Test Bank for Varcarolis's
Canadian Psychiatric Mental
Health Nursing 3rd Edition By
Cheryl Pollard, Sonya Jakubec (All
Chapters 1-35, 100% Original
Verified, A+ Garde)
All Chapters Arranged Reverse: 35-1
Chapter Wise (1-35) Download link is
Added at The End of PDF File.
This is The Only Original and
Complete Test Bank for 3rd
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 35: Integrative and Complimentary Therapies
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical
Approach, 3rd Edition
MULTIPLE CHOICE
1. A patient tells the nurse, “I’ve been having problems with my memory. I read some
information on the Internet and started taking ginkgo.” Which demonstrates the nurses best
response?
a. “The Internet does not have reliable health information for consumers.”
b. “More recent studies indicate ginkgo does not help memory problems.”
c. “Valerian has been shown to have better effects for treating memory problems.”
d. “Your memory problems are related to your circulation problems. Herbs will not
help.”
ANS: B
Recent studies indicate ginkgo biloba may not help with cognition or memory problems but
may play a role in prevention and treatment of cognitive decline, depression, and memory loss
associated with electroconvulsive therapy. Valerian is useful for treating mild depression or
anxiety. The other distracters are misleading.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A patient shows a nurse this advertisement: “Our product is a scientific breakthrough helpful
for depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates
circulation and excretes toxins. Satisfaction guaranteed or your money back.” Which
demonstrates a therapeutic response?
a. “Over-the-counter products for sleep problems are ineffective.”
b. “Do not take anything unless it’s prescribed by your doctor.”
c. “Let’s do some additional investigation of that product.”
d. “It sounds like you are trying to self-medicate.”
ANS: C
Helping consumers actively evaluate the quality of information available to them is important.
It is important for the nurse to work with the patient and include the patient’s preferences
regarding management of health. Advertisements indicating scientific breakthroughs or
promising miracles for multiple ailments are usually for products that are useless and being
fraudulently marketed. Some may even be harmful. Some over-the-counter products can be
useful, and patients do not need a prescription for these products. The broader issue is safety
and efficacy, rather than whether the patient is trying to self-medicate.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
3. A patient wants to learn more about integrative therapies. Which resource should the nurse
suggest for the most reliable information?
a. The Internet
b. The Canadian Nurses Association (CNA)
c. Health Canada’s Natural Health Products Directorate (NHPD)
, d. National Center for Complementary and Alternative Medicine (NCCAM)
ANS: D
Health Canada’s Natural Health Products Directorate (NHPD) has a clearinghouse from which
individuals may obtain information. The National Centre for Complementary and Alternative
Medicine is a reliable resource; however, it is based in the USA. The Internet has many
resources, but some are unreliable. The CNA does not provide extensive information about
this topic.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. A patient with a history of asthma says, “I’ve been very nervous lately. I think aromatherapy
will help. I am ordering $250 worth of oils from an Internet site that promised swift results.”
Which is the nurse’s best action?
a. Support the patient’s efforts to become informed and to find health solutions.
b. Suggest the patient check with friends who have tried aromatherapy for treatment
of anxiety.
c. Remind the patient, “If you spend that much on oils, you may not be able to buy
your prescribed medication.”
d. Tell the patient, “Aromatherapy can complicate respiratory problems such as
asthma. Let’s consider some other options.”
ANS: D
Some individuals, particularly those with pulmonary disease, may be sensitive or allergic to
essential oils when they encounter the skin or are inhaled. Safety is paramount, and
aromatherapy may cause complications for a patient with asthma. The nurse should view
alternative treatments with an open mind and try to recognize the importance of the treatment
to the patient while trying to give the patient accurate, reliable information about the
treatment. Although efforts to become health literate should be supported, educating the
patient about the pitfalls of relying on the Internet is essential. The opinions of others, whether
they are positive or negative, lack a scientific basis and are subject to confounding variables
such as the placebo effect and individual factors such as age and health history. Admonishing
the patient may jeopardize the relationship.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. A patient says, “I have taken mega doses of vitamin E for 3 months to improve my circulation,
but I think I feel worse.” Which action should the nurse take first?
a. Explain to the patient that mega doses may be harmful and advise caution.
b. Assess the patient for symptoms and signs of toxicity from excess vitamin
exposure.
c. Assess for signs of circulatory integrity to determine whether improvement has
occurred.
d. Educate the patient that research has not shown that mega doses of vitamins
produce benefits.
