complementary and integrative health

Question 1

Describe the difference between complementary, alternative, and integrative therapies compared to conventional medicine.

Answer 1

complementary - use of things like supplements, manipulation, biologically based practices, and mind and body practices
alternative - acupuncture, Tai Chi, Reiki, Massage, Reflexology, Herbal medicine, etc.
integrative - follows evidence-based practice, focuses on the whole person, uses appropriate techniques.

Question 2

Discuss nonpharmacologic therapies.

Answer 2

A type of therapy that does not involve the use of medications

Question 3

Describe the physiological and psychological response to natural products.

Answer 3

The physiological stress refers to the body’s response towards the physical stressors, such as injury, diseased condition, and excessive workout (McEwen, 2006). On the other hand, psychological stress is a response of the body to intense emotional feelings such as anxiety, sadness, fear, and anger.

Question 4

identify advantages of complementary and integrative health

Answer 4

CIH is part of holistic nursing practice
therapeutic use of self is an independent action

Question 5

homeopathy

Answer 5

A system of theoretical medical practices that any substance can produce a disease state in a healthy person and that any substance can provide treatment for a person who has the disorder. Ingredients in homeopathic remedies are often derived from plants, animals & minerals.

Question 6

functional medicine

Answer 6

A biology-based approach whose focus is on the root cause of disease. It systemically identifies the many causes and conditions contributing to dysfunctional health.

Question 7

common traditional Chinese medicine practices

Answer 7

acupuncture
herbal remedies
diet and exercise philosophies

Question 8

prebiotics

Answer 8

A nutrient stimulating the health and growth of bacteria in the large intestine. Organisms in the colon effect digestive health.

Question 9

probiotics

Answer 9

Substances that promote a favorable, health-promoting effect on tissues and cells. For example, Lactobacillus acidophilus inhibits the growth of damaging bacteria in the GI tract, like Salmonella or C. difficile, and can assist with digestive issues, such as lactose intolerance.

Question 10

omega-3 fatty acids

Answer 10

Found in a number of foods, mainly fish. Fish oil supplements are the most common non-vitamin/non-mineral natural product taken by adults and children.

Question 11

B-complex

Answer 11

A group of vitamins including B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (Pantothenic acid), B6 (pyridoxine), B7 (biotin), B9 (folic acid), B12 (cyanocobalamin).

Question 12

vitamins

Answer 12

Carbon-based organic substances made naturally by plants and animals. Divided into categories of either water-soluble or fat-soluble, the 13 essential vitamins are A,C, D, E, K and the eight B-Complex vitamins, B1, B2, B3, B5, B6, B7, B9, and B12.

Question 13

water soluble vitamins

Answer 13

c
B-complex

Question 14

fat-soluble

Answer 14

A
D
E
K

Question 15

A nurse is assisting with teaching a class about using holistic nursing interventions to care for clients. Which of the following information should the nurse include?

Answer 15

holistic nurses empower client to actively participate in their own care

Question 16

A nurse is assisting with providing an in-service for staff members about complementary and integrative health. Which of the following statements by a staff member indicates an understanding of the teaching?

Answer 16

“scented oils might decrease comfort”

Question 17

A nurse is assisting with teaching a client about homeopathy. Which of the following client statements indicates an understanding of the teaching?

Answer 17

“homeopathy believes a substance that can cause a disease can also cure it”

Question 18

A nurse is planning complementary therapy for a client who has breast cancer. Which of the following treatments is a complementary therapy that the nurse can implement?

Answer 18

massage therapy

Question 19

A nurse is completing a preoperative health history for a client who reports taking several herbal supplements. Which of the following herbal supplements is the priority for the nurse to report?

Answer 19

Ginkgo biloba

Question 20

A nurse is assisting with an in-service for staff members about culturally competent care. Which of the following information should the nurse include about traditional Native American beliefs?

Answer 20

music can produce healing energies

Question 21

A nurse is teaching a client about food choices that promote immunity and healing. Which of the following foods is the best source of vitamin C?

Answer 21

1 cup strawberries

Question 22

A nurse is caring for a client who is receiving palliative care. Which of the following non-pharmacological nursing interventions should the nurse provide the client?

Answer 22

therapeutic touch

Question 23

A nurse is assisting with teaching a client, who has a history of alcohol use disorder and is to be discharged following cataract surgery, about non-pharmacological therapies. Which of the following client statements indicates an understanding of the teaching?

Answer 23

“I will practice meditating when stressed”

Question 24

A nurse is caring for a client who follows a vegan diet and reports lethargy. Which of the following interventions should the nurse implement?

Answer 24

Request a prescription for vitamin B12 supplements

Question 25

A nurse is caring for a client who has a sunburn. The nurse should identify that which of the following herbal supplements is used to treat sunburns?

Answer 25

aloe vera

Question 26

A nurse is explaining the practice of Ayurveda to a newly licensed nurse. The nurse should include that Ayurveda is based on establishing a balance between the body, mind, and spirit with which of the following elements? (Select all that apply.)

Answer 26

earth sky water

Question 27

A nurse is assisting a massage therapist to identify the best client for massage therapy. Which of the following clients should the nurse recommend?

Answer 27

a client with postpartum depression

Question 28

A nurse is assisting in recommending clients for chiropractic treatment. Which of the following clients should the nurse recommend?

Answer 28

a client who has shoulder pain

Question 29

A nurse is caring for a client who asks about naturopathy. The nurse should include that which of the following is a component of naturopathy? (Select all that apply.)

Answer 29

dietary supplements traditional chinese medicine homeopathy exercise

Question 30

A nurse is caring for a client who is scheduled for an emergency appendectomy and reports increasing anxiety. Which of the following statements should the nurse make to implement a complementary health strategy?

