Chapter 46. Holistic Healing My Nursing Test Banks

Chapter 46. Holistic Healing

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. The concept of holism focuses on which of the following?

1)

Relationship between nurse and patient

2)

Practice of spiritualism

3)

Relationships among all living things

4)

Totality of the body

ANS: 3

The concept of holism focuses on the relationships among all living things.

PTS:1DIFifficultREF:p. 2

KEY:Nursing process: N/A | Client need: SECE | Cognitive level: Comprehension

____ 2. A patient is receiving healthcare focused on his illness and counteracting his symptoms. What type of healthcare is he receiving?

1)

Holistic

2)

Integrative

3)

Complementary

4)

Allopathic

ANS: 4

Allopathic care is conventional medical care focused on counteracting symptoms. Holistic healthcare uses the concept of holism to focus on the relationships among all living things. Integrative healthcare encompasses all traditional and alternative health practices used by a patient. Complementary healthcare is alternative care used in conjunction with traditional medical care.

PTS: 1 DIF: Moderate REF: p. 3

KEY:Nursing process: N/A | Client need: SECE | Cognitive level: Recall

____ 3. A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation, TT is considered to be which of the following?

1)

A complementary modality

2)

An alternative modality

3)

A placebo response

4)

Holistic healthcare

ANS: 1

A complementary modality is one that is used alongside traditional medical care. The patient receives prescription medication from a physician as well as receiving TT. An alternative modality is one that is used instead of traditional medical care. A placebo response is the clients expectation that a treatment will be effective. Holistic healthcare uses the concept of holism to focus on the relationships among all living things.

PTS: 1 DIF: Moderate REF: p. 3

KEY: Nursing process: Interventions | Client need: PHSI | Cognitive level: Application

____ 4. A client tells the nurse that he is having difficulty sleeping. He says, I dont want to use sleeping pills, but Im thinking about getting some melatonin. Which of the following is most important for the nurse to include in a response to the client?

1)

Melatonin is an effective treatment for certain sleep disorders.

2)

Melatonin appears to be a relatively safe sleep aid for most people.

3)

You may experience some side effects, such as elevated blood pressure.

4)

Before taking melatonin, you should consult your primary care provider.

ANS: 4

All of the statements are true about melatonin; however, side effects are rare. It is most important to consult the primary care provider because melatonin is known to interact with other medications, including prescription medications. Therefore, the client should talk with the provider about this possibility.

PTS:1DIFifficultREF:p. 14

KEY: Nursing process: Interventions | Client need: PHSI | Cognitive level: Application

____ 5. A woman is receiving physical therapy after surgery to repair a hip fracture. She tells the therapist before therapy begins that she expects therapy to be very painful. She rates her pain as 1 on a scale of 1 to 10 before therapy. Three minutes into the treatment session, the patient complains of excruciating pain rated as 10 and says she cannot tolerate exercise any longer. The therapist is concerned with the amount of pain, because severe pain is not expected during that form of exercise. The therapist considers the patient could be experiencing:

1)

Phantom limb pain.

2)

Ineffective pain medication.

3)

A nocebo effect.

4)

A complication from the surgery.

ANS: 3

The nocebo effect is a demonstration of the power of the mind to create bodily distress. The patient was expecting the treatment to be very painful, and this tends to increase the treatment discomfort. Phantom limb pain is sometimes experienced after an amputation but has nothing to do with surgery to repair a hip fracture. There is no evidence that the patients pain medication is ineffective or that she is experiencing a complication from surgery.

PTS:1DIF:ModerateREF:p. 3

KEY: Nursing process: Assessment | Client need: PHSI | Cognitive level: Analysis

____ 6. Identify the holistic nursing theorist who describes disease as disequilibrium, which stimulates the person toward growth and regaining wholeness.

1)

Jean Watson

2)

Margaret Newman

3)

Martha Rogers

4)

Charles Darwin

ANS: 2

Margaret Newman identifies disease as disequilibrium, which stimulates the person toward growth and regaining wholeness. Jean Watson identifies caring as the primary focus of nursing. Martha Rogers states that the environmental energy field is in constant and meaningful interaction with the human energy field. Charles Darwin created the theory of natural selection. He is not a nursing theorist.

PTS:1DIFifficultREF:p. 5

KEY:Nursing process: N/A | Client need: SECE | Cognitive level: Recall

____ 7. A client wishes to avoid taking blood pressure medications. He is eating a healthy diet and exercising regularly. In addition, a CAM therapist has recommended an alternative therapy that will allow him to learn voluntary control over his blood pressure. What type of therapy is the therapist probably recommending?

1)

Homeopathy

2)

Naturopathy

3)

Biofeedback

4)

Hypnosis

ANS: 3

Biofeedback is a technique by which people learn voluntary control over typically involuntary activities. Homeopathy is based on an understanding of how the body heals itself and an acceptance that all symptoms represent the bodys attempt to restore itself to health. Naturopathy is the belief that nature and each living being have the innate ability to establish, maintain, and restore health. Hypnosis is a trancelike state characterized by relaxed brain waves, hypersuggestibility, and heightened imagination. Hypnosis has been used to promote relaxation, weight loss, and smoking cessation and to suppress various symptoms.

PTS:1DIF:ModerateREF:pp. 9-10

KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Comprehension

____ 8. What is the best rationale to gather data about patients use of herbal products?

1)

The nurse practice act requires RNs to monitor all drug dosages.

2)

Herbal products need to be evaluated for research purposes.

3)

Patients medication records must be kept accurate.

4)

Many herbs are known to interact with medications.

