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Chapter 47: Herbal and Dietary Supplement Therapy
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: Page 758 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion
2. Which herbal medicine may improve a patient’s 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: Page 762 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion; Cognition; Perfusion
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
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supplements. Dietary supplements are not fully approved by the FDA or the United States
Pharmacopeia (USP).
DIF: Cognitive Level: ComprehensionREF: Page 755 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Safety
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: ComprehensionREF: Page 761 | Page 762
OBJ: 2 TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
CONCEPT(S): Clinical Judgment; Safety; Clotting
5. What is St. John’s wort used to treat?
a. Rheumatoid arthritis
b. Asthma
c. Depression
d. Viral infections
ANS: C
St. John’s wort is used to treat mild depression and heal wounds. The action of St. John’s 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: Page 765 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Psychological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion; Mood and Affect
6. Which is a therapeutic effect of valerian?
a. Lower high-density lipoproteins (HDLs) and raise low-density lipoprotein (LDLs) b.
Prevent infection
c. Promote relaxation and sleep
d. Elevate mood
ANS: C
Valerian has been used for more than 1000 years as a mild tranquilizer. Valerian is used for
restlessness and may promote sleep. Valerian does not affect cholesterol levels, prevent
infection, or affect mood.
DIF: Cognitive Level: ComprehensionREF: Page 765 OBJ: 1
TOP: Nursing Process Step: Planning
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Chapter 47: Herbal and Dietary Supplement Therapy
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: Page 758 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion
2. Which herbal medicine may improve a patient’s 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: Page 762 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion; Cognition; Perfusion
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
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:55:24 GMT -05:00
https://www.coursehero.com/file/40907024/c47rtf/
Downloaded by: Sophiie |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
supplements. Dietary supplements are not fully approved by the FDA or the United States
Pharmacopeia (USP).
DIF: Cognitive Level: ComprehensionREF: Page 755 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Safety
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: ComprehensionREF: Page 761 | Page 762
OBJ: 2 TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance NOT:
CONCEPT(S): Clinical Judgment; Safety; Clotting
5. What is St. John’s wort used to treat?
a. Rheumatoid arthritis
b. Asthma
c. Depression
d. Viral infections
ANS: C
St. John’s wort is used to treat mild depression and heal wounds. The action of St. John’s 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: Page 765 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Psychological Integrity
NOT: CONCEPT(S): Clinical Judgment; Health Promotion; Mood and Affect
6. Which is a therapeutic effect of valerian?
a. Lower high-density lipoproteins (HDLs) and raise low-density lipoprotein (LDLs) b.
Prevent infection
c. Promote relaxation and sleep
d. Elevate mood
ANS: C
Valerian has been used for more than 1000 years as a mild tranquilizer. Valerian is used for
restlessness and may promote sleep. Valerian does not affect cholesterol levels, prevent
infection, or affect mood.
DIF: Cognitive Level: ComprehensionREF: Page 765 OBJ: 1
TOP: Nursing Process Step: Planning
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:55:24 GMT -05:00
https://www.coursehero.com/file/40907024/c47rtf/
Downloaded by: Sophiie |
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