should the nurse take first?

A patient asks the nurse,"What is the major difference between traditional Western medicine and complementary and alternative therapies (CAM)?" The best reply for the nurse to make is that traditional Western medicine:

A patient shows a nurse the following advertisement for a product: "Product X is a scientific breakthrough helpful for a wide range of ailments,including depression,anxiety,and sleeplessness.Made from an ancient formula,X stimulates circulation and doubles the body's ability to excrete toxins.Satisfaction is guaranteed or your money back.Only $45 for a 1-month supply.Order now and receive a free month's supply." The nurse should assess this as most likely being:

A patient tells the nurse she is going to try supplementing her selective serotonin reuptake inhibitor with St.John's wort.Which action should the nurse take first?

A patient tells the nurse,"I always buy St.John's wort manufactured by Company X so I know what I am getting." Which response by the nurse would be best?

A patient plans to go to the acupuncturist for complementary treatment of alcoholism.He asks the nurse to explain how acupuncture works.The most accurate response would be that acupuncture is a traditional Chinese medical treatment based on the belief that:

A patient who has emigrated from India is hospitalized under the care of a traditional Western provider.He tells the nurse that his entire family uses ayurvedic medicine.A culturally-sensitive nurse plans to alter this patient's health care experience so that it is comfortable and more familiar to the patient.What changes from normal Western practice will she recommend? Select all that apply.

A patient tells the nurse,"Take a look at the bruises on my arms and legs.I take a multivitamin tablet daily and no other medicine.The bruises started about a week after I began taking some nutritional supplements from the health food store." The nurse should focus assessment questions on the patient's use of supplements containing vitamin: