Chapter 36: Integrative Care |Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

MULTIPLE CHOICE 1. A patient tells the nurse, ―I‘ve been having problems getting a good night‘s sleep. I read some information on the Internet and started taking kava kava.‖ Select the nurse‘s priority response. a. The Internet does not have reliable health information for consumers.‖ b. The Food and Drug Administration warned against using it due to the link to severe liver damage.‖ c. Melatonin has been shown to have better effects for treating sleep disturbances.‖ d. Your sleep disturbances are related to your problems with anxiety. Herbs will not help.‖ ANS: B The Food and Drug Administration (FDA) warned against using kava kava due to the link to severe liver damage. The nurse has responsibilities to educate patients regarding safe use of complementary therapies. Melatonin may be useful for sleep disturbances, but the patient‘s safety is a higher priority. The other distracters are misleading. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Page 36-36 (Table 36-1) TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 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 nurse‘s best response. a. Over-the-counter products for sleep problems are ineffective.‖ b. Do not take anything unless it‘s prescribed by your doctor.‖ c. Let‘s do some additional investigation of that product.‖ d. It sounds like you are trying to self-medicate.‖ ANS: C 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 patient‘s 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. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 36-3, 4, 6 TOP: Nursing Process: Implementation MSC: Client Needs: Safe, Effective Care Environment 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 Integrative Health (NCCIH) ANS: D The NCCIH provides reliable, objective, and scientific information to help in making decisions about use of these practices. NCCIH supports not only research, but also the development and sharing of this kind of information. The FDA has information, but it is not as extensive as NCCIH. The Internet has many resources but some are unreliable. The ANA does not provide extensive information about this topic. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 36-3 TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 4. A patient with a history of asthma says, ―I‘ve 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 nurse‘s best action. a. Support the patient‘s 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. Let‘s consider some other options.‖