Answer 30

"try to take slow deep breaths in and out"

Question 31

A nurse is assisting with teaching a class about U.S. Food and Drug Administration (FDA) regulation of nutritional supplements. Which of the following information should the nurse include in the teaching?

Answer 31

A nutritional supplement contains at least one nutritional component.

Question 32

A nurse is assisting with teaching a newly licensed nurse about holistic nursing. Which of the following information should the nurse include? (Select all that apply.)

Answer 32

Use deep breathing to promote relaxation in clients. Encourage clients to use guided imagery to decrease pain. Apply essential oils to treat anxiety in clients.

Question 33

A nurse is reinforcing teaching about traditional Chinese medicine (TCM) to a client. Which of the following statements by the client demonstrates an understanding of the teaching?

Answer 33

"I will practice Tai Chi every day"

Question 34

A nurse is caring for a client who asks about using aromatherapy for nausea. Which of the following scents should the nurse recommend? (Select all that apply.)

Answer 34

peppermint ginger orange

Question 35

convention medicine - predominantly practiced by:

Answer 35

* Medical doctors (MD) * Doctors of osteopathy (DO), * Registered nurses * Psychologists * Physical therapists * Other healthcare professionals

Question 36

complementary and integrative health (CIH)

Answer 36

* Holistic, eastern, complementary, and alternative medicine (CAM) * Complementary health approaches (CHA) * Approaches health and wellness through broader, nontraditional view * Ideally combined with and complementing conventional medicine

Question 37

integrative health is?

Answer 37

when you use all components of complementary health together

Question 38

integrative therapies gather and use:

Answer 38

* Conventional * Complementary * Alternative therapies They treat the client through mind, body, and spirit.

Question 39

holistic medicine uses what

Answer 39

a medical approach but also uses a therapeutic approach

Question 40

holistic medicine

Answer 40

* Holistic and holism come from the Greek word holos, meaning whole * Consideration of the whole person, mind, body, and spirit * Client-centered approach * Proactive promotion of health and wellness * Honoring the caring–healing relationship * Respecting the subjective experiences of client wellness, illness, growth, healing, birth, and dying * Empowerment—that is, encouraging clients to actively participate in, and make informed decisions about, their care * Collaboration of cultural values and belief systems, folk and traditional practices, and the use of complementary and integrative practices in the promotion of health and wellness

Question 41

mind-body interventions

Answer 41

deep breathing mindfulness meditation prayer

Question 42

Research and scholarly pursuits of the National Center for Complementary and Integrative Health (NCCIH)

Answer 42

biological therapies (nutritional) mind-body therapies (psychological) manual therapies (physical) bioenergetic therapies alternative systems of care

Question 43

biological therapies (nutritional)

Answer 43

substances found in nature, nonprescriptive, herbal, or botanical medicines; often sold over the counter

Question 44

mind-body therapies (psychological)

Answer 44

focus on interactions of the mind, the body, and the brain to positively affect physical functions and health promotion

Question 45

manual therapies (physcial)

Answer 45

a hands-on focus on the structures (bones, joints, soft tissue) and systems (circulatory, lymphatic) of the body - is hands on

Question 46

bioenergetic therapies (physical)

Answer 46

practices involving manipulation of human energy fields

Question 47

alternative systems of care

Answer 47

whole medical systems (e.g., Ayurveda, traditional Chinese medicine) that have developed over time and in different cultures

Question 48

aromatherapy

Answer 48

* Aromatherapy is breathing in the scent of a natural plant extract in: * topical creams * lotions * essential oils * aromatic diffusers

Question 49

aromatherapy is used for improvement of?

Answer 49

physical mental spiritual wellness

Question 50

acupuncture

Answer 50

is a professional procedure using long, thin, sterile needles to penetrate the skin and stimulate, by hand and/or electrically, anatomical points in the body to improve short and long-term physical function.

Question 51

hypnotherapy or hypnosis

Answer 51

refers to an altered state of consciousness achieved through relaxation and focused attention to suggestions made by a hypnotist or hypnotherapist.

Question 52

biofeedback

Answer 52

A mind-body regulation of bodily functions assisted by electronic devices.

Question 53

biofeedback regulates breathing and heart rate and improves healthy by:

Answer 53

* reducing stress, * eliminating headaches, * reconditioning injured muscles, or * alleviating pain.

Question 54

massage

Answer 54

is an ancient therapy of manipulating soft tissue with the human hands for relief from pain.

Question 55

reflexology

Answer 55

is a method of massaging or manipulating the feet and hands reflex systems to positively influence the body’s functions regarding pain, stress, and other dysfunctions.

Question 56

chiropractic care

Answer 56

* Chiropractic care uses manual therapy and spinal manipulation, focusing on the body’s physical structure, primarily the spine, and its relationship to functionality.

Question 57

osteopathic care

Answer 57

* Osteopathic medicine focuses on structural and anatomical abnormalities that cause disease. * Treatment is based on rebalancing structure and function.

Question 58

healing touch

Answer 58

* Healing touch is a hands-on, energy-based therapy developed from numerous healing philosophies.

Question 59

therapeutic touch

Answer 59

* Therapeutic touch was developed following the practices of Dora Kunz and her sensitivity to human energy systems and her ability to sense obstructions in a client’s energy field.

Question 60

supplements

Answer 60

* Most Americans can meet their USDA requirements of necessary vitamins and minerals through a healthy diet, including nutrient-rich foods. * Clients taking dietary supplements of any type must be assessed by their nurses for efficacy, reaction, and interactions with their current health regime.