Chapter 19 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 19

Question 1

Type: MCSA

A nurse is helping a hospice client who has had difficulty with making end-of-life decisions. The nurse has encouraged the client to focus on her self-worth, her accomplishments, and having a positive self-esteem in order to process through some of these decisions. The nurse is helping the client to achieve balance in which of the following components?

1. Environmental

2. Physical

3. Mental

4. Spiritual

Correct Answer: 3

Rationale 1: Environmental aspects include physical, biologic, economic, social, and political conditions.

Rationale 2: Physical aspects include optimal functioning of all body systems.

Rationale 3: Mental aspects include feelings of self-worth, a positive identity, a sense of accomplishment, and the ability to appreciate and create. In terms of optimal wellness, balance consists of mental, physical, emotional, spiritual, and environmental components. Each component needs to be balanced, and a sense of equality among the components is needed.

Rationale 4: Spiritual aspects involve moral values, a meaningful purpose in life, and a feeling of connectedness to others and a divine source.

Global Rationale: Page Reference: 336

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Give examples of healing environments.

Question 2

Type: MCSA

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain. The client states that his life has no meaning or purpose anymore and he feels so lonely, as if everyone has abandoned him. Which of the following is an appropriate nursing diagnosis for this client?

1. Body Image Disturbance

2. Health-Seeking Behavior

3. Altered Family Processes

4. Spiritual Distress

Correct Answer: 4

Rationale 1: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades ones biological and psychosocial nature. The feelings the client expresses have little to do with his body image or family processes, and he is not expressing the desire to increase his level of well-being.

Rationale 2: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades ones biological and psychosocial nature. The feelings the client expresses have little to do with his body image or family processes, and he is not expressing the desire to increase his level of well-being.

Rationale 3: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades ones biological and psychosocial nature. The feelings the client expresses have little to do with his body image or family processes, and he is not expressing the desire to increase his level of well-being.

Rationale 4: Spirituality is that which gives people meaning and purpose in their lives. It involves finding significant meaning in the entirety of life, including illness and death. The NANDA label Spiritual Distress is defined as disruption of the life principle that pervades ones biological and psychosocial nature. The feelings the client expresses have little to do with his body image or family processes, and he is not expressing the desire to increase his level of well-being.

Global Rationale: Page Reference: 335-337

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 01 Describe the basic concepts of alternative practices.

Question 3

Type: MCSA

The nurse is working with a client who, during her interview, expresses feelings of groundedness. The nurse interprets this to mean that the client:

1. Is full of energy.

2. Feels connected to her reality.

3. Is focused on her center of energy.

4. Feels down in the dumps.

Correct Answer: 2

Rationale 1: Energy is viewed as the force that integrates the body, mind, and spirit and doesnt relate to groundedness.

Rationale 2: Grounding relates to ones connection with reality. Being grounded suggests stability, security, independence, having a solid foundation, and living in the present.

Rationale 3: Centering refers to the process of bringing oneself to the center or middle and doesnt relate to groundedness.

Rationale 4: This relates more closely with sadness or depression than groundedness.

Global Rationale: Page Reference: 337

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 02 Give examples of healing environments.

Question 4

Type: MCSA

Having a difficult time saying no when asked to work yet another overtime shift, the nurse begins to feel overwhelmed and irritable. As a method to most effectively promote self-healing, this nurse should:

1. Clarify values and beliefs.

2. Set realistic goals.

3. Learn to manage stress.

4. Challenge the belief that others always come first.

Correct Answer: 4

Rationale 1: Identification of things that are important, meaningful, and valuable is part of clarifying values and beliefs may help but there is a more specific option available.

Rationale 2: Identifying and setting goals may help but there is a more specific option available.

Rationale 3: Stress management may help but there is a more specific option available.