ANS: 4

Many herbs are known to interact with medications and to affect some disease processes adversely. Nurse practice acts do require RNs to assess patients but do not specifically require monitoring of drug dosages. Herbal products do need to be evaluated in research, and medication records must be accurate, but they do not provide the rationale for patient data collection.

PTS:1DIF:ModerateREF:p. 11

KEY: Nursing process: Assessment | Client need: PHSI | Cognitive level: Application

____ 9. A patient at the Integrative Health Clinic is scheduled for a massage technique that promotes unblocking of a terminal nerve in order to improve function along that nerve pathway. What type of therapy is he receiving?

1)

Myofascial release

2)

Shiatsu massage

3)

Swedish massage

4)

Reflexology

ANS: 4

Reflexology is a massage technique that promotes unblocking of a terminal nerve in order to improve function along that nerve pathway. Myofascial release restores balance, alignment, and mobility to the body by releasing tension in the soft connective fasciae. Shiatsu massage is a finger pressure method that balances the energy force in the body. Swedish massage is used to induce relaxation and restore flexibility.

PTS:1DIF:ModerateREF:p. 15

KEY: Nursing process: Interventions | Client need: PHSI | Cognitive level: Comprehension

____ 10. Therapeutic touch, Reiki, and Qigong are examples of:

1)

Energy therapies.

2)

Manipulative therapies.

3)

Biologically based therapies.

4)

Mindbody interventions.

ANS: 1

Therapeutic touch, Reiki, and Qigong involve manipulation of energy fields and are classified as energy therapies. Manipulative therapies focus on body manipulation and movement to improve health. Biologically based therapies use substances found in nature, such as food, herbs, vitamins, and aromatherapy. Mindbody therapies are based on awareness of the unity of the mind and body and on the ability of social, familial, and economic factors to affect all aspects of health and illness.

PTS: 1 DIF: Moderate REF: pp. 15-17

KEY: Nursing process: Interventions | Client need: SECE | Cognitive level: Comprehension

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 1. Which of the following beliefs is an essential component of holistic healthcare? Choose all that apply.

1)

Illness occurs when there is a shift in an individuals balance.

2)

Regardless of the type of care received, ultimately all healing is self-healing.

3)

More healthcare resources should be focused on alternative healers.

4)

Illness can create an opportunity for personal and spiritual growth.

ANS: 1, 2, 4

Foundational beliefs of holistic care include the following: illness reflects a shift in balance, all healing is self-healing, and illness creates an opportunity for growth. Although holistic healthcare includes the use of alternative modalities, it does not emphasize the use of healthcare resources (money, time, etc.) for alternative healers.

PTS: 1 DIF: Moderate REF: p. 3

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Synthesis

____ 2. Which of the following complementary and alternative modalities may be considered alternative medical systems? Choose all that apply.

1)

Acupuncture

2)

Prayer

3)

Ayurveda

4)

Aromatherapy

ANS: 1, 3

Acupuncture and Ayurveda are considered alternative medical systems. Prayer is a mindbody intervention, and aromatherapy is a biologically based therapy.

PTS:1DIF:EasyREF:pp. 5-7

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Comprehension

____ 3. Which of the following are reasons for the popularity of biologically based therapies, such as dietary supplements and herbal products? Choose all that apply.

1)

They are almost all readily available to consumers.

2)

They can be practiced as self-care measures.

3)

It is easy to know what dosage you are obtaining from a product.

4)

Products on the market have been proven to be safe to use.

ANS: 1, 2

Biologically based therapies use substances found in nature, such as food, herbs, vitamins, and aromatherapy. These therapies are readily available and are often practiced as self-care measures, so people who do not wish to see a practitioner may not need to do so. The U.S. Food and Drug Administration (FDA) regulates biologically based therapies and is developing guidelines for good manufacturing practices (GMPs). However, dosage and manufacturing processes are not standardized. The Federal Trade Commission monitors dietary supplements for truth in advertising. At present, it is difficult to know what dosage you are obtaining from a product, and safety cannot always be guaranteed.

PTS:1DIF:ModerateREF:p. 10

KEY: Nursing process: N/A | Client need: SECE | Cognitive level: Analysis

____ 4. An elderly client with a history of COPD is having difficulty sleeping and does not wish to see a medical practitioner. Which of the following strategies should the nurse discourage the client from using, or urge him to see a physician before beginning the therapy? The client has not used any of these therapies in the past. Choose all that apply.

1)

Aromatherapy

2)

Tai chi

3)

Yoga

4)

Melatonin

ANS: 3, 4

Aromatherapy is known to be safe, and may be effective. Tai chi is safe for older adults and may be effective for sleep. Yoga is possibly effective for sleep, but it is physically rigorous, so it has the potential to be harmful for older adults, who may have a variety of chronic conditions. The client should see a physician before beginning yoga. Melatonin is effective for certain sleep disorders, but it does interact with several prescription drugs. Therefore, the client should not take melatonin without consulting a physician.

PTS:1DIFifficult

REF: pp. 9, 11, 14, 15; not stated directly in text: critical thinking required

KEY: Nursing process: Interventions | Client need: PHSI | Cognitive level: Application

Completion

Complete each statement.

1. ____________________ is the vital process of discovering meaning, purpose, fulfillment, and values in life.

ANS: Spirituality

PTS:1DIFifficultREF:p. 4

KEY:Nursing process: N/A | Client need: PSI | Cognitive level: Recall

2.____________________, specifically for health reasons, is probably the most commonly used CAM therapy.

ANS: Prayer

PTS:1DIF:EasyREF:p. 8

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Recall

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