Chapter 19: Alternative Preparations and Over-the-Counter Drugs
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Alternative therapy is associated with what characteristic?
a. Any natural therapy without a research basis
b. Evidence-based pharmacologic use of plant products c. Therapies used in conjunction with
Western medicine d. Therapies not generally accepted by Western medicine
ANS: D
Alternative therapies are therapies that are not generally accepted by mainstream Western
medicine—for example, herbaceuticals. Some alternative therapies have been researched.
Focusing on herbs is too narrow. Therapies used in conjunction with Western medicine are
called complementary therapies.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. For which patient comorbid diagnosis would it be most important for the nurse to urge the patient
to immediately discontinue using kava-kava?
a. Cirrhosis
b. Osteoarthritis
c. Multiple sclerosis
d. Chronic back pain
ANS: A
Kava-kava should be used with caution in patients with liver disease because of its potentially
hepatotoxic effects. The other health problems do not pose immediate dangers.
, DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: Client Needs: Physiologic Integrity
3. The nurse will be prepared to provide information on which complementary therapy when a
patient acknowledges using it to treat depression?
a. St. John wort used with olanzapine.
b. Valerian used with disulfiram (A).
c. Fluoxetine used with lorazepam.
d. Propranolol used with systematic desensitization.
ANS: A
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Alternative therapy is associated with what characteristic?
a. Any natural therapy without a research basis
b. Evidence-based pharmacologic use of plant products c. Therapies used in conjunction with
Western medicine d. Therapies not generally accepted by Western medicine
ANS: D
Alternative therapies are therapies that are not generally accepted by mainstream Western
medicine—for example, herbaceuticals. Some alternative therapies have been researched.
Focusing on herbs is too narrow. Therapies used in conjunction with Western medicine are
called complementary therapies.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. For which patient comorbid diagnosis would it be most important for the nurse to urge the patient
to immediately discontinue using kava-kava?
a. Cirrhosis
b. Osteoarthritis
c. Multiple sclerosis
d. Chronic back pain
ANS: A
Kava-kava should be used with caution in patients with liver disease because of its potentially
hepatotoxic effects. The other health problems do not pose immediate dangers.
, DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: Client Needs: Physiologic Integrity
3. The nurse will be prepared to provide information on which complementary therapy when a
patient acknowledges using it to treat depression?
a. St. John wort used with olanzapine.
b. Valerian used with disulfiram (A).
c. Fluoxetine used with lorazepam.
d. Propranolol used with systematic desensitization.
ANS: A
