Which of these patient statements would indicate an understanding of complementary and alternative medicine (CAM) therapies? (Select all that apply.)
a. "I read that melatonin can help some people sleep better.".
b. "Ginkgo biloba is proven to help both my concentration and memory.".
c. "I'm thinking of taking St. John's wort to eliminate my severe depression.".
d. "I've heard that omega-3 fatty acids have some positive effects on depression.".
e. "Herbals are produced and packaged under conditions similar to medications.".
A, D
Research on ginkgo biloba does not support that statement. St. John's wort may have some efficacy in mild to moderate depression, but there are no evidence-based findings on its use as treatment for major depression. While the manufacture and selling of medications is managed by the FDA (Food and Drug Administration), this is not true of herbals. Currently the guidelines are much less stringent.
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A terminally ill patient with liver cancer is moaning and very agitated. He is going in and out of consciousness. The nurse has an order to given morphine sulfate IV for pain control. His respiratory rate is 10
Which ethical principle would the nurse use to decide whether or not to administer the medication? A) Veracity B) Double effect C) Confidentiality D) Autonomy
The nurse is caring for a client who is demonstrating a shift to the left of the oxyhemoglobin dissociation curve resulting in less oxygen being available to the tissues. This shift is most likely seen in which condition?
1. Massive transfusions of banked blood 2. Acidosis 3. Hyperthermia 4. Hypoxia
The hospital has outsourced housekeeping services to an independent contractor. A patient who was injured in a fall on wet flooring brings suit against the company. Does the hospital also hold liability?
1. Yes, secondary to the doctrine of borrowed servant 2. No, secondary to the doctrine of respondeat superior 3. Maybe, secondary to the doctrine of dual servant 4. Perhaps, secondary to the doctrine of ostensible authority
A nurse recognizes that a system of health-care delivery aimed at managing the cost and quality of access to health care is known as
1. Medicaid. 2. