Chapter 24: Complementary and Alternative Medicine in
Psychiatry
MULTIPLE CHOICE
1. A patient who experiences panic attacks when he is alone at home has been instructed in the
use of meditation techniques. The technique can be evaluated as having proved most useful when
the patient explains to a friend that meditation:
a. Is easy to learn
b. Provides me with a sense of control
c. Can be implemented at any time and place
d. Can be mastered by anyone, young or old
ANS: B
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,When implemented effectively, meditation has wide-ranging effects that include a sense of
control over ones situation. All the remaining options are correct but they lack the connection to
a patients sense of well-being and control.
2. A patient reports little change in her blood pressure even though she has been doing the
biofeedback exercises stating that, The machine has not been successful. The nurse will observe
the next session being aware that:
a. There are several different components that need to be mastered in order to
achieve successful biofeedback results.
b. The machine is a critical component of biofeedback during all phases and its
response needs to be monitored by a professional.
c. A patients relaxation skills need to be excellent because muscle responses play a
large role in determining the success of biofeedback.
d. The patients mood and emotional stability affects ones ability to alter
physiological results and thus affect positive results from biofeedback.
ANS: A
With biofeedback, a patient can learn to gain conscious control over bodily responses thought to
be beyond voluntary command. Listening to the monitoring device makes the patient aware of
whether or not the mental exercises, breathing, or other techniques being used are effective. The
machine is only needed early in therapy. Muscle relaxation and emotions have a role to play but
are not the only significant factors to be considered.
3. The nurse when entering the room to find a terminally ill child laughing at an old The Three
Stooges movie decides to postpone a scheduled treatment. This intervention is based on the
knowledge that humor:
a. Has been shown to have a positive effect on patients and staff alike
b. Can foster positive changes on several physiological systems and functions
c. Allows the patient to implement therapeutic denial to best manage the situation
d. May help the very young who are unaware of the seriousness of their situations
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, ANS: B
Research has shown humor may have positive effects on cognitive ability, heart and respiratory
rates, blood pressure, muscle tension, and pain. Humor does have the effects reflected in the
remaining options but none would be the basis for postponing a treatment.
4. The nurse describes in a balanced and neutral manner traditional medicine options that are
available to treat a patients health problems. The patient thanks the nurse and shares that he
prefers to continue treatment with acupuncture and Ayurvedic medicine. The nurse encourages
the patient to carefully consider his choices and tells him that the staff is available if needed. The
nurses response demonstrates:
a. Understanding of patient rights
b. Lack of concern for the patients well-being
c. Respect for the patients health care choices
d. Inability to confront the patient about his inappropriate health choices
ANS: C
After receiving all relevant, current information, patients have the right to make their own
decisions about health care. This response shows respect for the patients right to make such a
choice and the nurses understanding of the philosophy of holistic nursing. Although an
understanding of patient rights is vital, it is not the best description of the nurses response. The
nurse must remain objective and empathetic but may not interfere with the patients choices.
There is no need for confrontation.
5. Which nursing response best describes alternative therapies to a patient?
a. They are not widely used in hospitals or reimbursed by insurance.
b. They are often considered quackery and of little real value to those who use
them.
c. They are widely researched and can take their place with allopathic medicine.
d. They are more effective if used as preventive measures than if used for cure.
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Psychiatry
MULTIPLE CHOICE
1. A patient who experiences panic attacks when he is alone at home has been instructed in the
use of meditation techniques. The technique can be evaluated as having proved most useful when
the patient explains to a friend that meditation:
a. Is easy to learn
b. Provides me with a sense of control
c. Can be implemented at any time and place
d. Can be mastered by anyone, young or old
ANS: B
HTTPS://PASINGGRADES.COM/
,When implemented effectively, meditation has wide-ranging effects that include a sense of
control over ones situation. All the remaining options are correct but they lack the connection to
a patients sense of well-being and control.
2. A patient reports little change in her blood pressure even though she has been doing the
biofeedback exercises stating that, The machine has not been successful. The nurse will observe
the next session being aware that:
a. There are several different components that need to be mastered in order to
achieve successful biofeedback results.
b. The machine is a critical component of biofeedback during all phases and its
response needs to be monitored by a professional.
c. A patients relaxation skills need to be excellent because muscle responses play a
large role in determining the success of biofeedback.
d. The patients mood and emotional stability affects ones ability to alter
physiological results and thus affect positive results from biofeedback.
ANS: A
With biofeedback, a patient can learn to gain conscious control over bodily responses thought to
be beyond voluntary command. Listening to the monitoring device makes the patient aware of
whether or not the mental exercises, breathing, or other techniques being used are effective. The
machine is only needed early in therapy. Muscle relaxation and emotions have a role to play but
are not the only significant factors to be considered.
3. The nurse when entering the room to find a terminally ill child laughing at an old The Three
Stooges movie decides to postpone a scheduled treatment. This intervention is based on the
knowledge that humor:
a. Has been shown to have a positive effect on patients and staff alike
b. Can foster positive changes on several physiological systems and functions
c. Allows the patient to implement therapeutic denial to best manage the situation
d. May help the very young who are unaware of the seriousness of their situations
HTTPS://PASINGGRADES.COM/
, ANS: B
Research has shown humor may have positive effects on cognitive ability, heart and respiratory
rates, blood pressure, muscle tension, and pain. Humor does have the effects reflected in the
remaining options but none would be the basis for postponing a treatment.
4. The nurse describes in a balanced and neutral manner traditional medicine options that are
available to treat a patients health problems. The patient thanks the nurse and shares that he
prefers to continue treatment with acupuncture and Ayurvedic medicine. The nurse encourages
the patient to carefully consider his choices and tells him that the staff is available if needed. The
nurses response demonstrates:
a. Understanding of patient rights
b. Lack of concern for the patients well-being
c. Respect for the patients health care choices
d. Inability to confront the patient about his inappropriate health choices
ANS: C
After receiving all relevant, current information, patients have the right to make their own
decisions about health care. This response shows respect for the patients right to make such a
choice and the nurses understanding of the philosophy of holistic nursing. Although an
understanding of patient rights is vital, it is not the best description of the nurses response. The
nurse must remain objective and empathetic but may not interfere with the patients choices.
There is no need for confrontation.
5. Which nursing response best describes alternative therapies to a patient?
a. They are not widely used in hospitals or reimbursed by insurance.
b. They are often considered quackery and of little real value to those who use
them.
c. They are widely researched and can take their place with allopathic medicine.
d. They are more effective if used as preventive measures than if used for cure.
HTTPS://PASINGGRADES.COM/
