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I n t e g r a t i v e M e d i c i n e 4 t h E d i t i o n R a k e l T e s t B a n k
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D o w n l o a d I m m e d i a t e l y A f t e r T h e P u r c h a s e NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Rakel: Evolve Resources for Integrative Medicine, 4th Edition Chapter 01: Philosophy of Integrative Medicine Review Questions 1. Integrative medicine adds value to health care delivery models by all of the following except: a. By adding more CAM therapies to the therapeutic process b. By searching for and removing barriers that may be blocking the body’s innate healing response c. By focusing on the patient’s unique story through interpersonal therapeutic relationships d. By bringing low-tech, less expensive interventions into the mainstream that preserve or improve health outcomes e. By shifting the emphasis of health care to health promotion, disease prevention, and enhanced resiliency through attention to lifestyle behaviors 2. Integrative medicine is a broad-based philosophy of care that recognizes the complex interaction of many influences on health. All the following historical figures, whether intentionally or not, encouraged the reductionist movement in the history of medicine except: a. Abraham Flexner b. René Descartes c. David Hume d. Andrew Weil e. John Locke 3. Which following diseases or conditions listed is the one that complementary therapies are used the most by adults? a. Anxiety b. Neck pain c. Arthritis d. Dyslipidemia e. Back pain NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Answers 1. a. Integrative medicine educates about various CAM therapies but the intent is not to simply add more therapeutic tools but to learn how to strategically utilize them to support the health needs of the individual. Simply adding more therapies without understanding the shift in the philosophical process could potentially increase cost and harm. 2. d. As the person who coined the term integrative medicine, this question is in recognition of my coauthor and mentor, Andrew Weil, whose writing and activism have brought balance to a health care system in need of a broader view. 3. e. According to the National Health Statistics report, CAM was used for back pain by 17.1%, anxiety by 2.8%, neck pain by 5.9%, arthritis by 3.5%, and cholesterol by 2.1% of adults surveyed. NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Rakel: Evolve Resources for Integrative Medicine, 4th Edition Chapter 02: Creating Optimal Healing Environments Review Questions 1. All of the following are examples of nonspecific healing effects except: a. Empathy b. Creating positive expectations c. Matching a therapy to the individual’s culture and belief system d. A healing setting with elements of nature e. The cytotoxic effects of chemotherapy 2. A 32-year-old female executive presents to your office with abdominal pain and constipation. She does not want to take a lot of drugs and would like to get at the root of her symptoms. After ruling out other causes, you make the diagnosis of constipation-dominant irritable bowel syndrome. Which of the following therapies is likely to be most effective? a. A prescription for linaclotide, a guanylate cyclase agonist that creates an osmotic fluid shift into the lumen of the bowel. This drug has high quality evidence for its effectiveness for IBS-
C.65 b. You explore the stress at work and her unique tendency to “hold things in,” particularly in relation to her demanding career. You explain the pathophysiology of mind-gut connection and agree on a plan to increase exercise, push fluids, add soluble fiber, journaling to provide an avenue for expressing emotions, and a referral for gut-directed hypnotherapy. c. On the basis of a lecture you recently heard at grand rounds about acupuncture and constipation, you make a referral. You aren’t so sure it will help but since she does not want to take a lot of medicine, you give it a try. d. After listening with empathy, you educate her about the safety of polyethylene glycol (Miralax), and how it is not systemically absorbed but is quite effective for constipation. You recommend she start with two heaping tablespoons (about 34 g) per day, mixed with 8-10 oz of water, for 1 week and then reduce to one tablespoon daily (17 g) and follow up in 1 month. 3. On the basis of Frank and Frank’s pioneering work, which of the following is NOT one of the four key ingredients of a healing encounter? a. An emotionally charged relationship with a helping person b. A healing setting c. Using a knife, pin, pill, laser, or light within the context of the visit to enhance health outcomes. d. An explanation for the symptoms that resulted in a sense of control and understanding e. A ritual, procedure, or plan that involves active participation of both parties that each believes will restore the person to a state of health NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com
