Chapter 32: Complementary, Alternative, and Integrative Therapies
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MULTIPLE CHOICE ra
1. A hospital client describes practicing a complementary and alternative therapy involving bre
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athwork and yoga. The nursing attendant also recommends using energy field therapies. Wh
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ich techniques did the nursing attendant suggest? a. Prayer and tai chi
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b. The ―zone‖ and acupressure ra ra ra
c. Massage therapy and ayurveda ra ra ra
d. Reiki therapy and therapeutic touch ra ra ra ra
ACCURATE ar
ANSWER:-D
Both yoga and breathwork are mind-
ra ra ra ra ra
body therapies, whereas both reiki and therapeutic touch therapies are energy field therapies
ra ra ra ra ra ra ra ar ra ra ra ra
. Tai chi is mind-
ra ra ra ra
body intervention. Acupressure and massage are bodybased methods. Ayurvedic is a type of who
ra ra ra ra ra ra ra ra ra ra ra ra ra
le medical system.
ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss the methods of and the psychophysiological responses to therapeutic touch.
ra ra ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Health Promotion and Maintenance ra ra ra
2. A teen diagnosed with an anxiety disorder is referred for biofeedback training because the
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parents do not want their child to take anxiolytics. Which statement from the teen indicate
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s successful learning?
ar ra
a. ―Biofeedback will help me with my thoughts and physiological responses to s tress.‖ ra ra ra ra ra ra ra ra ra ra ar
b. ―Biofeedback will direct my energies in an intentional way when stressed.‖ ra ra ra ar ra ra ra ra ar ra
c. ―Biofeedback will allow me to manipulate my stressed-out joints.‖ ra ra ra ra ra ra ar ra
d. ―Biofeedback will let me assess and redirect my energy fields.‖ ra ra ra ra ra ra ra ra ar
ACCURATE ANSWER:-A ra
By using electromechanical instruments, a person can receive information orACCURATE
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ANSWER:-
on his or her stress level. Having this knowledge allows the hospital client to develop awa
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
reness and voluntary control over his or her physiological symptoms.
ra ra ra ra ra ra ra ra ra
Biofeedback does not address energy fields; healing touch, reiki, and therapeutic touch are
ra ra ra ra ra ra ra ra ra ra ra ra ar
energy fields. Directing energies is therapeutic touch. Manipulation of body alignment and j
ra ra ra ra ra ra ra ra ra ra ra ar
oints is done by a chiropractor.
ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the purpose and principles of biofeedback. TOP:Teaching/Learning MSC: ra ra ra ra ra ra ar ra
Health Promotion and Maintenance ra ra ra
3. An olderadult hospital client is newly admitted to a skilled nursing facility. Medica
ra ra ra ra ra ra ra ra ra ra ra ra
tions brought on ra ra ra
admission included lisinopril, hydrochlorothiazide, warfarin, lowdose aspirin, Gink
ra ra ra ra ra ra ra
go biloba, and echinacea. Which potential interaction will cause the nursing
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, attendant to notify the hospital client ’s health care provider? a.
ra ra ar ra ra ra ra ra ra ra
Echinacea and warfarin ra ra
b. Lisinopril and echinacea ra ra
c. Warfarin and G. biloba ra ra ra
d. Lisinopril and hydrochlorothiazide ra ra
ACCURATE ANSWER:-C ra
Warfarin and blood thinners interact with G. biloba (designed to improve memory). All herbal
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
supplements should be evaluated with current pharmacological medications. The other optio
ra ra ra ra ra ra ra ra ra ra
ns do not have interactions with each other.
ar ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Compare safe and unsafe herbal therapies. TOP:Implemen tation ra ra ra ra ra ar MSC:
Pharmacological and Parenteral Therapies ra ra ra
4. A hospital client asks the nursing attendant for a nonmedical approach for excessiv
ra ra rara ra ra ra ra ra ra ra ra ra
e worry and work stress. Which therapy should the nursing attendant recommend?
