The client asks whether herbal medicines are a "good idea." The nurse's best response is:
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."
Correct Answer: 3
Rationale 1: Not all plant life is beneficial.
Rationale 2: There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The use of such treatments may be helpful but should be discussed with a healthcare provider in order to minimize the risk of interactions.
Rationale 3: Not all plant life is beneficial. Nurses must be open to exploring and discussing their clients' uses of and questions regarding herbal medicine. There are cautions and contraindications with some herbal preparations and OTC as well as prescription drugs. The most important role the nurse plays in regard to herbal medicine is to find out what the client is taking, at what dosage, and have a full list of the client's prescription medications as well as anything taken that is OTC.
Rationale 4: Not all plant life is beneficial. This option is not a sufficient answer to the client's question.
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A Native American patient arrives at the clinic for treatment related to type 2 diabetes
Which of the following would best provide the nurse with information about the role food plays in the patient's cultural practice and identify how the patient's food preferences could be related to the patient's problem? A) "Do you feel any of your cultural practices have a negative impact on your disease process?" B) "What types of foods are served as a part of your cultural practices and how they are prepared?" C) "As a non-native, I am unaware of your cultural practices. Could you teach me a few practices that may affect your care?" D) "Tell me about foods that are important to your cultural practices and how you feel they relate to your diabetes."
The nurse manager of a geriatric medicine unit learns that spiritual care services are underutilized by patients and their families. Which phenomenon explains this finding?
A) While spiritual needs are a universal part of the human condition, many people do not acknowledge these needs. B) The high-stress environment of a hospital is incompatible with the solace and quiet necessary for addressing spiritual needs. C) Spiritual needs are less apparent during times of immediate and tangible need, such as acute illness requiring hospital treatment. D) Many older adults who have experienced a lifetime of self-sufficiency and practical resourcefulness do not have spiritual needs.
Which central nervous system structures are most associated with anger and aggression? Select all that apply
a. Amygdala b. Cerebellum c. Basal ganglia d. Temporal lobe e. Prefrontal cortex
The nurse is caring for a patient with AKI and notes a trend of increasingly elevated BUN levels. How does the nurse interpret this information?
a. Breakdown of muscle for protein which leads to an increase in azotemia. b. Sign of urinary retention and decreased urinary output. c. Expected trend that can be reversed by increasing dietary protein. d. Ominous sign of impending irreversible kidney failure.