After reading a magazine article on complementary medicine methods, a teenager diagnosed with cancer asks the nurse about the possibility of adding CAM to the medical treatment plan

The nurse would explain to the child that prior to deciding on a CAM method, the adolescent must discuss: 1. The cost of the CAM with her parents.
2. The availability of CAM leaders with the hospital social worker.
3. The safety of the chosen CAM modality with her primary physician.
4. Alternative CAM methods with the nurse.


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Rationale 1: Although discussion about cost is important, this is not the best response.
Rationale 2: Some CAM modalities may require an instructor/leader, and others may not. This is not the best answer.
Rationale 3: The priority concern about CAM modalities must be safety and the reaction of the CAM with the current medical treatment
Rationale 4: In considering CAM modalities, the patient and family may have options. It is acceptable to discuss this with a nurse, but safety should always be the primary concern.
Global Rationale:

Nursing

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a. impairment in social interaction and highly repetitive patterns of interest and behavior b. normal or exceptionally high intellectual abilities c. extensive interest in and knowledge about a topic of special interest d. severe neurological abnormalities that can be seen on positron emission tomography (PET) scans or other types of imaging

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With the ongoing focus on disease prevention and health promotion, nurses seeking a preferred future will need to increase their knowledge regarding:

A. Chronic illness management, health pro-motion, and obesity B. Hospice care, acute exacerbations of dis-ease, and emergency resuscitation C. Management of the very sick, hospice care, and pathophysiology of acute illness D. Knowledge regarding rare illnesses, acute care, and mortality figures

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When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet:

a. indicates they live in poverty. b. is lacking in protein. c. may provide sufficient amino acids. d. should be enriched with meat and milk.

Nursing

The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be. The nurse's response should be based on knowledge that:

a. excision of the lesion will be necessary. b. injections of prednisone into the lesion will reduce it. c. no treatment is usually necessary because of the high rate of spontaneous involution. d. pulsed dye laser treatments will be necessary immediately to prevent permanent disability.

Nursing