C HAPTER 36: I NTEGRATIVE C ARE
Varcarolis’ Foundations of Psych iatric-Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. For which patient would it be most important for the nurse to urge
immediate discontinuation of kava? A patient with a comorbid diagnosis
of:
a. cirrhosis.
b. osteoarthritis.
c. multiple sclerosis.
d. chronic back pain.
ANS: A
Kava should be used with caution in patients with liver disease because
of its potentiall y hepatotoxic effects. The other health problems do not
pose immediate dangers.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 638 TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity
2. A patient tells t he nurse, I prefer to treat my physical problems with herbs
and vitamins. They are natural substances, and natural products are safe.
Which response by the nurse would be most appropriate?
a. Natural substances tend to be safer than conventional medical
remedies.
b. Natural remedies give you the idea that you are controlling your
treatment.
c. The word natural can be a marketing term used to impl y a product is
healthy, but thats not always true.
, d. You should not treat your own physical problems. You should see
your health care provider for these problems.
ANS: C
CAM remedies are usuall y natural substances, but it is a fallacy that
products labeled natural are safer than conventional medicines. Some
natural products contain powerful ingredients that can cause illn ess and
damage to the body if taken inappropriately and, for some persons, can
be dangerous even when used as directed. This is the most important
message for the nurse to convey to the patient. So -called natural
substances can have a number have significa nt side effects. Natural
substances may give one the belief that he is controlling his own
treatment, but that is not the message that most needs to be
communicated here. Many patients can safel y self - manage minor
physical problems.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 635 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. An immigrant from China needs a colonic resection but is anxious and
reluctant about surgery. This patient usuall y follows tr aditional Chinese
health practices. Which comment by the nurse would most likely reduce
the patients anxiet y and reluctance?
a. Surgery will help rebalance the yin and yang forces and return you
to harmony.
b. The surgery we are recommending will help you achi eve final
transformation.
c. I know this is new to you, but you can trust us to take very good
care of you.
d. If you would like, we could investigate using acupuncture to help
control pain.
ANS: D
, It would be helpful to incorporate elements of TCM as approp riate,
such as acupuncture for pain control. Traditional Chinese medicine
(TCM) has the goal of healing in harmony with ones environment and
all of creation in mind, body, and spirit, as well as balance of yin and
yang energies and a state of transition. H owever, it would not be
helpful to suggest that surgery will balance the yin and the yang, since
this is not how balance is achieved in TCM. Transformation is
recognized as a stage of healing occurring when mutual, creative,
active participation occurs bet ween healers and the patient toward
changes in the mind, body, and spirit; but final transformation could
impl y the end of corporeal life and might be perceived as hastening his
demise. Appealing to him to trust persons whose practices are foreign
to him conflicts with the patients values and would not likel y be
effective.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 643
TOP: Nursing Process: Planning MSC: Client Needs:
Psychosocial Integrity
4. Which complementary and alternative medicine (CAM) meth od is
associated with using allergy injections of small amounts of an allergen in
solution?
a. Naturopathy
b. Homeopathy
c. Chiropractic
d. Shiatsu
ANS: B
Homeopathy uses small doses of a substance to stimulate the bodys
defenses and healing mechanis ms to treat illness. Naturopathy
emphasizes health restoration rather than disease. Chiropractic uses
Varcarolis’ Foundations of Psych iatric-Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. For which patient would it be most important for the nurse to urge
immediate discontinuation of kava? A patient with a comorbid diagnosis
of:
a. cirrhosis.
b. osteoarthritis.
c. multiple sclerosis.
d. chronic back pain.
ANS: A
Kava should be used with caution in patients with liver disease because
of its potentiall y hepatotoxic effects. The other health problems do not
pose immediate dangers.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 638 TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity
2. A patient tells t he nurse, I prefer to treat my physical problems with herbs
and vitamins. They are natural substances, and natural products are safe.
Which response by the nurse would be most appropriate?
a. Natural substances tend to be safer than conventional medical
remedies.
b. Natural remedies give you the idea that you are controlling your
treatment.
c. The word natural can be a marketing term used to impl y a product is
healthy, but thats not always true.
, d. You should not treat your own physical problems. You should see
your health care provider for these problems.
ANS: C
CAM remedies are usuall y natural substances, but it is a fallacy that
products labeled natural are safer than conventional medicines. Some
natural products contain powerful ingredients that can cause illn ess and
damage to the body if taken inappropriately and, for some persons, can
be dangerous even when used as directed. This is the most important
message for the nurse to convey to the patient. So -called natural
substances can have a number have significa nt side effects. Natural
substances may give one the belief that he is controlling his own
treatment, but that is not the message that most needs to be
communicated here. Many patients can safel y self - manage minor
physical problems.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 635 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. An immigrant from China needs a colonic resection but is anxious and
reluctant about surgery. This patient usuall y follows tr aditional Chinese
health practices. Which comment by the nurse would most likely reduce
the patients anxiet y and reluctance?
a. Surgery will help rebalance the yin and yang forces and return you
to harmony.
b. The surgery we are recommending will help you achi eve final
transformation.
c. I know this is new to you, but you can trust us to take very good
care of you.
d. If you would like, we could investigate using acupuncture to help
control pain.
ANS: D
, It would be helpful to incorporate elements of TCM as approp riate,
such as acupuncture for pain control. Traditional Chinese medicine
(TCM) has the goal of healing in harmony with ones environment and
all of creation in mind, body, and spirit, as well as balance of yin and
yang energies and a state of transition. H owever, it would not be
helpful to suggest that surgery will balance the yin and the yang, since
this is not how balance is achieved in TCM. Transformation is
recognized as a stage of healing occurring when mutual, creative,
active participation occurs bet ween healers and the patient toward
changes in the mind, body, and spirit; but final transformation could
impl y the end of corporeal life and might be perceived as hastening his
demise. Appealing to him to trust persons whose practices are foreign
to him conflicts with the patients values and would not likel y be
effective.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 643
TOP: Nursing Process: Planning MSC: Client Needs:
Psychosocial Integrity
4. Which complementary and alternative medicine (CAM) meth od is
associated with using allergy injections of small amounts of an allergen in
solution?
a. Naturopathy
b. Homeopathy
c. Chiropractic
d. Shiatsu
ANS: B
Homeopathy uses small doses of a substance to stimulate the bodys
defenses and healing mechanis ms to treat illness. Naturopathy
emphasizes health restoration rather than disease. Chiropractic uses
