Chapter 48: Herbal and Dietary Supplement Therapy My Nursing Test Banks

Chapter 48: Herbal and Dietary Supplement Therapy

Test Bank

MULTIPLE CHOICE

1. What is black cohosh used for?

a.

Preventing miscarriage during the first trimester

b.

Reducing symptoms of premenstrual syndrome

c.

Providing antispasmodic activity of the gastrointestinal (GI) system

d.

Controlling migraine headaches

ANS: B

Black cohosh is used to reduce symptoms of premenstrual syndrome, dysmenorrhea, and menopause. Therapy is not recommended for longer than 6 months. Because of its effect of relaxing the uterus, black cohosh is not used in pregnant women. Black cohosh does not affect the GI system or relieve migraines.

DIF: Cognitive Level: Comprehension REF: p. 814 OBJ: 1

TOP: Nursing Process Step: Implementation

MSC: NCLEX Client Needs Category: Physiological Integrity

2. Which herbal medicine may improve a patients short term memory loss and cognitive function?

a.

Ginger

b.

Green tea

c.

Feverfew

d.

Ginkgo biloba extract

ANS: D

Ginkgo biloba extract is used primarily for increasing cerebral blood flow, particularly in geriatric patients. Conditions treated are short term memory loss, headache, dizziness, tinnitus, and emotional instability with anxiety. Ginger is used to relieve nausea. Green tea has antioxidant effects. Feverfew is used to relieve migraines.

DIF: Cognitive Level: Knowledge REF: p. 818 OBJ: 1

TOP: Nursing Process Step: Implementation

MSC: NCLEX Client Needs Category: Physiological Integrity

3. Which statement about dietary supplements is true?

a.

Dietary supplements are considered safe and effective.

b.

Dietary supplements have not been tested for safety or efficacy.

c.

There are no serious adverse effects to taking dietary supplements.

d.

Dietary supplements have full FDA and USP approval.

ANS: B

Labels and advertisements of dietary supplements must contain a statement that the product has not yet been evaluated by the FDA for the treatment, cure, or prevention of disease. Legally, dietary supplements are not required to be safe and effective, and unfounded claims of therapeutic benefits abound. There can be serious adverse effects when taking dietary supplements. Dietary supplements are not fully approved by the FDA or the United States Pharmacopeia (USP).

DIF: Cognitive Level: Comprehension REF: p. 812 OBJ: 1

TOP: Nursing Process Step: Evaluation

MSC: NCLEX Client Needs Category: Safe, Effective Care Environment

4. Which dietary supplement should be used with extreme caution if the patient is on a platelet inhibitor?

a.

Aloe

b.

Ephedra

c.

Green tea

d.

Garlic

ANS: D

Garlic reduces platelet aggregation and should be used with extreme caution in patients receiving platelet inhibitors (e.g., aspirin, ticlopidine, dipyridamole, clopidogrel).

DIF: Cognitive Level: Comprehension REF: p. 817 OBJ: 2

TOP: Nursing Process Step: Evaluation

MSC: NCLEX Client Needs Category: Health Promotion and Maintenance

5. What is St. Johns wort used to treat?

a.

Rheumatoid arthritis

b.

Asthma

c.

Depression

d.

Viral infections

ANS: C

St. Johns wort is used to treat mild depression and heal wounds. The action of St. Johns wort is unknown. Studies have shown a prolonged effect of serotonin, dopamine, and norepinephrine as a result of decreased reuptake. Aloe is used to treat arthritis. Ephedra is used to treat asthma. Goldenseal is used to treat viral infections.

DIF: Cognitive Level: Knowledge REF: p. 821 OBJ: 1

TOP: Nursing Process Step: Evaluation

MSC: NCLEX Client Needs Category: Psych

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