ar ar ra ra ra ra ra ra ra ra ra
a. Meditation
b. Acupuncture
c. Ayurvedic herbs ra
d. Chiropractic care ra
ACCURATE ANSWER:-A ra
Meditation is indicated for stressrelated illness and is a nonmedical approach. In addition, medit
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ation increases productivity, i ra ra ra
mproves mood, increases sense of identity, and lowers irritability. Acupuncture, ayurvedic, a
ra ra ra ra ra ra ra ra ra ra ra
nd chiropractic are all medical approaches. The use of ayurvedic herbs has been available for c
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
enturies to treat illness and is a type of whole medical system. Acupuncture focuses on redirect
ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra
ing vital energy (qi) in the body’s meridian energy lines to influence deeper internal organs. C
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hiropractic therapy involves manipulation of the spinal column and includes physiotherapy a
ra ra ra ra ra ra ra ra ra ra ra
nd diet therapy. ra ra
DIF:Analyze (analysis) ra
OBJ:Identify the clinical applications of relaxation therapies. ra ra ra ra ra ra
TOP:Implementatio n MSC: Psychosocial Integrity ar ra ra
5. A nursing attendant is teaching about the therapy that is more effective in treating physica
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
l ailments than in preventing stress related disease or managing chronic illness. Which the
ar ra ra ra ra ra ra ra ra ra ra ra ra
rapy is the nursing attendant describing?
ra ra ra ra ra
a. Complementary
b. Biomedicine
c. Alternative
d. Mind-body
ACCURATE ANSWER:-B ra
Despite the success of allopathic or biomedicine (conventional Western medicine), many c
ra ra ra ra ra ra ra ra ra ra ra
onditions such as chronic back and neck pain, arthritis, gastrointestinal problems, allergies,
ra ra ra ra ra ra ra ra ra ra ra ar
h eadache, and anxiety continue to be difficult to treat. Complementary, alternative, and min
ra ra ra ra ra ra ra ra ra ra ra ra
d-
body types of medicines can be used in tandem with allopathic medicines but are distinctly
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
different.
ra
, DIF:Understand (comprehension) ra
OBJ:Explain the difference between complementary and alternative therapies. TOP:T
ra ra ra ra ra ra ra ra
eaching/Learning
MSC: Health Promotion and Maintenanc e ra ra ra ra
6. During a relaxation therapy skills group, the instructor discusses the cognitive skill of learning
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
to tolerate uncertain and unfamiliar experiences. Which skill is the nursing attendant descri
ra ra ra ra ra ra ra ra ra ra ra ra
bing?
a. Passivity
b. Focusing
c. Mindfulness
d. Receptivity
ACCURATE ANSWER:-D ra
Receptivity is defined as the ability to tolerate and accept experiences that are uncertain, unf
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
amiliar, or paradoxical. Passivity is the ability to stop unnecessary goaldirected and analytical act
ra ra ra ra ra ra ra ra ra ra ra ra ra
ivity. Focusing is the ability to identify, differentiate, maintain atten
ra ra ra ra ra ra ra ra ra
tion on, and return attention to simple stimuli for an extended period. Mindfulness is not a co
ra ra ar ra ra ra ra ra ra ra ra ra ra ra ra ra
gnitive skill needed in relaxation therapy but is needed for meditation.
ra ar ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the relaxation response and its effect on somatic ailments. TOP:Teaching
ra ra ra ra ra ra ra ra ra ra
/Learning
MSC: Health Promotion and Maintenanc e ra ra ra ra
7. A hospital client asks about the new clinic in town that is staffed by allopathic and
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complementary practitioners. Which term would best describe this type of clinic? a. Ayurvedic ra ra ra ra ra ra ra ra ra ra
b. Homeopathic
c. Integrative medical ra
d. Naturopathic medical ra
ACCURATE ANSWER:-C ra
An integrative medical program allows health care consumers to be treated by a team of provi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ders consisting of both allopathic and complementary practitioners. Several therapies are alwa
ra ra ra ra ra ra ra ra ra ra ar
ys considered alternative because they are based on completely different philosophies and life sy
ra ra ra ra ra ra ra ra ra ra ra ra ra
stems from those used by allopathic medicine. Alternative therapies include ayurvedic, homeo
ra ra ra ra ra ra ra ra ra ra ra
pathic, and naturopathic. ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the difference between complementary and alternative therapies.