Rationale 4: Overwork and overinvolvement leave little time for fulfillment of personal needs. Nurses need to learn to ask for what they need and avoid feelings of selfishness when not responding to someone elses needs. Identification of things that are important, meaningful, and valuable is part of clarifying values and beliefs. Identifying long-term goals, then short-term goals that help in meeting the long-term ones, is a realistic way to accomplish both. Stress management requires acknowledgement of the mind-body connection and monitoring of stress signals.

Global Rationale: Page Reference: 337

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Give examples of healing environments.

Question 5

Type: MCSA

During an interview assessment, the client states a belief in nutritional lifestyle counseling and the belief that the bodys vital energy circulates through the body, which can be manipulated through specific anatomical points. This client most likely practices which of the following?

1. Traditional Chinese medicine

2. Native American healing

3. Ayurveda

4. Curanderismo

Correct Answer: 1

Rationale 1: Traditional Chinese medicine (TCM) is based on the premise that the bodys vital energy or qi circulates through pathways and meridians and can be accessed and manipulated through specific anatomical points along the surface of the body. Practitioners use a variety of ancient methods including acupuncture, acupressure, herbal medicine, massage, heat therapy, qigong, tai chi, and nutritional counseling.

Rationale 2: Native American healing is very connected to spirituality, and health is viewed as a balance or harmony of body and mind. practices.

Rationale 3: Ayurveda emphasizes the interdependence of the health of the individual and the quality of societal life.

Rationale 4: Curanderismo is a cultural healing tradition found in Latin American cultures and utilizes Western biomedical beliefs, treatment, and practices.

Global Rationale: Page Reference: 338

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Give examples of healing environments.

Question 6

Type: MCSA

The client asks whether herbal medicines are a good idea. The nurses best response is:

1. Things found in nature are always healthy.

2. If your doctor didnt prescribe it, dont take it.

3. Are there specific ones youre wondering about?

4. Everything is good in moderation.

Correct Answer: 3

Rationale 1: Not all plant life is beneficial.

Rationale 2: There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The use of such treatments may be helpful but should be discussed with a healthcare provider in order to minimize the risk of interactions.

Rationale 3: Not all plant life is beneficial. Nurses must be open to exploring and discussing their clients uses of and questions regarding herbal medicine. There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The most important role the nurse plays in regard to herbal medicine is to find out what the client is taking, at what dosage, and have a full list of the clients prescription medications as well as anything taken that is OTC.

Rationale 4: Not all plant life is beneficial. This option is not a sufficient answer to the clients question.

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Give examples of healing environments.
03 Describe the basic principles of health care practices such as Ayurveda, traditional Chinese medicine, Native American healing, and curanderismo.

Question 7

Type: MCSA

A client comes to the family planning clinic for follow-up and is currently taking an oral contraceptive. During the interview assessment, the client states she has been using some natural medicines. Which of the following would alert the nurse to a possible interaction with oral contraceptives?

1. Valerian

2. Echinacea

3. Garlic

4. Milk thistle

Correct Answer: 4

Rationale 1: Valerian may increase sedative effects of antianxiety medication.

Rationale 2: Echinacea may reduce effectiveness of immunosuppressants..

Rationale 3: Garlic may cause a need for an increased dose of antihypertensives.

Rationale 4: Milk thistle reduces the effectiveness of oral contraceptives..

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 8

Type: MCSA

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months states that he has also been trying St. Johns wort.. Which vital signs should the nurse be attentive to, for possible adverse effects?

1. Temperature

2. Respiratory rate

3. Oxygen saturation

4. Pulse rate

Correct Answer: 4

Rationale 1: St. Johns wort would not affect the hypothalmus.

Rationale 2: St. Johns wort would not affect the respiratory system.

Rationale 3: St. Johns wort would not affect the respiratory system.

Rationale 4: St. Johns wort may potentiate antidepressant medications, causing severe agitation, nausea, confusion, and possible cardiac problems.

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 9

Type: MCSA

During a clinic appointment, a client prescribed medication for glaucoma reports vision problems. When taking a medication history, which of the following herbal preparations should the nurse identify as being problematic for this client?

