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Flashcards in Final - Ch 3-12 Deck (88):
1

A depressed client states, “I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again.” Which nursing response is appropriate?

A.
“Medications only address biological factors. Environmental and interpersonal factors must also be considered.”
B.
“Because biological factors are the sole cause of depression, medications will improve your mood.”
C.
“Environmental factors have been shown to exert the most influence in the development of depression.”
D.
“Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment).”

A

2

A client diagnosed with major depressive disorder asks, “What part of my brain makes me depressed?” Which nursing response is appropriate?

A.
“The occipital lobe governs perceptions, judging them as positive or negative.”
B.
“The parietal lobe has been linked to depression.”
C.
“The medulla regulates key biological and psychological activities.”
D.
“The limbic system is largely responsible for one’s emotional state.”

D

3

Which part of the nervous system should a nurse identify as playing a major role during stressful situations?

A.
Peripheral nervous system.
B.
Somatic nervous system.
C.
Sympathetic nervous system.
D.
Parasympathetic nervous system.

C

4

Which client statement reflects an understanding of circadian rhythms in psychopathology?

A.
“When I dream about my mother’s horrible train accident, I become hysterical.”
B.
“I get really irritable during my menstrual cycle.”
C.
“I’m a morning person. I get my best work done in the a.m.”
D.
“Every February, I tend to experience periods of sadness.”

C

5

Which types of adoption studies should a nurse determine as providing useful information for the psychiatric community?

A.
Studies in which children with mentally ill biological parents are raised by adoptive parents who were mentally healthy.
B.
Studies in which children with mentally healthy biological parents are raised by adoptive parents who were mentally ill.
C.
Studies in which monozygotic twins from mentally ill parents were raised separately by different adoptive parents.
D.
Studies in which monozygotic twins were raised together by mentally ill biological parents.
E.
All of the above

E

6

A nurse is caring for a wife diagnosed with colitis 6 months after her husband and children were killed in a car accident. Which study perspective would this situation validate?

A.
Neuroendocrinology
B.
Psychoimmunology
C.
Diagnostic technology
D.
Neurophysiology

B

7

A withdrawn client, diagnosed with schizophrenia, expresses little emotion and refuses to attend group therapy. What altered component of the nervous system should a nurse recognize as most responsible for this behavior?

A.
Dendrites
B.
Axons
C.
Neurotransmitters
D.
Synapses

C

8

A group of nursing students is receiving instruction from a nurse educator about neurotransmitters. Which process best explains how neurotransmitters released into the synaptic cleft may return to the presynaptic neuron?

A.
Regeneration
B.
Reuptake
C.
Recycling
D.
Retransmission

B

9

A nurse concludes that a restless, agitated client is manifesting a fight or flight response. With which neurotransmitter should the nurse associate this response?

A.
Acetylcholine
B.
Dopamine
C.
Serotonin
D.
Norepinephrine

D

10

A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which neurotransmitter should a nurse expect to be elevated in the client?

A.
Serotonin
B.
Dopamine
C.
Gamma-aminobutyric (GABA)
D.
Histamine

B

11

A client’s wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client’s therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist’s advice?

A.
The therapist is using an interpersonal approach.
B.
The client has an alteration in neurotransmitters.
C.
It is routine practice to remind clients about nutrition, exercise, and rest.
D.
The client is susceptible to illness due to effects of stress on the immune system.

D

12

A nurse is caring for a client in the third trimester of pregnancy. Which illness, if diagnosed during the mental assessment of this client, should the nurse associate with a decrease in prolactin level?

A.
Major depression
B.
Schizophrenia
C.
Anorexia nervosa
D.
Alzheimer’s disease

B

13

Which cerebral structure should a nursing instructor describe to students as the “emotional brain”?

A.
The cerebellum
B.
The limbic system
C.
The cortex
D.
The left temporal lobe

B

14

A nurse understands that abnormal secretion of growth hormone may play a role in which illness?

A.
Acute mania
B.
Schizophrenia
C.
Anorexia nervosa
D.
Alzheimer’s disease

C

15

A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the production of these symptoms?

A.
Abnormal levels of serotonin.
B.
Decreased levels of dopamine.
C.
Increased levels of norepinephrine.
D.
Decreased levels of acetylcholine.

D

16

In which illness should a nurse anticipate that a decrease in norepinephrine level would play a significant role?

A.
Mania
B.
Schizophrenia
C.
Anxiety
D.
Depression

D

17

Which client diagnosis should a nurse associate with a decrease in gamma-aminobutyric acid (GABA)?

A.
Alzheimer’s disease
B.
Schizophrenia
C.
Panic disorder
D.
Depression

C

18

A should nurse expects that an increase in dopamine activity may play a significant role in which client illness?

A.
Schizophrenia
B.
Depression
C.
Body dysmorphic disorder
D.
Parkinson’s disease

A

19

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

A.
To clarify personal attitudes, values, and beliefs.
B.
To obtain thorough assessment data.
C.
To determine the client’s length of stay.
D.
To establish personal goals for the interaction.

A

20

A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. A nurse streamlines the assessment, verbally assures safety, and provides a warm meal. What is the nurse promoting by these actions?

A.
Sympathy
B.
Trust
C.
Veracity
D.
Manipulation

B

21

If a client demonstrates transference toward a nurse, how should the nurse respond?

A.
By promoting safety and immediately terminating the relationship with the client.
B.
By encouraging the client to ignore these thoughts and feelings.
C.
By immediately reassigning the client to another staff member.
D.
By helping the client to clarify the meaning of the relationship, based on the present situation.

D

22

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

A.
Acknowledge the client’s actions and generate alternative behaviors.
B.
Establish rapport and develop treatment goals.
C.
Attempt to find alternative placement.
D.
Explore how thoughts and feelings about this client may adversely impact nursing care.

B

23

Which client action should a nurse expect during the working phase of the nurse-client relationship?

A.
The client gains insight and incorporates alternative behaviors.
B.
The client establishes rapport with the nurse and mutually develops treatment goals.
C.
The client explores feelings related to reentering the community.
D.
The client explores personal strengths and weaknesses that impact behavioral choices.

A

24

What should be the nurse’s primary goal during the preinteraction phase of the nurse-client relationship?

A.
To evaluate goal attainment and ensure therapeutic closure.
B.
To establish trust and formulate a contract for intervention.
C.
To explore self-perceptions.
D.
To promote client change.

C

25

Which phase of the nurse-client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?

A.
Preinteraction
B.
Orientation
C.
Working
D.
Termination

B

26

Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?

A.
“I can’t bear the thought of leaving here and failing.”
B.
“I might have a hard time working with you because you remind me of my mother.”
C.
“I really don’t want to talk any more about my childhood abuse.”
D.
“I’m not sure that I can count on you to protect my confidentiality.”

C

27

A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?

A.
“You are feeling very depressed. I felt the same way when I decided to leave my husband.”
B.
“I can understand you are feeling depressed. It was a difficult decision. I’ll sit with you.”
C.
“You seem depressed. It was a difficult decision to make. Would you like to talk about it?”
D.
“I know this is a difficult time for you. Would you like a prn medication for anxiety?”

A

28

A mother notified that her child was killed in a tragic car accident states, “I can’t bear to go on with my life.” Which nursing statement conveys empathy?

A.
“This situation is very sad, but time is a great healer.”
B.
“You are sad, but you must be strong for your other children.”
C.
“Once you cry it all out, things will seem so much better.”
D.
“It must be horrible to lose a child, and I’ll stay with you until your husband arrives.”

D

29

If an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?

A.
Respect
B.
Genuineness
C.
Sympathy
D.
Rapport

B

30

On which task should a nurse place priority during the working phase of relationship development?

A.
Establishing a contract for intervention.
B.
Examining feelings about working with a particular client.
C.
Establishing a plan for continuing aftercare.
D.
Promoting the client’s insight and perception of reality.

D

31

Which therapeutic communication technique is being used in this nurse-client interaction?
Client: “Every time I get angry, I get into a fistfight with my wife or I take it out on the kids.”
Nurse: “I notice that you are smiling as you talk about this physical violence.”

A.
Encouraging comparison
B.
Exploring
C.
Formulating a plan of action
D.
Making observations

D

32

Which therapeutic communication technique is being used in this nurse-client interaction?
Client: “My father spanked me often.”
Nurse: “Your father was a harsh disciplinarian.”

A.
Restatement
B.
Offering general leads
C.
Focusing
D.
Accepting

A

33

Which therapeutic communication technique is being used in this nurse-client interaction?
Client: “When I am anxious, the only thing that calms me down is alcohol.”
Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”

A.
Reflecting
B.
Making observations
C.
Formulating a plan of action
D.
Giving recognition

C

34

The nurse is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a “general lead”?

