The nurse is caring for a patient with a history of depression and hypertension. The patient states, "Sometimes I just don't believe in using all the medications the doctor orders for me, so I use a lot of over-the-counter herbal medications

Question

" What is the most appropriate response by the nurse?
a. "Yes, there are many good herbal therapies, but you'll want to let your doctor know about these therapies in addition to the medications he has ordered for you."
b. "Some over-the-counter medications work very well for depression; however, you cannot take them without your doctor's permission."
c. "You shouldn't be treating yourself, as you don't know how these medications work with your depression."
d. "I think it's a great idea! If they make you feel better, then continue doing what you're doing."

Answer 1

A
Many people use herbal therapies to relieve symptoms of anxiety and depression. Patients may self-treat, or herbal therapies may be prescribed by complementary and alternative modalities (CAM) practitioners. The nurse should assess for CAM use to be sure the method is not contraindicated and that the patient has informed the primary care provider about their use. While CAM can be effective, many of these modalities such as ginkgo biloba, ginseng, and kava have side effects, cause adverse reactions, and are contraindicated with other medications. The nurse should neither approve nor disapprove of the patient's actions, but should make clear that the physician should be informed about all medications, including over-the-counter ones.