1. Ginseng

2. Echinacea

3. Valerian

4. St. Johns wort

Correct Answer: 1

Rationale 1: Ginseng may interact with caffeine and cause irritability and may also decrease the effectiveness of glaucoma medication.

Rationale 2: Echinacea may reduce the effectiveness of immunosuppressants but does not appear to affect glaucoma medication.

Rationale 3: Valerian may increase the sedative effects of antianxiety medication but does not appear to affect glaucoma medication.

Rationale 4: St. Johns wort may potentiate antidepressant medications, causing severe agitation, nausea, confusion, and possible cardiac problems.

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 10

Type: MCSA

A client diagnosed with hypertension has had well-controlled follow-up of her blood pressure for the past 6 months. At todays clinic appointment, the clients blood pressure is 198/102. The client insists she has been taking her prescribed antihypertensive medication, but also added an herbal tablet because she heard it was supposed to be good for her. Of the following, which is most likely interfering with the clients antihypertensive?

1. Valerian

2. Milk thistle

3. Ginseng

4. Garlic

Correct Answer: 4

Rationale 1: Valerian may increase the sedative effects of antianxiety medication but does not appear to affect antihypertensive medication.

Rationale 2: Milk thistle reduces the effectiveness of oral contraceptives but does not appear to affect antihypertensive medication .

Rationale 3: Ginseng may decrease the effectiveness of glaucoma medications but does not appear to affect antihypertensive medication.

Rationale 4: Garlic may cause a need for an increased dose of antihypertensives.

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 11

Type: MCSA

The nurse should be attentive to clients with which chronic disease if they are using essential oils?

1. Hypertension

2. Cardiac problems

3. Asthma

4. Cancer

Correct Answer: 3

Rationale 1: This type of alternative therapy does not appear to affect blood pressure.

Rationale 2: This type of alternative therapy does not appear to affect the cardiac system.

Rationale 3: Some oils can trigger bronchial spasms, so persons with asthma should consult their primary health care provider before using oils.

Rationale 4: This type of alternative therapy does not appear to affect cancer.

Global Rationale: Page Reference: 339-340

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 12

Type: MCSA

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for stomach problems. The nurse may offer the client information about the use of which oil?

1. Chamomile

2. Eucalyptus

3. Lavender

4. Tea tree

Correct Answer: 1

Rationale 1: Chamomile oil soothes muscle aches, sprains, and swollen joints and is helpful as a GI antispasmodic.

Rationale 2: Eucalyptus feels cool to the skin and warm to muscles; decreases fever; relieves pain; and acts as an anti-inflammatory, antiseptic, antiviral, and expectorant to the respiratory system in a steam inhalation. It can also boost the immune system.

Rationale 3: Lavender oil is calming and is used as a sedative for insomnia. It may be massaged around the temples for headache, inhaled to speed recovery from colds or flu, and massaged into the chest to decrease congestion. It can also be used to heal burns.

Rationale 4: Tea tree oil is good for athletes foot as an antifungal. It can be used to soothe insect bites, stings, cuts, and wounds. It can be bathed in for yeast infection, and drops on a handkerchief can be used for coughs or congestion.

Global Rationale: Page Reference: 339-340

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 Teach clients the uses and safety precautions regarding alternative therapies.

Question 13

Type: MCSA

Goals of chiropractic intervention include which of the following?

1. Improvement of blood and lymph flow through the body

2. Stimulation of specific points to help with pain relief, cure certain illnesses, and promote wellness

3. Reduce or eliminate pain

4. Correct spinal dysfunction

5. Preventive maintenance

Correct Answer: 1,3,4,5

Rationale 1: By correcting spinal dysfunction, biomechanical balance is restored to the body to reestablish shock absorption, leverage, and range of motion. Muscles and ligaments are strengthened by spinal rehabilitative exercises to increase resistance to further injury. Preventive maintenance of chiropractic medicine ensures that the problem does not recur. Massage therapy improves blood flow and lymph fluid through the body. Acupressure and acupuncture are techniques of applying pressure or stimulation to specific points on the body in order to relieve pain, cure certain illnesses, and promote wellness.

