Varcarolis Ch. 36 Integrative Care
1. A patient tells the nurse, Ive been having problems with my memory. I read some information on the
Internet and started taking gingko. Select the nurses best response.
a. The Internet does not have reliable health information for consumers.
b. More rece...
Varcarolis Ch. 36 Integrative Care
1. A patient tells the nurse, Ive been having problems with my memory. I read some information on the
Internet and started taking gingko. Select the nurses best response.
a. The Internet does not have reliable health information for consumers.
b. More recent studies indicate gingko does not help memory problems.
c. Valerian has been shown to have better effects for treating memory problems.
d. Your memory problems are related to your circulation problems. Herbs will not help. ✔️b. More
recent studies indicate gingko does not help memory problems.
Recent studies indicate gingko is does not help with cognition or memory problems. Valerian is useful
for treating mild depression or anxiety. The other distracters are misleading.
2. A patient shows a nurse this advertisement: Our product is a scientific breakthrough helpful for
depression, anxiety, and sleeplessness. Made from an ancient formula, it stimulates circulation and
excretes toxins. Satisfaction guaranteed or your money back. Select the nurses best response.
a. Over-the-counter products for sleep problems are ineffective.
b. Do not take anything unless its prescribed by your doctor.
c. Lets do some additional investigation of that product.
d. It sounds like you are trying to self-medicate. ✔️c. Lets do some additional investigation of that
product.
Helping consumers actively evaluate the quality of information available to them is important. It is
important for the nurse to work with the patient and include the patients preferences regarding
,management of health. Advertisements indicating scientific breakthroughs or promising miracles for
multiple ailments are usually for products that are useless and being fraudulently marketed. Some may
even be harmful. Some over-the-counter products can be useful, and patients do not need a
prescription for these products. The broader issue is safety and efficacy, rather than whether the patient
is trying to self-medicate.
3. A patient wants to learn more about integrative therapies. Which resource should the nurse suggest
for the most reliable information?
a. Internet
b. American Nurses Association (ANA)
c. Food and Drug Administration (FDA)
d. National Center for Complementary and Alternative Medicine (NCCAM) ✔️d. National Center for
Complementary and Alternative Medicine (NCCAM)
The National Center for Complementary and Alternative Medicine has a clearinghouse from which
individuals may request information. The FDA has information, but it is not as extensive as NCCAM. The
Internet has many resources but some are unreliable. The ANA does not provide extensive information
about this topic.
4. A patient with a history of asthma says, Ive been very nervous lately. I think aromatherapy will help. I
am ordering $250 worth of oils from an Internet site that promised swift results. Select the nurses best
action.
a. Support the patients efforts to become informed and to find health solutions.
b. Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
c. Remind the patient, If you spend that much on oils, you may not be able to buy your prescribed
medication.
, d. Tell the patient, Aromatherapy can complicate respiratory problems such as asthma. Lets consider
some other options. ✔️d. Tell the patient, Aromatherapy can complicate respiratory problems such as
asthma. Lets consider some other options.
Safety is paramount, and aromatherapy may cause complications for a patient with asthma. The nurse
should view alternative treatments with an open mind and try to recognize the importance of the
treatment to the patient while trying to give the patient accurate, reliable information about the
treatment. Although efforts to become health literate should be supported, educating the patient about
the pitfalls of relying on the Internet is essential. The opinions of others, whether they are positive or
negative, lack a scientific basis and are subject to confounding variables such as the placebo effect and
individual factors such as age and health history. Admonishing the patient may jeopardize the
relationship.
5. A patient says, I have taken megadoses of vitamin E for 3 months to improve my circulation, but I
think I feel worse. Which action should the nurse take first?
a. Explain to the patient that megadoses may be harmful and advise caution.
b. Assess the patient for symptoms and signs of toxicity from excess vitamin exposure.
c. Assess for signs of circulatory integrity to determine whether improvement has occurred.
d. Educate the patient that research has not shown that megadoses of vitamins produce benefits. ✔️b.
Assess the patient for symptoms and signs of toxicity from excess vitamin exposure.
Megadoses of many vitamins, especially when taken over long periods, may produce dangerous side
effects or toxicity. The priority for the nurse is to assess for signs of any dangerous consequences of the
patients use of such a regimen. Secondary interventions would include patient education about research
findings related to the practice, along with any benefits and undesired effects associated with the
practice. A health care provider should also assess the patient for cardiovascular concerns.
6. Acupuncture is a traditional Chinese medical treatment based on the belief that:
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