ra ra ra ra ra ra ra ra
TOP:Planning MSC: Health Promotion and Maintenance ra ra ra ra
8. The group leader is overheard saying to the gathering of hospital client s, ―Focus on your
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
breathing once again …. Notice how it is regular …. Now focus on your left arm …. Notice how
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar r
relaxed your left arm feels …. Notice the relaxation going down the left arm to the hand.‖ A
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hospital client asks the nursing attendant what the group is doing. What is the nursing att
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
endant ’s best response? ra ra ra
a. Progressive relaxation training ra ra
b. Group biofeedback ra
c. Guided imagery ra
d. Meditation
ACCURATE ANSWER:-A ra
ra ra ra ra ra ra
MULTIPLE CHOICE ra
1. A hospital client describes practicing a complementary and alternative therapy involving bre
ra ra ra ra ra ra ra ra ra ra ra
athwork and yoga. The nursing attendant also recommends using energy field therapies. Wh
ra ra ra ra ra ra ra ra ra ra ra ra
ich techniques did the nursing attendant suggest? a. Prayer and tai chi
ra ra ra ra ra ra ra ra ra
b. The ―zone‖ and acupressure ra ra ra
c. Massage therapy and ayurveda ra ra ra
d. Reiki therapy and therapeutic touch ra ra ra ra
ACCURATE ar
ANSWER:-D
Both yoga and breathwork are mind-
ra ra ra ra ra
body therapies, whereas both reiki and therapeutic touch therapies are energy field therapies
ra ra ra ra ra ra ra ar ra ra ra ra
. Tai chi is mind-
ra ra ra ra
body intervention. Acupressure and massage are bodybased methods. Ayurvedic is a type of who
ra ra ra ra ra ra ra ra ra ra ra ra ra
le medical system.
ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss the methods of and the psychophysiological responses to therapeutic touch.
ra ra ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Health Promotion and Maintenance ra ra ra
2. A teen diagnosed with an anxiety disorder is referred for biofeedback training because the
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
parents do not want their child to take anxiolytics. Which statement from the teen indicate
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s successful learning?
ar ra
a. ―Biofeedback will help me with my thoughts and physiological responses to s tress.‖ ra ra ra ra ra ra ra ra ra ra ar
b. ―Biofeedback will direct my energies in an intentional way when stressed.‖ ra ra ra ar ra ra ra ra ar ra
c. ―Biofeedback will allow me to manipulate my stressed-out joints.‖ ra ra ra ra ra ra ar ra
d. ―Biofeedback will let me assess and redirect my energy fields.‖ ra ra ra ra ra ra ra ra ar
ACCURATE ANSWER:-A ra
By using electromechanical instruments, a person can receive information orACCURATE
ra ra ra ra ra ra ra ra ra ar
ANSWER:-
on his or her stress level. Having this knowledge allows the hospital client to develop awa
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
reness and voluntary control over his or her physiological symptoms.
ra ra ra ra ra ra ra ra ra
Biofeedback does not address energy fields; healing touch, reiki, and therapeutic touch are
ra ra ra ra ra ra ra ra ra ra ra ra ar
energy fields. Directing energies is therapeutic touch. Manipulation of body alignment and j
ra ra ra ra ra ra ra ra ra ra ra ar
oints is done by a chiropractor.
ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the purpose and principles of biofeedback. TOP:Teaching/Learning MSC: ra ra ra ra ra ra ar ra
Health Promotion and Maintenance ra ra ra
3. An olderadult hospital client is newly admitted to a skilled nursing facility. Medica
ra ra ra ra ra ra ra ra ra ra ra ra
tions brought on ra ra ra
admission included lisinopril, hydrochlorothiazide, warfarin, lowdose aspirin, Gink
ra ra ra ra ra ra ra
go biloba, and echinacea. Which potential interaction will cause the nursing
ra ra ra ra ra ra ra ra ra ra
, attendant to notify the hospital client ’s health care provider? a.
ra ra ar ra ra ra ra ra ra ra
Echinacea and warfarin ra ra
b. Lisinopril and echinacea ra ra
c. Warfarin and G. biloba ra ra ra
d. Lisinopril and hydrochlorothiazide ra ra
ACCURATE ANSWER:-C ra
Warfarin and blood thinners interact with G. biloba (designed to improve memory). All herbal
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
supplements should be evaluated with current pharmacological medications. The other optio
ra ra ra ra ra ra ra ra ra ra
ns do not have interactions with each other.
ar ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Compare safe and unsafe herbal therapies. TOP:Implemen tation ra ra ra ra ra ar MSC:
Pharmacological and Parenteral Therapies ra ra ra
4. A hospital client asks the nursing attendant for a nonmedical approach for excessiv
ra ra rara ra ra ra ra ra ra ra ra ra
e worry and work stress. Which therapy should the nursing attendant recommend?