Rationale 2: By correcting spinal dysfunction, biomechanical balance is restored to the body to reestablish shock absorption, leverage, and range of motion. Muscles and ligaments are strengthened by spinal rehabilitative exercises to increase resistance to further injury. Preventive maintenance of chiropractic medicine ensures that the problem does not recur. Massage therapy improves blood flow and lymph fluid through the body. Acupressure and acupuncture are techniques of applying pressure or stimulation to specific points on the body in order to relieve pain, cure certain illnesses, and promote wellness.

Rationale 3: By correcting spinal dysfunction, biomechanical balance is restored to the body to reestablish shock absorption, leverage, and range of motion. Muscles and ligaments are strengthened by spinal rehabilitative exercises to increase resistance to further injury. Preventive maintenance of chiropractic medicine ensures that the problem does not recur. Massage therapy improves blood flow and lymph fluid through the body. Acupressure and acupuncture are techniques of applying pressure or stimulation to specific points on the body in order to relieve pain, cure certain illnesses, and promote wellness.

Rationale 4: By correcting spinal dysfunction, biomechanical balance is restored to the body to reestablish shock absorption, leverage, and range of motion. Muscles and ligaments are strengthened by spinal rehabilitative exercises to increase resistance to further injury. Preventive maintenance of chiropractic medicine ensures that the problem does not recur. Massage therapy improves blood flow and lymph fluid through the body. Acupressure and acupuncture are techniques of applying pressure or stimulation to specific points on the body in order to relieve pain, cure certain illnesses, and promote wellness.

Rationale 5: By correcting spinal dysfunction, biomechanical balance is restored to the body to reestablish shock absorption, leverage, and range of motion. Muscles and ligaments are strengthened by spinal rehabilitative exercises to increase resistance to further injury. Preventive maintenance of chiropractic medicine ensures that the problem does not recur. Massage therapy improves blood flow and lymph fluid through the body. Acupressure and acupuncture are techniques of applying pressure or stimulation to specific points on the body in order to relieve pain, cure certain illnesses, and promote wellness.

Global Rationale: Page Reference: 341

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Discuss the principles of naturopathic medicine.

Question 14

Type: MCSA

A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff. The client is confined to bed and is not able to communicate verbally. As part of the clients care plan, the nurses provide massage therapy three times a week. Which of the following is the main benefit of this intervention for this client?

1. Stretch and loosen the muscles

2. Speed the removal of metabolic waste products

3. Help satisfy the need for caring and nurturing touch

4. Relieve pain

Correct Answer: 3

Rationale 1: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.

Rationale 2: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.

Rationale 3: Since she has no family, no visitors, and her only contacts are with the staff, this client will benefit at the emotional level as massage satisfies the need for caring and nurturing touch. It also increases feelings of well-being, decreases mild depression, enhances self-image, reduces levels of anxiety, and increases awareness of mind-body connection.

Rationale 4: Massage would be an appropriate intervention to address this option but it is not the main benefit the client will experience.

Global Rationale: Page Reference: 341

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Discuss the principles of naturopathic medicine.

Question 15

Type: MCSA

A client visits a clinic that integrates Western medicine with complementary therapies. Which of the following therapies might the client utilize and believe to keep the flow of qi at a therapeutic level?

1. Acupressure and reflexology

2. Therapeutic touch and Reiki

3. Aromatherapy and naturopathic remedies

4. Chiropractic and massage therapy

Correct Answer: 1

Rationale 1: Reflexology, acupuncture, and acupressure are treatments rooted in the traditional Eastern philosophy that qi, or life energy, flows through the body along pathways known as meridians. When the flow of energy becomes blocked or congested, people experience discomfort or pain on a physical level. They may feel frustrated or irritable on an emotional level and may experience a sense of vulnerability or lack of purpose in life on a spiritual level.

Rationale 2: Therapeutic touch and Reiki use the hands to alter the biofield or energy field.

