Module 10- CAM therapies Flashcards
A client starting chemotherapy asks what can be done for anxiety without taking additional medications. Which mind-body
practice should the nurse recommend? (Select all that apply.)
A. Meditation
B. Biofeedback
C. Yoga
D. Strenuous exercise
E. Napping
A. Meditation
B. Biofeedback
C. Yoga
A client who is unemployed without health insurance has hypertension. For which reason should the nurse suspect that the client is taking herbal supplements instead of prescribed blood pressure medication?
A. Natural alternative
B. Friend’s advice
C. Healthcare provider’s recommendation
D. Lower cost of herbal supplements
D. Lower cost of herbal supplements
A client reports that herbal remedies “have been proven” to work better than antibiotics against pneumonia. Which information should the nurse provide?
A. “All complementary therapies have been tested by the manufacturer.”
B. “Few complementary therapies have been subjected to the rigorous testing that prescription medications undergo.”
C. “Pneumonia can only be cured with antibiotic therapy.”
D. “It is good to research all medications and supplements you take on the internet.”
B. “Few complementary therapies have been subjected to the rigorous testing that prescription medications undergo.”
A client plans to grow herbs at home. Which health teaching should the nurse provide to the client?
A. Describe which parts of the plants contain active chemicals.
B. Explain which herbs to avoid with certain over-the-counter (OTC) medications.
C. Recommend specific herbs to use as medicine.
D. Clarify how certain herbs grow better than others.
B. Explain which herbs to avoid with certain over-the-counter (OTC) medications.
The nurse notes that no active ingredient is identified on the label of an herbal supplement that a client is using. Which information should the nurse provide to the client? (Select all that apply.)
A. The active ingredient is not always known.
B. There may be more than one active ingredient.
C. This must be a labeling mistake.
D. The active ingredient is always known.
E. There is only one active ingredient in herbal supplements.
A. The active ingredient is not always known.
B. There may be more than one active ingredient.
A client asks how fresh or dried herbs are used to prepare a topical preparation. Which explanation should the nurse provide?
A. The dried herbs are compounded into a solid form for application.
B. They are soaked in hot water for 5 to 10 minutes.
C. They are soaked in hot water for at least 15 minutes.
D. They are boiled in water for 30 to 60 minutes.
A. The dried herbs are compounded into a solid form for application.
The nurse is discussing with a client the difference between the standardization of prescription medications versus herbal supplements. Which statement should the nurse include in the discussion? (Select all that apply.)
A. Prescription drugs contain chemicals that are standardized and measured; most contain one active ingredient.
B. Prescription drugs contain chemicals that are standardized and measured; most contain more than one active ingredient.
C. There are no differences between the standardization of prescription medications and herbal supplements.
D. Herbal supplements are reliably standardized and may contain multiple active ingredients.
E. Herbal supplements are not reliably standardized and may contain multiple active ingredients.
A. Prescription drugs contain chemicals that are standardized and measured; most contain one active ingredient.
E. Herbal supplements are not reliably standardized and may contain multiple active ingredients.
The nurse reviews herbal supplements with a group of community members. Which explanation should the nurse use to describe how an herbal supplement is standardized using the marker substance?
A. “It is a common substance found in an herb that may not have a therapeutic dose.”
B. “It is a common substance found in an herb that is the active ingredient.”
C. “It is one of many substances found in an herb that is the active ingredient.”
D. “It is the only substance found in an herb and is the active ingredient.”
A. “It is a common substance found in an herb that may not have a therapeutic dose.”
The nurse notes that a client’s herbal supplement label reads, “Improves digestive health.” Which teaching should the nurse provide about the accuracy of the claim?
A. “If the claim is on the label, the manufacturer has conducted extensive research.”
B. “Claims such as these do not need to be verified, so they may not be accurate.”
C. “Claims such as these are not allowed on labels, so this should be reported.”
D. “Claims such as these are verified, so they are accurate.”
B. “Claims such as these do not need to be verified, so they may not be accurate.”
The nurse is discussing the role of the Food and Drug Administration (FDA) in regulating herbal supplements. Under which circumstance should the nurse explain that the FDA can remove an herbal supplement from the market?
A. If the supplement claims to affect a body structure
B. If the supplement claims to affect a body function
C. If the FDA has not tested the effectiveness of the herbal supplement
D. If the FDA proves the supplement to be harmful
D. If the FDA proves the supplement to be harmful
A client asks the best way to know if an herbal supplement is safe. Which information should the nurse provide about the role of the Food and Drug Administration (FDA) and safety with herbal supplements? (Select all that apply.)
A.
The FDA tests all herbal supplements.
B.
The manufacturer must report results of clinical trials to the FDA.
C.
The FDA has the authority to pull supplements off the market.
D.
The FDA has no authority over the sale of herbal supplements.
E.
The FDA keeps records of reported adverse events.
C.
The FDA has the authority to pull supplements off the market.
E.
The FDA keeps records of reported adverse events.
The nurse reviews the requirements of the Dietary Supplement and Nonprescription Drug Consumer Protection Act. Which manufacturer requirement should the nurse identify? (Select all that apply.)
A.
List effectiveness on labels.
B.
Name diagnosis for use on labels.
C.
Notify the Food and Drug Administration (FDA) of any serious adverse effect from the supplement.
D.
Keep records of adverse effects for 6 years.
E.
Place contact information on labels.
C.
Notify the Food and Drug Administration (FDA) of any serious adverse effect from the supplement.
D.
Keep records of adverse effects for 6 years.
E.
Place contact information on labels.
A client asks what is considered a serious adverse effect when taking a dietary supplement. Which occurrence should the nurse explain? (Select all that apply.)
A. A life-threatening response
B. Death
C. Caused inpatient hospitalization
D. Caused nausea and vomiting
E. Resulted in a persistent disability
A. A life-threatening response
B. Death
C. Caused inpatient hospitalization
E. Resulted in a persistent disability
A client is considering supplementing a prescribed medication with herbal supplements. Which teaching should the nurse provide? (Select all that apply.)
A.
Some herbal supplements can have dangerous effects when taken with prescription medication.
B.
It is generally safe to combine herbal supplements with prescription medication.
C.
Effects of the combination may lead to toxicity.
D.
The supplement may increase the action of the prescription drug, resulting in illness.
E.
The therapeutic effects of both substances will be completely negated.
A.
Some herbal supplements can have dangerous effects when taken with prescription medication.
C.
Effects of the combination may lead to toxicity.
D.
The supplement may increase the action of the prescription drug, resulting in illness.
A client is taking an herbal supplement that claims to promote relaxation. Which drug should the nurse instruct the client to avoid?
A. Anticoagulants
B. Antibiotics
C. Antihypertensives
D. Central nervous system depressants
D. Central nervous system depressants
