Chapter 24: Therapeutic Exercise
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient asks the nurse about the difference between manipulative and body-based
methods and mind body therapies. The nurses correct response is that:
a. manipulative and body-based methods involve touching or manipulation, and
mind body therapies deal ability to affect the body.
b. Mind body therapies involve touch and manipulation, and body-based methods
involve the minds ability body.
c. Mind body therapies involve the use of herbal remedies, whereas manipulative
and body-based methods
d. an example of manipulative body-based methods is biofeedback, and an example
of mind body therapies
ANS: A
Manipulative and body-based methods involve touching, such as in chiropractic
therapy, and mind body therapy is the mind working to heal the body, such as with
imagery.
DIF: Cognitive Level: Comprehension REF: k 616 OBJ: Theory #4
TOP: Manipulative and Body-Based Methods Versus Mind-Body
Therapies KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
2. An elderly female patient is placed on warfarin sodium (Coumadin) for thrombophlebitis
and is seen in the clinic for a follow-up visit. On assessment, the patient complains that
her forgetfulness is becoming worse and asks if ginkgo biloba would help. The most
appropriate response by the nurse is:
a. Ginkgo biloba improves memory, and you should have good results.
b. Ginkgo biloba should not be part of your regimen, and the doctor does not believe
in it.
c. You should take St. Johns wort instead, because it works better.
d. Coumadin and ginkgo biloba should not be taken together because the herb
prolongs bleeding time.
ANS: D
Coumadin and ginkgo biloba should not be used together, because the herb prolongs
the bleeding time, placing the patient in danger of hemorrhage.
DIF: Cognitive Level: Application REF: k 617 OBJ: Theory #5
TOP: Complementary Therapy Effects KEY: Nursing Process
Step: Implementation MSC: NCLEX: Physiological Integrity:
pharmacological therapies
3. A patient with thrombophlebitis is contemplating being seen by a massage therapist for a
deep body massage. The nurse warns that such a therapy may be harmful because:
a. the practitioner will use magnets on the body to relieve pain.
b. the practitioner will use electrical stimulation.
c. there is an increased risk of breaking loose a clot with the massage.
, d. massage may cause vasoconstriction.
ANS: C
With a history of thrombophlebitis, the massage might cause more injury to the
patient by breaking loose a clot with the stroking and kneading performed to the legs
and by the clot traveling to the lung, heart, or brain.
DIF: Cognitive Level: Analysis REF: k 616 OBJ: Clinical Practice #2
TOP: Massage KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance:
prevention and early detection of disease
4. When taking the depressed patients history, the nurse finds that the patient is taking
Prozac and the herbal remedy St. Johns wort. The nurse gives this information to the
physician immediately because:
a. the patient is still depressed and needs another antidepressant added.
b. Prozac and St. Johns wort should not be taken together, because this can cause
toxicity.
c. Prozac and St. Johns wort are complementary therapies and the doctor should
know this.
d. the patient should not be taking herbal remedies, because they have proven to be
ineffective.
ANS: B
Prozac and St. Johns wort together have a negative effect on the body, causing
toxicity.
DIF: Cognitive Level: Analysis REF: m 617 OBJ: Theory #5
TOP: Herbal Remedies KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance:
prevention and early detection of disease
5. A patient who has job-related stress and chronic back pain wants to start exercising but
dislikes physical activity. The nurse suggests that the most beneficial therapy for this
patient is:
a. yoga therapy.
b. dance therapy.
c. Ayurveda.
d. shamanism.
ANS: A
Yoga is a combination of exercise, controlled breathing, posture, and mental focus to
bring positive effects on the body and mind. It is effective for stress reduction and
chronic back problems.
DIF: Cognitive Level: Comprehension REF: k 613 OBJ: Theory #3
TOP: Yoga KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: physiological adaptation
6. Before integrating humor in the care of an Asian patient, the nurse should:
a. develop jokes about the patients condition.
b. develop jokes about the doctors and nurses.
c. ask the patient whether jokes are understood.