Rationale 3: Aromatherapy and naturopathic remedies utilize essential oils and plants for health benefits.

Rationale 4: Chiropractic and massage therapy are examples of manual healing methods.

Global Rationale: Page Reference: 341-342

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.

Question 16

Type: MCSA

A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like everything is out of order. Which of the following is the most appropriate NANDA nursing diagnosis for this person?

1. Energy-field disturbance

2. Powerlessness

3. Hopelessness

4. Anxiety

Correct Answer: 1

Rationale 1: Energy-field disturbance, defined as a state in which a disruption of the flow of energy surrounding a persons being results in a disharmony of the body, mind, or spirit, is listed as a nursing diagnosis by NANDA.

Rationale 2: Powerlessness is defined as a perception that ones own action will not significantly affect an outcome.

Rationale 3: Hopelessness is a subjective state in which an individual sees no alternatives or personal choices available and is unable to mobilize energy on his or her own behalf.

Rationale 4: Anxiety is defined as a vague, uneasy feeling, the source of which is often nonspecific or unknown to the individual.

Global Rationale: Page Reference: 335-337

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.

Question 17

Type: MCSA

A client undergoing chemotherapy becomes very anxious and stressed just before the treatments. Which of the following would be an appropriate therapy for this person to learn?

1. Meditation

2. Aromatherapy

3. Homeopathy

4. Yoga

Correct Answer: 1

Rationale 1: Meditation is a general term for a wide range of practices that involve relaxing the body and easing the mind. Meditation is a process that anyone can use to calm themselves, cope with stress, and for those with spiritual inclinations, feel as one with God or the universe.

Rationale 2: Aromatherapy is the use of essential oils that, when absorbed into the body, produce physiologic or psychologic benefit.

Rationale 3: Homeopathy is a self-healing system in which doses of natural compounds stimulate a persons self-healing capacity.

Rationale 4: Yoga includes ethical models for behavior and mental and physical exercises aimed at producing spiritual enlightenment.

Global Rationale: Page Reference: 343

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.
07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 18

Type: MCSA

A client has been undergoing therapy as a victim of severe emotional abuse. The goal of the clients therapy is to gain self-control of the situation, improve self-esteem, and become self-sufficient. Of the following, which application is most likely used in the clients therapy sessions?

1. Yoga

2. Meditation

3. Hypnotherapy

4. Guided imagery

Correct Answer: 3

Rationale 1: Yoga includes ethical models for behavior and mental and physical exercises aimed at producing spiritual enlightenment.

Rationale 2: Meditation is a general term for a wide range of practices that involve relaxing the body and easing the mind.

Rationale 3: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.

Rationale 4: Guided imagery is a state of focused attention, much like hypnosis, that encourages changes in attitudes, behavior, and physiologic reactions.

Global Rationale: Page Reference: 343

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.
07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 19

Type: MCSA

A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares. In working with this client to overcome the problem, the nurse may implement which of the following as part of therapy?

1. Guided imagery

2. Hypnotherapy

3. Yoga

4. Meditation

Correct Answer: 1

Rationale 1: Guided imagery is a state of focused attention that encourages changes in attitudes, behavior, and physiologic reactions. Guided imagery can help people learn how to stop troublesome thoughts and focus on images that promote relaxation and decrease the negative impact of stressors.

Rationale 2: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.

Rationale 3: Yoga includes ethical models for behavior and mental and physical exercises aimed at producing spiritual enlightenment.

Rationale 4: Meditation is a general term for a wide range of practices that relax the body and help ease the mind.

Global Rationale: Page Reference: 344

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.
07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 20

Type: MCSA

A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long days work. Which of the following might be an appropriate therapy for this nurse to utilize?

1. Guided imagery

2. Hypnotherapy

3. Qigong

4. Aromatherapy

Correct Answer: 3

Rationale 1: Guided imagery is a state of focused attention that encourages changes in attitudes, behavior, and physiologic reactions.

Rationale 2: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.