ar ar ra ra ra ra ra ra ra ra ra
a. Meditation
b. Acupuncture
c. Ayurvedic herbs ra
d. Chiropractic care ra
ACCURATE ANSWER:-A ra
Meditation is indicated for stressrelated illness and is a nonmedical approach. In addition, medit
ra ra ra ra ra ra ra ra ra ra ra ra ra
ation increases productivity, i ra ra ra
mproves mood, increases sense of identity, and lowers irritability. Acupuncture, ayurvedic, a
ra ra ra ra ra ra ra ra ra ra ra
nd chiropractic are all medical approaches. The use of ayurvedic herbs has been available for c
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
enturies to treat illness and is a type of whole medical system. Acupuncture focuses on redirect
ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra
ing vital energy (qi) in the body’s meridian energy lines to influence deeper internal organs. C
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hiropractic therapy involves manipulation of the spinal column and includes physiotherapy a
ra ra ra ra ra ra ra ra ra ra ra
nd diet therapy. ra ra
DIF:Analyze (analysis) ra
OBJ:Identify the clinical applications of relaxation therapies. ra ra ra ra ra ra
TOP:Implementatio n MSC: Psychosocial Integrity ar ra ra
5. A nursing attendant is teaching about the therapy that is more effective in treating physica
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
l ailments than in preventing stress related disease or managing chronic illness. Which the
ar ra ra ra ra ra ra ra ra ra ra ra ra
rapy is the nursing attendant describing?
ra ra ra ra ra
a. Complementary
b. Biomedicine
c. Alternative
d. Mind-body
ACCURATE ANSWER:-B ra
Despite the success of allopathic or biomedicine (conventional Western medicine), many c
ra ra ra ra ra ra ra ra ra ra ra
onditions such as chronic back and neck pain, arthritis, gastrointestinal problems, allergies,
ra ra ra ra ra ra ra ra ra ra ra ar
h eadache, and anxiety continue to be difficult to treat. Complementary, alternative, and min
ra ra ra ra ra ra ra ra ra ra ra ra
d-
body types of medicines can be used in tandem with allopathic medicines but are distinctly
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
different.
ra
, DIF:Understand (comprehension) ra
OBJ:Explain the difference between complementary and alternative therapies. TOP:T
ra ra ra ra ra ra ra ra
eaching/Learning
MSC: Health Promotion and Maintenanc e ra ra ra ra
6. During a relaxation therapy skills group, the instructor discusses the cognitive skill of learning
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
to tolerate uncertain and unfamiliar experiences. Which skill is the nursing attendant descri
ra ra ra ra ra ra ra ra ra ra ra ra
bing?
a. Passivity
b. Focusing
c. Mindfulness
d. Receptivity
ACCURATE ANSWER:-D ra
Receptivity is defined as the ability to tolerate and accept experiences that are uncertain, unf
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
amiliar, or paradoxical. Passivity is the ability to stop unnecessary goaldirected and analytical act
ra ra ra ra ra ra ra ra ra ra ra ra ra
ivity. Focusing is the ability to identify, differentiate, maintain atten
ra ra ra ra ra ra ra ra ra
tion on, and return attention to simple stimuli for an extended period. Mindfulness is not a co
ra ra ar ra ra ra ra ra ra ra ra ra ra ra ra ra
gnitive skill needed in relaxation therapy but is needed for meditation.
ra ar ra ra ra ra ra ra ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the relaxation response and its effect on somatic ailments. TOP:Teaching
ra ra ra ra ra ra ra ra ra ra
/Learning
MSC: Health Promotion and Maintenanc e ra ra ra ra
7. A hospital client asks about the new clinic in town that is staffed by allopathic and
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
complementary practitioners. Which term would best describe this type of clinic? a. Ayurvedic ra ra ra ra ra ra ra ra ra ra
b. Homeopathic
c. Integrative medical ra
d. Naturopathic medical ra
ACCURATE ANSWER:-C ra
An integrative medical program allows health care consumers to be treated by a team of provi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ders consisting of both allopathic and complementary practitioners. Several therapies are alwa
ra ra ra ra ra ra ra ra ra ra ar
ys considered alternative because they are based on completely different philosophies and life sy
ra ra ra ra ra ra ra ra ra ra ra ra ra
stems from those used by allopathic medicine. Alternative therapies include ayurvedic, homeo
ra ra ra ra ra ra ra ra ra ra ra
pathic, and naturopathic. ra ra
DIF:Understand (comprehension) ra
OBJ:Explain the difference between complementary and alternative therapies.
ra ra ra ra ra ra ra ra
TOP:Planning MSC: Health Promotion and Maintenance ra ra ra ra
8. The group leader is overheard saying to the gathering of hospital client s, ―Focus on your
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
breathing once again …. Notice how it is regular …. Now focus on your left arm …. Notice how
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar r
relaxed your left arm feels …. Notice the relaxation going down the left arm to the hand.‖ A
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hospital client asks the nursing attendant what the group is doing. What is the nursing att
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
endant ’s best response? ra ra ra
a. Progressive relaxation training ra ra
b. Group biofeedback ra
c. Guided imagery ra
d. Meditation
ACCURATE ANSWER:-A ra