I n t e g r a t i v e M e d i c i n e 4 t h E d i t i o n R a k e l T e s t B a n k
T e s t B a n k
1 0 0 % V e r i fi e d A n s w e r s
D o w n l o a d I m m e d i a t e l y A f t e r T h e P u r c h a s e NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Rakel: Evolve Resources for Integrative Medicine, 4th Edition Chapter 01: Philosophy of Integrative Medicine Review Questions 1. Integrative medicine adds value to health care delivery models by all of the following except: a. By adding more CAM therapies to the therapeutic process b. By searching for and removing barriers that may be blocking the body’s innate healing response c. By focusing on the patient’s unique story through interpersonal therapeutic relationships d. By bringing low-tech, less expensive interventions into the mainstream that preserve or improve health outcomes e. By shifting the emphasis of health care to health promotion, disease prevention, and enhanced resiliency through attention to lifestyle behaviors 2. Integrative medicine is a broad-based philosophy of care that recognizes the complex interaction of many influences on health. All the following historical figures, whether intentionally or not, encouraged the reductionist movement in the history of medicine except: a. Abraham Flexner b. René Descartes c. David Hume d. Andrew Weil e. John Locke 3. Which following diseases or conditions listed is the one that complementary therapies are used the most by adults? a. Anxiety b. Neck pain c. Arthritis d. Dyslipidemia e. Back pain NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Answers 1. a. Integrative medicine educates about various CAM therapies but the intent is not to simply add more therapeutic tools but to learn how to strategically utilize them to support the health needs of the individual. Simply adding more therapies without understanding the shift in the philosophical process could potentially increase cost and harm. 2. d. As the person who coined the term integrative medicine, this question is in recognition of my coauthor and mentor, Andrew Weil, whose writing and activism have brought balance to a health care system in need of a broader view. 3. e. According to the National Health Statistics report, CAM was used for back pain by 17.1%, anxiety by 2.8%, neck pain by 5.9%, arthritis by 3.5%, and cholesterol by 2.1% of adults surveyed. NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com NURSINGTB.COM
Copyright © 2018 by Elsevier, Inc. All rights reserved. Rakel: Evolve Resources for Integrative Medicine, 4th Edition Chapter 02: Creating Optimal Healing Environments Review Questions 1. All of the following are examples of nonspecific healing effects except: a. Empathy b. Creating positive expectations c. Matching a therapy to the individual’s culture and belief system d. A healing setting with elements of nature e. The cytotoxic effects of chemotherapy 2. A 32-year-old female executive presents to your office with abdominal pain and constipation. She does not want to take a lot of drugs and would like to get at the root of her symptoms. After ruling out other causes, you make the diagnosis of constipation-dominant irritable bowel syndrome. Which of the following therapies is likely to be most effective? a. A prescription for linaclotide, a guanylate cyclase agonist that creates an osmotic fluid shift into the lumen of the bowel. This drug has high quality evidence for its effectiveness for IBS-
C.65 b. You explore the stress at work and her unique tendency to “hold things in,” particularly in relation to her demanding career. You explain the pathophysiology of mind-gut connection and agree on a plan to increase exercise, push fluids, add soluble fiber, journaling to provide an avenue for expressing emotions, and a referral for gut-directed hypnotherapy. c. On the basis of a lecture you recently heard at grand rounds about acupuncture and constipation, you make a referral. You aren’t so sure it will help but since she does not want to take a lot of medicine, you give it a try. d. After listening with empathy, you educate her about the safety of polyethylene glycol (Miralax), and how it is not systemically absorbed but is quite effective for constipation. You recommend she start with two heaping tablespoons (about 34 g) per day, mixed with 8-10 oz of water, for 1 week and then reduce to one tablespoon daily (17 g) and follow up in 1 month. 3. On the basis of Frank and Frank’s pioneering work, which of the following is NOT one of the four key ingredients of a healing encounter? a. An emotionally charged relationship with a helping person b. A healing setting c. Using a knife, pin, pill, laser, or light within the context of the visit to enhance health outcomes. d. An explanation for the symptoms that resulted in a sense of control and understanding e. A ritual, procedure, or plan that involves active participation of both parties that each believes will restore the person to a state of health NURSINGTB.COMIntegrative Medicine 4th Edition Rakel Test Bankwww.nursylab.com