Rationale 3: Qigong is a Chinese discipline consisting of breathing and mental exercises combined with body movements. The softness of movements develops energy without nervousness. The slowness of movements quiets the mind and develops ones powers of awareness and concentration.

Rationale 4: Aromatherapy is the use of essential oils that, when absorbed into the body, produce physiologic or psychologic well-being.

Global Rationale: Page Reference: 344

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.
07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 21

Type: MCSA

A nurse working on an Alzheimers unit notes that just before the supper hour, many of the residents become more anxious and confused-exhibiting typical sundowners syndrome-making the evening meal an unpleasant ordeal. As a method to try to decrease their turmoil during this time, the nurse introduces which therapy into the daily routine?

1. Biofeedback

2. Music therapy

3. Pilates

4. Spiritual therapy

Correct Answer: 2

Rationale 1: Biofeedback is a relaxation technique that uses electronic equipment to amplify the electrochemical energy produced by body responses.

Rationale 2: Quiet, soothing music without words is often used to induce relaxation. Music therapy can be used in a variety of settings, without much added cost and little extra work on the part of staff. In this particular setting, the music may help to soothe the residents and promote a sense of balance or harmony on the unit. If it doesnt work, there is not much energy expended on the staffs behalf.

Rationale 3: Pilates is a method of physical movement and exercises designed to stretch, strengthen, and balance the body.

Rationale 4: Spiritual therapy includes prayer and faith practices to promote healing.

Global Rationale: Page Reference: 345

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.

Question 22

Type: MCSA

A client comes to the clinic with a chief complaint of feeling dirty inside and asks the nurse how colonics would work to improve the clients overall well-being. Which response is the most appropriate?

1. Colonics is a dangerous and not useful technique that no one should try.

2. There is much controversy about colonics. What do you know about it?

3. This is a good way to get rid of toxins in your system.

4. Youd better ask your doctor about this.

Correct Answer: 2

Rationale 1: While colon cleansing is a controversial method of detoxification, and there tends to be no middle group in the beliefs about the usefulness of colonics that option does not appropriately address the clients concerns.

Rationale 2: While colon cleansing is a controversial method of detoxification, establishing a baseline regarding the clients knowledge regarding the process is most appropriate.

Rationale 3: Colonics is the procedure for washing the inner wall of the colon by filling it with water or herbal solutions and then draining it. Colon cleansing is a controversial method of detoxification and the issue requires further discussion.

Rationale 4: This option defers the clients concerns to the doctor which is inappropriate since the nurse should be prepared to discuss the issue with the client.

Global Rationale: Page Reference: 346

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 23

Type: MCSA

A client was in a motor vehicle crash where he sustained injury to his spinal cord that has resulted in difficulty with balance and holding his posture. The nurse working with the client suggests that he consider:

1. Animal assisted therapy

2. Hypnotherapy

3. Chelation therapy

4. Detoxification

Correct Answer: 1

Rationale 1: Therapeutic horseback riding, or animal assisted therapy, is the use of the rhythmic movement of the horse to increase sensory processing and improve posture, balance, and mobility in people with movement dysfunctions.

Rationale 2: Hypnotherapy is an advanced form of relaxation and can be used to help people gain self-control, improve self-esteem, and become more autonomous.

Rationale 3: Chelation therapy is the introduction of chemicals into the bloodstream that bind with heavy metals in the body.

Rationale 4: Detoxification is based on the belief that physical impurities and toxins must be cleared from the body to achieve better health.

Global Rationale: Page Reference: 346-347

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Discuss uses of animals, prayer, and humor as treatment modalities.

Question 24

Type: MCSA

A client living in a long-term care center has been withdrawn and subdued, and does not eat in the dining room because of embarrassment about her physical decline. Which of the following may provide opportunities for unconditional love, achievement of trust, responsibility, and empathy toward others?

1. Chelation therapy

2. Animal-assisted therapy

3. Meditation

4. Pilates

Correct Answer: 2

Rationale 1: Chelation therapy is the introduction of chemicals into the bloodstream that bind with heavy metals in the body.