A.
“Do you know why you are here?”
B.
“Are you feeling depressed or anxious?”
C.
“Yes, I see. Go on.”
D.
“Can you order the specific events that led to your admission?”

D

35

A nurse states to a client, “Things will look better tomorrow after a good night’s sleep.” This is an example of which communication technique?

A.
The therapeutic technique of “giving advice.”
B.
The therapeutic technique of “defending.”
C.
The nontherapeutic technique of “presenting reality.”
D.
The nontherapeutic technique of “giving reassurance.”

D

36

A client diagnosed with post-traumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of “broad openings”?

A.
“What occurred prior to the rape, and when did you go to the emergency department?”
B.
“What would you like to talk about?”
C.
“I notice you seem uncomfortable discussing this.”
D.
“How can we help you feel safe during your stay here?”

B

37

A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of “making observations”?

A.
“You appear to be talking to someone that I do not see.”
B.
“Please describe what you are seeing.”
C.
“Why do you continually look in the corner of this room?”
D.
“If you hum a tune, the voices may not be so distracting.”

A

38

A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?

A. S
B. O
C. L
D. E
E. R

B

39

An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?

A.
“Why did you use the client’s name on your clinical worksheet?”
B.
“You were very careless to refer to your client by name on your clinical worksheet.”
C.
“Surely you didn’t do this deliberately, but you breeched confidentiality by using names.”
D.
“It is disappointing that after being told you’re still using client names on your worksheet.”

C

40

After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, “I’m so proud of you for being assertive. You are so good!” Which communication technique has the leader employed?

A.
The nontherapeutic technique of “giving approval.”
B.
The nontherapeutic technique of “interpreting.”
C.
The therapeutic technique of “presenting reality.”
D.
The therapeutic technique of “making observations.”

A

41

What is a nurse’s purpose of providing appropriate feedback?

A.
To give the client good advice.
B.
To advise the client on appropriate behaviors.
C.
To evaluate the client’s behavior.
D.
To give the client critical information.

D

42

A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should be provided by a nurse when an angry outburst occurs?

A.
“Why do you continue to alienate your peers by your angry outbursts?”
B.
“You accomplish nothing when you lose your temper like that.”
C.
“Showing your anger in that manner is very childish and insensitive.”
D.
“During group, you raised your voice, yelled at a peer, left, and slammed the door.”

D

43

A client diagnosed with dependant personality disorder states, “Do you think I should move from my parent’s house and get a job?” Which nursing response is most appropriate?

A.
“It would be best to do that in order to increase independence.”
B.
“Why would you want to leave a secure home?”
C.
“Let’s discuss and explore all of your options.”
D.
“I’m afraid you would feel very guilty leaving your parents.”

C

44

When interviewing a client, which nonverbal behavior should a nurse employ?

A.
Maintaining indirect eye contact with the client.
B.
Providing space by leaning back away from the client.
C.
Sitting squarely, facing the client.
D.
Maintaining open posture with arms and legs crossed.

C

45

A mother rescues two of her four children from a house fire. In an emergency department, she cries, “I should have gone back in to get them. I should have died, not them.” What is the nurse’s best response?

A.
“The smoke was too thick. You couldn’t have gone back in.”
B.
“You’re experiencing feelings of guilt because you weren’t able to save your children.”
C.
“Focus on the fact that you could have lost all four of your children.”
D.
“It’s best if you try not to think about what happened. Try to move on.”

B

46

A newly admitted client diagnosed with obsessive-compulsive disorder (OCD) washes hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

A.
“Everyone diagnosed with OCD needs to control their ritualistic behaviors.”
B.
“It is important for you to discontinue these ritualistic behaviors.”
C.
“Why are you asking for help if you won’t participate in unit therapy?”
D.
“Let’s figure out a way for you to attend unit activities and still wash your hands.”

D

47

During a therapeutic group, a client talks about personal accomplishments in an effort to gain attention. A nurse identifies this client as assuming which group role?

A.
Gatekeeper
B.
Recognition seeker
C.
Dominator
D.
Elaborator

B

48

During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader interrupts the exchange and excuses both of the clients from the group. Which leadership style has the nurse demonstrated?

A.
Autocratic
B.
Democratic
C.
Laissez-faire
D.
Bureaucratic

A

49

In which situation does a nurse leader demonstrate a laissez-faire leadership style?