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient asks the nurse about the difference between manipulative and body-based
methods and mind body therapies. The nurses correct response is that:
a. manipulative and body-based methods involve touching or manipulation, and
mind body therapies deal ability to affect the body.
b. Mind body therapies involve touch and manipulation, and body-based methods
involve the minds ability body.
c. Mind body therapies involve the use of herbal remedies, whereas manipulative
and body-based methods
d. an example of manipulative body-based methods is biofeedback, and an example
of mind body therapies
ANS: A
Manipulative and body-based methods involve touching, such as in chiropractic
therapy, and mind body therapy is the mind working to heal the body, such as with
imagery.
DIF: Cognitive Level: Comprehension REF: k 616 OBJ: Theory #4
TOP: Manipulative and Body-Based Methods Versus Mind-Body
Therapies KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: basic care and comfort
2. An elderly female patient is placed on warfarin sodium (Coumadin) for thrombophlebitis
and is seen in the clinic for a follow-up visit. On assessment, the patient complains that
her forgetfulness is becoming worse and asks if ginkgo biloba would help. The most
appropriate response by the nurse is:
a. Ginkgo biloba improves memory, and you should have good results.
b. Ginkgo biloba should not be part of your regimen, and the doctor does not believe
in it.
c. You should take St. Johns wort instead, because it works better.
d. Coumadin and ginkgo biloba should not be taken together because the herb
prolongs bleeding time.
ANS: D
Coumadin and ginkgo biloba should not be used together, because the herb prolongs
the bleeding time, placing the patient in danger of hemorrhage.
DIF: Cognitive Level: Application REF: k 617 OBJ: Theory #5
TOP: Complementary Therapy Effects KEY: Nursing Process
Step: Implementation MSC: NCLEX: Physiological Integrity:
pharmacological therapies
3. A patient with thrombophlebitis is contemplating being seen by a massage therapist for a
deep body massage. The nurse warns that such a therapy may be harmful because:
a. the practitioner will use magnets on the body to relieve pain.
b. the practitioner will use electrical stimulation.
c. there is an increased risk of breaking loose a clot with the massage.
, d. massage may cause vasoconstriction.
ANS: C
With a history of thrombophlebitis, the massage might cause more injury to the
patient by breaking loose a clot with the stroking and kneading performed to the legs
and by the clot traveling to the lung, heart, or brain.
DIF: Cognitive Level: Analysis REF: k 616 OBJ: Clinical Practice #2
TOP: Massage KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance:
prevention and early detection of disease
4. When taking the depressed patients history, the nurse finds that the patient is taking
Prozac and the herbal remedy St. Johns wort. The nurse gives this information to the
physician immediately because:
a. the patient is still depressed and needs another antidepressant added.
b. Prozac and St. Johns wort should not be taken together, because this can cause
toxicity.
c. Prozac and St. Johns wort are complementary therapies and the doctor should
know this.
d. the patient should not be taking herbal remedies, because they have proven to be
ineffective.
ANS: B
Prozac and St. Johns wort together have a negative effect on the body, causing
toxicity.
DIF: Cognitive Level: Analysis REF: m 617 OBJ: Theory #5
TOP: Herbal Remedies KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance:
prevention and early detection of disease
5. A patient who has job-related stress and chronic back pain wants to start exercising but
dislikes physical activity. The nurse suggests that the most beneficial therapy for this
patient is:
a. yoga therapy.
b. dance therapy.
c. Ayurveda.
d. shamanism.
ANS: A
Yoga is a combination of exercise, controlled breathing, posture, and mental focus to
bring positive effects on the body and mind. It is effective for stress reduction and
chronic back problems.
DIF: Cognitive Level: Comprehension REF: k 613 OBJ: Theory #3
TOP: Yoga KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: physiological adaptation
6. Before integrating humor in the care of an Asian patient, the nurse should:
a. develop jokes about the patients condition.
b. develop jokes about the doctors and nurses.
c. ask the patient whether jokes are understood.
