exam i: ch36 - integrative care

Question 1

non-mainstream care in conjunction with standard medical care

Answer 1

complementary care

Question 2

non-mainstream care instead of standard medical care

Answer 2

alternative care

Question 3

non-mainstream care in coordinated conjunction with standard medical care (working together with pt)
- what is done WITH the patient to health the body and mind

Answer 3

integrative care

Question 4

• actively participate in healthcare
• engage in holistic practices
• therapeutic approaches with lower risks

Answer 4

goals of integrative care

Question 5

• advance the science/practice of symptom management
• develop effective, practical, personalized strategies for promoting health/well-being
• enable better evidence based decision making

Answer 5

goals of CAM

Question 6

all nursing that has healing the whole person as its goal

Answer 6

holistic nursing

Question 7

vitamin d
- mental health purpose
- linked with
- where to find

Answer 7

• mental health purpose: help prevent depression
• linked with: bone health, cell growth, immune fxn
• where to find: sun, fatty fish, beef liver, cheese, egg yolk

Question 8

omega 3 fatty acids
- mental health purpose
- linked with
- caution

Answer 8

• mental health purpose: help in tx of depression + bipolar
• linked with: depression + bipolar
• caution: GI belching, indigestion, shellfish allergy, bleeding

Question 9

microbiomes
- mental health purpose
- linked with
- where to find

Answer 9

• mental health purpose : connection between gut and body
• linked with: tx of depression + anxiety
• where to find: fermented food, probiotics

Question 10

st. john’s wort
- mental health purpose
- linked with
- caution

Answer 10

• mental health purpose: for minor depression/melancholia
• linked with: serotonin boost for depression tx
• caution: photosensitivity, serotonin syndrome when combined with MAOIs, adverse rxns

Question 11

SAM-e
- mental health purpose
- linked with
- caution

Answer 11

• mental health purpose: good for depression tx
• linked with: depression
• caution: drowsiness, serotonin syndrome, cardiac issues - HTN, arrythmias

Question 12

kava
- mental health purpose
- linked with
- caution

Answer 12

• mental health purpose: good for anxiety
• linked with: anxiety
• caution: liver damage

Question 13

valerian
- mental health purpose
- linked with
- caution

Answer 13

• mental health purpose: good for anxiety, fatigue, depression
• linked with: anxiety, depression
• caution: HA, abdominal pain, USE ONLY SHORT PERIOD

Question 14

chamomile
- mental health purpose
- linked with
- caution

Answer 14

• mental health purpose: good for sleeplessness, anxiety
• linked with: sleeplessness, anxiety
• caution: allergic rxn (to daisies)

Question 15

melatonin
- mental health purpose
- linked with
- caution

Answer 15

• mental health purpose: good for insomnia
• linked with: insomnia
• caution: worsen dementia, stop natural production of melatonin

Question 16

when medications can potentiate each other’s effects
- reason why pt MUST TELL nurse ALL meds they take

Answer 16

supplement effect

Question 17

type of therapy; connection between mind and body = heal better if good emotional + mental health

Answer 17

mind CAM therapies

Question 18

how does yoga help mind CAM therapy

Answer 18

helps decrease cortisol levels + stabilize the hypothalmic-pituitary-adrenal (HPA) axis = lowered stress response

Question 19

how does exercise help mind CAM therapy

Answer 19

alters dopamine, serotonin, norepinephrine in body –turn on signaling pathways in brain responsible for cognitive fxn and behavior

Question 20

which types of mind CAM therapies are NOT in nursing scope

Answer 20

acupuncture + massage

Question 21

type of therapy; sight, hearing, smell, taste, touch affects overall health

Answer 21

senses CAM therapy

Question 22

japanese spiritual practice; energy based therapy (thought field therapy + emotional freedom), GOOD FOR PAIN + ANXIETY

Answer 22

reiki

Question 23

what are concerns with herbal meds with pharmacological medications

Answer 23

(NOT FDA REGULATED)
CONCERNS: nerve, kidney, liver damage, chemical rxns