A.
Mandates that all group members reveal an embarrassing personal situation.
B.
Asks for a show of hands to determine group topic preference.
C.
Sits silently as the group members veer away from the assigned topic.
D.
Shuffles through papers to determine the facility policy on length of group.

C

50

During a community meeting, a nurse encourages clients to present unit problems and discuss possible solutions. Which type of leadership style is the nurse demonstrating?

A.
Democratic
B.
Autocratic
C.
Laissez-faire
D.
Bureaucratic

A

51

Which situation should a nurse identify as an example of an autocratic leadership style?

A.
The president of Sigma Theta Tau assigns members to committees to research problems.
B.
Without faculty input, the dean mandates that all course content be delivered via the Internet.
C.
During a community meeting, a nurse listens as clients generate solutions.
D.
The student nurses’ association advertises for candidates for president.

B

52

A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way herself. Which of Yalom’s curative group factors does this illustrate?

A.
Imparting of information
B.
Instillation of hope
C.
Altruism
D.
Universality

D

53

A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, “I relapsed three times, but now have been sober for 15 years.” Which of Yalom’s curative group factors does this illustrate?

A.
Imparting of information
B.
Instillation of hope
C.
Catharsis
D.
Universality

B

54

During a group discussion, members freely interact with each other. Which member statement is an example of Yalom’s curative group factor of imparting of information?

A.
“I found a Web site explaining the different types of brain tumors and their treatment.”
B.
“My brother also had a brain tumor and now is completely cured.”
C.
“I understand your fear and will be by your side during this time.”
D.
“My mother was also diagnosed with cancer of the brain.”

A

55

Prayer group members at a local Baptist church are meeting with a poor, homeless family whom they are supporting. Which member statement is an example of Yalom’s curative group factor of altruism?

A.
“I’ll give you the name of a friend that rents inexpensive rooms.”
B.
“The last time we helped a family, they got back on their feet and prospered.”
C.
“I can give you all of my baby clothes for your little one.”
D.
“I can appreciate your situation. I had to declare bankruptcy last year.”

C

56

During an inpatient educational group, a client shouts out, “This information is worthless. Nothing you have said can help me.” These statements indicate to a nurse leader that the client is assuming which group role?

A.
The group role of aggressor.
B.
The group role of initiator.
C.
The group role of gatekeeper.
D.
The group role of blocker.

A

57

A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption?

A.
The group members manage conflict within the group.
B.
The group uses denial as part of a grief response.
C.
The group members compliment the leader and compete for the role of recorder.
D.
The group members initially trust one another and the leader.

C

58

During a group session, which client statement demonstrates that the group has progressed to the middle, or working, phase of group development?

A.
“It’s hard for me to tell my story when I’m not sure about the reactions of others.”
B.
“I think Joe’s Antabuse suggestion is a good one and might work for me.”
C.
“My situation is very complex, and I need professional, not peer, advice.”
D.
“I am really upset that you expect me to solve my own problems.”

B

59

Which group leader activity should a nurse identify as being most effective in the final, or termination, phase of group development?

A.
The group leader establishes the rules that will govern the group after discharge.
B.
The group leader encourages members to rely on each other for problem solving.
C.
The group leader presents and discusses the concept of group termination.
D.
The group leader helps the members to process feelings of loss.

D

60

A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous (AA). Which student statement indicates that learning has occurred?

A.
“There is little research to support AA’s effectiveness.”
B.
“Self-help groups used to be the treatment of choice, but their popularity is waning.”
C.
“These groups have no external regulation, so clients need to be cautious.”
D.
“Members themselves run the group, with leadership usually rotating among the members.”

D

61

Which group function should a nurse identify as helping an extremely withdrawn, paranoid client increase feelings of security?

A.
Socialization
B.
Support
C.
Empowerment
D.
Governance

B

62

When planning group therapy, which configuration should a nurse identify as most optimal for a therapeutic group?

A.
Open-ended membership; circle of chairs; group size of 5 to 10 members.
B.
Open-ended membership; chairs around a table; group size of 10 to 15 members.
C.
Closed membership; circle of chairs; group size of 5 to 10 members.
D.
Closed membership; chairs around a table; group size of 10 to 15 members.

C

63

During the 6th week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and-cons poster on the use of physical discipline. At this time, what is the role of the group leader?

A.
To referee the debate.
B.
To adamantly oppose physical disciplining measures.
C.
To redirect the group to a less controversial topic.
D.
To encourage the group to solve the problem collectively.

D

64

A 10-week, prenuptial counseling group composed of five couples is coming to a close. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain the two couples’ behavior?

