CHAPTER 32: COMPLEMENTARY AND ALTERNATIVE THERAPIES {Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition}

C HAPTER 32: C OMPLEMENTARY AND
A LTERNATIVE T HERAPIES
Williams: deWit's Fund amental Concepts and Skills for Nursing, 5th
Edition




MULTIPLE CHOICE


1. Before integrating humor in the care of an Asian patient, the nurse should:
a. develop jokes about the patient’s condition.
b. develop jokes about the doctors and nurses.
c. ask the patient whether jokes are understood.
d. ask the patient’s feelin gs about hearing a joke or funny story.



ANS: D



Humor and laughter are used at the bedside to distract patients from
pain, and they have a positive effect on the body. However, it is
important to check with the patient first to find out whether it might be
considered disrespectful.



DIF: Cognitive Level: Application REF: p. 617 OBJ:
Theory #2 TOP: Humor KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y: Psychosocial
Adaptation



2. The nurse caring for a patient without any religi ous affiliation who was
admitted 2 days ago with a severe gastrointestinal infection encounters the

, hospital chaplain who wants to pray with the patient. The most appropriate
response by the nurse is:
a. “That is a wonderful idea. I am sure that the patient w ill find
comfort in that.”
b. “Before you do that, we need to get the patient’s permission.”
c. “I need to get an order from the doctor.”
d. “I don’t think the patient wants any religious interventions.”



ANS: B



Although prayer has been known to promote healing, the patient’s
privacy must be protected.



DIF: Cognitive Level: Application REF: p. 617 OBJ:
Clinical Practice #1 TOP: Prayer KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Psychosocial Integrity: Psychosocial Adaptation



3. A Hispanic female pat ient visits the clinic with complaints of sleep loss
and wants sleeping pills. In further talking with the patient, the nurse
learns that the patient is also drinking valerian tea. The most appropriate
nursing action is to:
a. talk to the patient about her us ual sleep habits.
b. instruct the patient on the appropriate dose for sleeping pills.
c. inform the doctor that the patient is drinking valerian tea.
d. give written instructions about the effects and side effects of
sleeping pills.



ANS: C

, It is vital for health care providers to know whether patients are
taking over-the- counter herbal or homeopathic substances because
these may interact with prescription medications, even leading to organ
transplant rejection Valerian is a minor tranquilizer for sleep disorders .
Combining both valerian and hypnotics puts this patient at risk for
sedation overdose, so it is best that the doctor is aware.



DIF: Cognitive Level: Application REF: p. 620 OBJ:
Theory #5 TOP: Herbal Remedies KEY: Nursing Process
Step: Implementat ion MSC: NC LEX: Health Promotion
and Maintenance: Prevention and Earl y Detection of Disease



4. The home health nurse helps a patient schedule an appointment with a
chiropractor because of chronic back pain, instructing the patient that the
chiropractic treatment will involve:
a. manipulation of the spine.
b. deep massage.
c. herbal remedies.
d. energy therapies.



ANS: A



Chiropractic therapy is the manipulation of the spine for relief of pain
by correcting the spine alignment, and is being accepted more widel y
as an alternative form of health care.



DIF: Cognitive Level: Knowledge REF: p. 616 OBJ:
Theory #6 TOP: Chiropractic Therapy KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort