The nurse is caring for a family in which four members have tuberculosis. The family describes its
health system to the nurse, noting that shamanic healing is used.
The nurse will have the greatest
success in planning treatment if she creates a plan that uses antituberculin medication as well as
a. services of a folk healer.
b. behavior therapy.
c. acupuncture.
d. yoga.
ANS: A
Shamanic healing considers that all things have spirit. Healing practices include rituals, cleansings,
and prayers delivered by a shaman or folk healer. Folk healing rituals can be successfully combined
with Western medicine. Accommodating culture-specific interventions builds on client coping and
healing systems. Option B: Behavior therapy would be of less cultural significance to the family
than folk healing. Options C and D: These complementary therapies were not specifically described
by the client as being part of her health system.
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A client taking a medication to increase the time it takes to clot her blood (anticoagulant) has a long history of using herbal agents. Which of the following statements made by the client would indicate the need for further teaching?
a. "I should not take feverfew because it increases the effects of my medication." b. "I can take ginger for my motion sickness when I fly." c. "I can take black cohosh for my PMS because there is not known interaction with my anticoagulant medication." d. "I can continue to use the garlic for a dietary supplement to decrease my cholesterol."
ANS: D Glucocorticoids can increase gastric distress, so an enteric-coated aspirin product is indicated. Glucocorticoids increase the risk of hypoglycemia, fluid retention, and hypertension
a. Type 1 diabetes mellitus b. Type 2 diabetes mellitus c. Diabetes insipidus d. Secondary diabetes
A client's wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client's therapist stresses the importance of proper sleep, nutrition, and exercise
What is the best rationale for the therapist's advice? A. The therapist is using an interpersonal approach.B. The client has an alteration in neurotransmitters. C. It is routine practice to remind clients about nutrition, exercise, and rest.D. The client is susceptible to illness due to effects of stress on the immune system.
In acute hypothermia, what physiologic change shunts blood away from the colder skin to the body core in an effort to decrease heat loss?
a. Hypotension b. Peripheral vasoconstriction c. Voluntary muscle movements d. Shivering