A.
They are experiencing problems with termination, leading to feelings of abandonment.
B.
They did not think any new material would be covered at the last session.
C.
They were angry with the leader for not extending the length of the group.
D.
They were bored with the material covered in the group.

A

65

An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Which group is this nurse most qualified to lead?

A.
A psychodrama group
B.
A psychotherapy group
C.
A parenting group
D.
A family therapy group

C

66

A nursing instructor is teaching about psychodrama, a specialized type of therapeutic group. Which student statement indicates that further teaching is necessary?

A.
“Psychodrama provides a safe setting in which to discuss painful issues.”
B.
“In psychodrama, the client is the protagonist.”
C.
“In psychodrama, the client observes actor interactions from the audience.”
D.
“Psychodrama facilitates resolution of interpersonal conflicts.”

C

67

A mother is concerned about her ability to perform her new role. She is quite anxious and ambivalent about leaving the postpartum unit. To offer effective client care, a nurse should be familiar with what information about this type of crisis?

A.
This type of crisis is precipitated by unexpected external stressors.
B.
This type of crisis is precipitated by preexisting psychopathology.
C.
This type of crisis is precipitated by an acute response to an external situational stressor.
D.
This type of crisis is precipitated by normal lifecycle transitions that overwhelm the client.

D

68

A wife brings her husband to an emergency department after an attempt to hang himself. He is a full-time student and works 8 hours at night to support his family. He states, “I can’t function any longer under all this stress.” Which type of crisis is the client experiencing?

A.
Maturational/developmental crisis
B.
Psychiatric emergency crisis
C.
Anticipated life transition crisis
D.
Traumatic stress crisis

B

69

A client comes to a psychiatric clinic experiencing sudden extreme fatigue and decreased sleep and appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale. What long-term outcome is realistic in addressing this client’s crisis?

A.
The client will change his type A personality traits to more adaptive ones by one week.
B.
The client will list five positive self-attributes.
C.
The client will examine how childhood events led to his overachieving orientation.
D.
The client will return to previous adaptive levels of functioning by week six.

D

70

A high school student has learned that she cannot graduate. Her boyfriend will be attending a college out of state that she planned to attend. She is admitted to a psychiatric unit after overdosing on Tylenol. Which is the priority nursing diagnosis for this client?

A.
Ineffective coping R/T situational crisis AEB powerlessness.
B.
Anxiety R/T fear of failure.
C.
Risk for self-directed violence R/T hopelessness.
D.
Risk for low self-esteem R/T loss events AEB suicidal ideations.

C

71

After threatening to jump off a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?

A.
“Are you currently thinking about harming yourself?”
B.
“Why do you want to harm yourself?”
C.
“Have you thought about the consequences of your actions?”
D.
“Who is your emergency contact person?”

A

72

An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?

A.
Initiate forced medication protocol.
B.
Help the client to explore the source of anger.
C.
Ignore the act to avoid reinforcing the behavior.
D.
With staff support and a show of solidarity, set firm limits on the behavior.

D

73

A college student who was nearly raped while jogging completes a series of appointments with a rape crisis nurse. At the final session, which client statement most clearly suggests that the goals of crisis intervention have been met?

A.
“You’ve really been helpful. Can I count on your for continued support?”
B.
“I work out in the college gym rather than jogging outdoors.”
C.
“I’m really glad I didn’t go home. It would have been hard to come back.”
D.
“I carry mace when I jog. It makes me feel safe and secure.”

D

74

A despondent client who has recently lost her husband of 30 years tearfully states, “I’ll feel a lot better if I sell my house and move away.” Which nursing response is most appropriate?

A.
“I’m confident you know what’s best for you.”
B.
“This may not be the best time for you to make such an important decision.”
C.
“Your children will be terribly disappointed.”
D.
“Tell me why you want to make this change.”

B

75

An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression?

A.
The client requests prn medications.
B.
The client has a tense facial expression and body language.
C.
The client refuses to eat lunch.
D.
The client sits in group with back to peers.

B

76

What is the best nursing rationale for holding a debriefing session with clients and staff after a take-down intervention has taken place on an inpatient unit?

A.
To reinforce unit rules with the client population.
B.
To create protocols for the future release of tensions associated with anger.
C.
To process client feelings and alleviate fears of undeserved seclusion and restraint.
D.
To discuss client problems that led to inappropriate expressions of anger.

D

77

A nursing instructor is teaching about complementary therapies. Which student statement indicates that learning has occurred?

A.
“Complementary therapies view all humans as being biologically similar.”
B.
“Complementary therapies view a person as a combination of multiple, integrated elements.”
C.
“Complementary therapies focus on primarily the structure and functions of the body.”
D.
“Complementary therapies view disease as a deviation from a normal biological state.”

B

78

A client reports taking St. John’s wort for depression. The client states, “I’m taking the recommended dose, but it seems like if two capsules are good, four would be better!” Which is an appropriate nursing response?

A.
“Herbal medicines are more likely to cause adverse reactions than prescription medications.”
B.
“Increasing the amount of herbal preparations can lead to overdose and toxicity.”
C.
“FDA does not regulate herbal remedies, therefore ingredients are often unknown.”
D.
“Certain companies are better than others. Always buy a reputable brand.”

B

79

A client with chronic lower back pain says, “My nurse practitioner told me that acupuncture may enhance the effect of the medications and physical therapy prescribed.” What type of therapy is the nurse practitioner recommending?

A.
Alternative therapy
B.
Physiotherapy
C.
Complementary therapy
D.
Biopsychosocial therapy

C

80

A client diagnosed with chronic migraine headaches is considering acupuncture. The client asks a clinic nurse, “How does this treatment work?” Which is the best response by the nurse?

A.
“Western medicine believes that acupuncture stimulates the body’s release of pain-fighting chemicals called endorphins.”
B.
“I’m not sure why he suggested acupuncture. There are a lot of risks, including HIV.”
C.
“Acupuncture works by encouraging the body to increase its development of serotonin and norepinephrine.”
D.
“Your acupuncturist is your best resource for answering your specific questions.”

A

81

A client asks a nurse to explain the difference between complementary and alternative medicine. Which is an appropriate nursing response?

A.
“Alternative medicine is a more acceptable practice than complementary medicine.”
B.
“Alternative and complementary medicine are terms that essentially mean the same thing.”
C.
“Complementary medicine disregards traditional medical approaches.”
D.
“Complementary therapies partner alternative approaches with traditional medical practice.”

D

82

A client has been taking 1,200 mg/day of St. John’s wort during the past year for symptoms of depression. Recently, the client reports side effects of this herbal remedy. What symptom should the nurse expect the client to report?

A.
Photosensitivity
B.
Insomnia
C.
Hirsutism
D.
Restlessness

A

83

A lethargic client is diagnosed with major depressive disorder. After taking antidepressant therapy for 6 weeks, the symptoms have not resolved. Which nutritional deficiency should a nurse identify as potentially contributing to the client’s symptoms?

A.
Vitamin A deficiency
B.
Vitamin C deficiency
C.
Iron deficiency
D.
Folic acid deficiency

C

84

A client inquires about the practice of therapeutic touch. Which nursing response best explains the goal of this therapy?

A.
“The goal is to improve circulation to the body by deep, circular massage.”
B.
“The goal is to re-pattern the body’s energy field by the use of rhythmic hand motions.”
C.
“The goal is to improve breathing by increasing oxygen to the brain and body tissues.”
D.
“The goal is to decrease blood pressure by body toxin release.”

B

85

A nursing student, having no knowledge of alternative treatments, states “Aren’t these therapies ‘bogus’ and, like a fad, will eventually fade away?” Which is an accurate nursing response?

A.
“Like nursing, complementary therapies take a holistic approach to healing.”
B.
“The American Nurses Association is researching the effectiveness of these therapies.”
C.
“It is important to remain nonjudgmental about these therapies.”
D.
“Alternative therapy concepts are rooted in psychoanalysis.”

A

86

A client is exhibiting short-term memory loss and has a slow capillary refill. Which herbal remedy would address this client’s symptoms?

A.
Ginkgo
B.
Fennel
C.
Passion flower
D.
Black cohosh

A

87

Herbs and plants can be useful in treating a variety of conditions. Which herbal treatment should a nurse determine is appropriate for a client experiencing frequent migraine headaches?

A.
Saint John’s wort combined with an antidepressant.
B.
Ginger root combined with a beta-blocker.
C.
Feverfew, used according to directions.
D.
Kava-kava added to a regular diet.

C

88

A nurse teaches a client about alternative therapies for back pain. When a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, what therapy is the practitioner employing?

A.
Allopathic therapy
B.
Therapeutic touch therapy
C.
Massage therapy
D.
Chiropractic therapy

D