ANS: B
, Mega doses of many vitamins, especially when taken over long periods, may produce
dangerous adverse effects or toxicity. The priority for the nurse is to assess for signs of any
dangerous consequences of the patient’s use of such a regimen. Secondary interventions
would include patient education about research findings related to the practice, along with any
benefits and undesired effects associated with the practice. A health care provider should also
assess the patient for cardiovascular concerns.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
6. Acupuncture is a traditional Chinese medical treatment based on which of the following
beliefs?
a. That insertion of needles in key locations will drain toxic energies
b. That pressure on meridian points will correct problems in energy flow
c. That insertion of needles modulates the flow of energy along body meridians
d. That taking small doses of noxious substances will alleviate specific symptoms
ANS: C
Acupuncture involves the insertion of needles to modulate the flow of body energy (chi) along
specific body pathways called meridians. Acupressure uses pressure to effect energy flow.
Homeopathy involves the use of micro dosages of specific substances to effect health
improvement. Traditional Chinese medicine is more concerned with energy and life force
balance, and acupuncture is not predicated on the removal of toxic energies.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
7. A patient reports good results from taking an herb to manage migraine headache pain. The
nurse confirms there are no hazardous interactions between the herb and the patient’s current
prescription drugs. Which statement demonstrates the nurse’s understanding for the patient?
a. “Thank you for telling me. I’ll make a note in your medical record that you take
it.”
b. “You are experiencing a placebo effect. When we believe something will help, it
usually does.”
c. “Self-management of health problems can be dangerous. You should have notified
me sooner.”
d. “Research studies show that herbals actually increase migraine pain by inflaming
nerve cells in the brain.”
ANS: A
People who use TCAM therapies often do so without informing their conventional health care
providers, which poses some risk. The nurse should reinforce the patient for reporting use of
the herb. If it poses no danger, the nurse can document the use. The patient may also get
placebo effect from the herb, but it is not necessary for the nurse to point out that information.
The distracters are judgemental and may discourage the patient from openly sharing in the
future.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
Canadian Psychiatric Mental
Health Nursing 3rd Edition By
Cheryl Pollard, Sonya Jakubec (All
Chapters 1-35, 100% Original
Verified, A+ Garde)
All Chapters Arranged Reverse: 35-1
Chapter Wise (1-35) Download link is
Added at The End of PDF File.
This is The Only Original and
Complete Test Bank for 3rd
Edition, All Other Files in The
Market are Fake/Old/Wrong
Edition.
,Chapter 35: Integrative and Complimentary Therapies
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical
Approach, 3rd Edition
MULTIPLE CHOICE
1. A patient tells the nurse, “I’ve been having problems with my memory. I read some
information on the Internet and started taking ginkgo.” Which demonstrates the nurses best
response?
a. “The Internet does not have reliable health information for consumers.”
b. “More recent studies indicate ginkgo does not help memory problems.”
c. “Valerian has been shown to have better effects for treating memory problems.”
d. “Your memory problems are related to your circulation problems. Herbs will not
help.”
ANS: B
Recent studies indicate ginkgo biloba may not help with cognition or memory problems but
may play a role in prevention and treatment of cognitive decline, depression, and memory loss
associated with electroconvulsive therapy. Valerian is useful for treating mild depression or
anxiety. The other distracters are misleading.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A patient shows a nurse this advertisement: “Our product is a scientific breakthrough helpful
for depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates
circulation and excretes toxins. Satisfaction guaranteed or your money back.” Which
demonstrates a therapeutic response?
a. “Over-the-counter products for sleep problems are ineffective.”
b. “Do not take anything unless it’s prescribed by your doctor.”
c. “Let’s do some additional investigation of that product.”
d. “It sounds like you are trying to self-medicate.”
ANS: C
Helping consumers actively evaluate the quality of information available to them is important.