Rationale 2: Animal-assisted therapy is defined as the use of specifically selected animals as a treatment modality in health and human service settings. The contributions include opportunities for affection, achievement of trust, responsibility, and empathy toward others. Pets in long-term care facilities become so perceptive that they actually gravitate to the rooms of people who are most isolated or depressed.

Rationale 3: Meditation is a wide range of practices that relax the body and heal the mind.

Rationale 4: Pilates is a method of physical movement and exercise designed to stretch, strengthen, and balance the body.

Global Rationale: Page Reference: 346-347

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Discuss uses of animals, prayer, and humor as treatment modalities.

Question 25

Type: MCMA

Systems of healing with emphasis on client responsibility, client education, disease prevention, or natural substances that stimulate a persons self-healing capacity are components of which of the following?

Standard Text: Select all that apply.

1. Naturopathic medicine.

2. Homeopathic medicine.

3. Aromatherapy.

4. Chiropractic.

5. Hypnosis.

Correct Answer: 1,2,3,4

Rationale 1: Naturopathic medicine is a self-healing system that utilizes remedies to stimulate a persons self-healing capacity.

Rationale 2: Homeopathy is a self-healing system that utilizes remedies to stimulate a persons self-healing capacity.

Rationale 3: Aromatherapy is the use of essential oils of plants in which the odor or fragrance, when applied or in proximity to the body, results in physiologic or psychologic benefit.

Rationale 4: Chiropractic is a type of manual healing method.

Rationale 5: Hypnosis is not considered a system of healing.

Global Rationale: Page Reference: 339-341

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.
07 Describe the goals that yoga, meditation, hypnotherapy, guided imagery, qi gong, and tai chi have in common.

Question 26

Type: MCMA

The nurse is appropriately instructing the client regarding the use of herbals when stating:

Standard Text: Select all that apply.

1. Echinacea might reduce the effectiveness of the immunosuppressant medications youve been prescribed since your transplant.

2. Gingko could affect the results of your aspirin therapy.

3. Ginger could be contraindicated, since you are taking anticoagulant medications.

4. With your history of glaucoma, I dont believe you should be supplementing with ginseng.

5. St. Johns wort is a safe supplement when being medicated for depression.

Correct Answer: 1,2,3,4

Rationale 1: While it believed by some to enhance the immune system, echinacea can reduce the effectiveness of immunosuppressants.

Rationale 2: Gingko can increase the anticoagulant effects of aspirin and anticoagulant medications.

Rationale 3: Ginger can increase the anticoagulant effects of aspirin and anticoagulant medications.

Rationale 4: Ginseng can decrease the effectiveness of glaucoma medications.

Rationale 5: St. Johns wort can potentiate antidepressant medications, causing severe agitation and nausea.

Global Rationale: Page Reference: 339

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 Discuss uses of animals, prayer, and humor as treatment modalities.

Question 27

Type: MCMA

When instructing a client how to properly incorporate meditation and relaxation into practice, the nurse states:

Standard Text: Select all that apply.

1. Perform these techniques at least 2 hours after eating so as to concentrate all your bodys energies.

2. Practice these techniques in a comfortable, upright position.

3. Remember to relax your muscles when you have successfully tightened a muscle group.

4. Find a quiet, peaceful place to meditate.

5. Set aside 60 minutes daily for meditation and relaxation.

Correct Answer: 1,2,3,4

Rationale 1: Ideally, choose the early morning or evening, and wait at least 2 hours after eating so that complete energy is devoted to meditation rather than to digestive demands.

Rationale 2: Avoid a lying position, because it increases the tendency to fall asleep.

Rationale 3: Progressively tighten and relax each muscle group in the body.

Rationale 4: A quiet, comfortable place, devoid of distractions, is helpful.

Rationale 5: Practice these techniques daily for 1020-minute periods.

Global Rationale: Page Reference: 343

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Identify the role of manual healing methods in health and illness.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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