PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 36-9 TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity 13. For which patient would it be most important for the nurse to urge immediate discontinuation
of kava? A patient with a comorbid diagnosis of a. cirrhosis. b. osteoarthritis. c. multiple sclerosis. d. chronic back pain.
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ANS: A
Kava should be used with caution in patients with liver disease because of its potentially hepatotoxic effects. The other health problems do not pose immediate dangers.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 36-9, 36 (Table 36-1) TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
14. A patient tells the nurse, “I prefer to treat my physical problems with herbs and vitamins.
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They are natural substances, and natural products are safe.” Which response by the nurse would be most appropriate? a. “Natural substances tend to be safer than conventional medical remedies.” b. “Natural remedies give you the idea that you are controlling your treatment.” c. “The word natural can be a marketing term used to imply a product is healthy, but that’s not always true.” d. “You should not treat your own physical problems. You should see your health care provider for these problems.” ANS: C
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CAM remedies are usually natural substances, but it is a fallacy that products labeled natural are safer than conventional medicines. Some natural products contain powerful ingredients that can cause illness and damage to the body if taken inappropriately and, for some persons, can be dangerous even when used as directed. This is the most important message for the nurse to convey to the patient. So-called natural substances can have a number ofsignificant side effects. Natural substances may give one the belief that he is controlling his own treatment, but that is not the message that most needs to be communicated here. Many patients can safely self-manage minor physical problems.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 36-8, 9 TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
15. An immigrant from China needs a colonic resection but is anxious and reluctant about
surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient’s anxiety and reluctance? a. “Surgery will help rebalance the yin and yang forces and return you to harmony.” b. “The surgery we are recommending will help you achieve final transformation.” c. “I know this is new to you, but you can trust us to take very good care of you.” d. “If you would like, we could investigate using acupuncture to help control pain.” ANS: D
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