It is important for the nurse to work with the patient and include the patient’s preferences
regarding management of health. Advertisements indicating scientific breakthroughs or
promising miracles for multiple ailments are usually for products that are useless and being
fraudulently marketed. Some may even be harmful. Some over-the-counter products can be
useful, and patients do not need a prescription for these products. The broader issue is safety
and efficacy, rather than whether the patient is trying to self-medicate.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
3. A patient wants to learn more about integrative therapies. Which resource should the nurse
suggest for the most reliable information?
a. The Internet
b. The Canadian Nurses Association (CNA)
c. Health Canada’s Natural Health Products Directorate (NHPD)
, d. National Center for Complementary and Alternative Medicine (NCCAM)
ANS: D
Health Canada’s Natural Health Products Directorate (NHPD) has a clearinghouse from which
individuals may obtain information. The National Centre for Complementary and Alternative
Medicine is a reliable resource; however, it is based in the USA. The Internet has many
resources, but some are unreliable. The CNA does not provide extensive information about
this topic.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. A patient with a history of asthma says, “I’ve been very nervous lately. I think aromatherapy
will help. I am ordering $250 worth of oils from an Internet site that promised swift results.”
Which is the nurse’s best action?
a. Support the patient’s efforts to become informed and to find health solutions.
b. Suggest the patient check with friends who have tried aromatherapy for treatment
of anxiety.
c. Remind the patient, “If you spend that much on oils, you may not be able to buy
your prescribed medication.”
d. Tell the patient, “Aromatherapy can complicate respiratory problems such as
asthma. Let’s consider some other options.”
ANS: D
Some individuals, particularly those with pulmonary disease, may be sensitive or allergic to
essential oils when they encounter the skin or are inhaled. Safety is paramount, and
aromatherapy may cause complications for a patient with asthma. The nurse should view
alternative treatments with an open mind and try to recognize the importance of the treatment
to the patient while trying to give the patient accurate, reliable information about the
treatment. Although efforts to become health literate should be supported, educating the
patient about the pitfalls of relying on the Internet is essential. The opinions of others, whether
they are positive or negative, lack a scientific basis and are subject to confounding variables
such as the placebo effect and individual factors such as age and health history. Admonishing
the patient may jeopardize the relationship.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. A patient says, “I have taken mega doses of vitamin E for 3 months to improve my circulation,
but I think I feel worse.” Which action should the nurse take first?
a. Explain to the patient that mega doses may be harmful and advise caution.
b. Assess the patient for symptoms and signs of toxicity from excess vitamin
exposure.
c. Assess for signs of circulatory integrity to determine whether improvement has
occurred.
d. Educate the patient that research has not shown that mega doses of vitamins
produce benefits.
ANS: B
, Mega doses of many vitamins, especially when taken over long periods, may produce
dangerous adverse effects or toxicity. The priority for the nurse is to assess for signs of any
dangerous consequences of the patient’s use of such a regimen. Secondary interventions
would include patient education about research findings related to the practice, along with any
benefits and undesired effects associated with the practice. A health care provider should also
assess the patient for cardiovascular concerns.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
6. Acupuncture is a traditional Chinese medical treatment based on which of the following
beliefs?
a. That insertion of needles in key locations will drain toxic energies
b. That pressure on meridian points will correct problems in energy flow
c. That insertion of needles modulates the flow of energy along body meridians
d. That taking small doses of noxious substances will alleviate specific symptoms
ANS: C
Acupuncture involves the insertion of needles to modulate the flow of body energy (chi) along
specific body pathways called meridians. Acupressure uses pressure to effect energy flow.
Homeopathy involves the use of micro dosages of specific substances to effect health
improvement. Traditional Chinese medicine is more concerned with energy and life force
balance, and acupuncture is not predicated on the removal of toxic energies.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
7. A patient reports good results from taking an herb to manage migraine headache pain. The
nurse confirms there are no hazardous interactions between the herb and the patient’s current
prescription drugs. Which statement demonstrates the nurse’s understanding for the patient?
a. “Thank you for telling me. I’ll make a note in your medical record that you take
it.”
b. “You are experiencing a placebo effect. When we believe something will help, it
usually does.”
c. “Self-management of health problems can be dangerous. You should have notified
me sooner.”
d. “Research studies show that herbals actually increase migraine pain by inflaming
nerve cells in the brain.”
ANS: A
People who use TCAM therapies often do so without informing their conventional health care
providers, which poses some risk. The nurse should reinforce the patient for reporting use of
the herb. If it poses no danger, the nurse can document the use. The patient may also get
placebo effect from the herb, but it is not necessary for the nurse to point out that information.
The distracters are judgemental and may discourage the patient from openly sharing in the
future.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
