Nursing Chapter 19 Rationale St Johns Wort Would Not Affect

Kozier & Erb’s Fundamentals of Nursing, 9/E

Chapter 19

Question 1

Type: MCSA

A nurse is helping a hospice client who has had difficulty with making end-of-life decisions. The nurse has

encouraged the client to focus on her self-worth, her accomplishments, and having positive self-esteem in order to

process through some of these decisions. The nurse is helping the client to achieve balance in which component?

1. Environmental

2. Physical

3. Mental

4. Spiritual

Question 2

Type: MCSA

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future

employability is uncertain. The client states that his life has no meaning or purpose anymore and that he feels

lonely and abandoned. What is an appropriate nursing diagnosis for this client?

1. Body Image Disturbance

2. Health-Seeking Behavior

3. Altered Family Processes

4. Spiritual Distress

Question 3

Type: MCSA

The nurse is working with a client who, during her interview, expresses feelings of groundedness. The nurse

interprets this to mean that the client

1. is full of energy.

2. feels connected to her reality.

3. is focused on her center of energy.

4. feels “down in the dumps.”

Question 4

Type: MCSA

After having a difficult time saying “no” when asked to work yet another overtime shift, the nurse begins to feel

overwhelmed and irritable. As a method to most effectively promote self-healing, what should this nurse do?

1. Clarify values and beliefs.

2. Set realistic goals.

3. Learn to manage stress.

4. Challenge the belief that others always come first.

Question 5

Type: MCSA

During an interview assessment, the client states a belief in nutritional lifestyle counseling and that the body’s

vital energy circulates through the body, which can be manipulated through specific anatomical points. Which

type of healing practice should the nurse identify that this patient is following?

1. Traditional Chinese medicine

2. Native American healing

3. Ayurveda

4. Curanderismo

Question 6

Type: MCSA

The client asks whether herbal medicines are a “good idea.” What should the nurse respond?

1. “Things found in nature are always healthy.”

2. “If your doctor didn’t prescribe it, don’t take it.”

3. “Are there specific ones you’re wondering about?”

4. “Everything is good in moderation.”

Question 7

Type: MCSA

A client comes to the family planning clinic for follow-up and is currently taking an oral contraceptive. During

the interview assessment, the client states she has been using some “natural medicines.” Which herbal preparation

should alert the nurse to a possible interaction with oral contraceptives?

1. Valerian

2. Echinacea

3. Garlic

4. Milk thistle

Question 8

Type: MCSA

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months

and states that he has also been trying St. John’s wort. Which vital sign should the nurse assess for possible

adverse effects?

1. Temperature

2. Respiratory rate

3. Oxygen saturation

4. Pulse rate

Question 9

Type: MCSA

During a clinic appointment, a client prescribed medication for glaucoma reports vision problems. When taking a

medication history, which herbal preparation should the nurse identify as being problematic for this client?

1. Ginseng

2. Echinacea

3. Valerian

4. St. John’s wort

Question 10

Type: MCSA

A client diagnosed with hypertension has had well-controlled follow-up of her blood pressure for the past 6

months. At today’s clinic appointment, the client’s blood pressure is 98/58. The client insists she has been taking

her prescribed antihypertensive medication as prescribed, but also added an “herbal” tablet because she heard it

was supposed to be good for her. Which is most likely interfering with the client’s antihypertensive?

1. Valerian

2. Milk thistle

3. Ginseng

4. Garlic

Question 11

Type: MCSA

The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils. For

which health problem should the nurse particularly assess the clients?

1. Hypertension

2. Cardiac problems

3. Asthma

4. Cancer

Question 12

Type: MCSA

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential

oils that are helpful for “stomach problems.” The nurse should offer the client information about the use of which

oil?

1. Chamomile

2. Eucalyptus

3. Lavender

4. Tea tree

Question 13

Type: MCMA

A client asks the nurse about chiropractic medicine. What should the nurse explain as being among the goals of

this type of health intervention?

Standard Text: Select all that apply.

1. Improvement of blood and lymph flow through the body

2. Stimulation of specific points to help with pain relief, cures certain illnesses, and promote wellness

3. Reduce or eliminate pain

4. Correct spinal dysfunction

5. Preventive maintenance

Question 14

Type: MCSA

A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the

staff. The client is confined to bed and is not able to communicate verbally. As part of the client’s care plan, the

nurses provide massage therapy three times a week. What is the main benefit of this intervention for this client?

1. Stretch and loosen the muscles

2. Speed the removal of metabolic waste products

3. Help satisfy the need for caring and nurturing touch

4. Relieve pain

Question 15

Type: MCSA

A client visits a clinic that integrates Western medicine with complementary therapies. Which therapies might the

client utilize and believe to keep the flow of qi at a therapeutic level?

1. Acupressure and reflexology

2. Therapeutic touch and Reiki

3. Aromatherapy and naturopathic remedies

4. Chiropractic and massage therapy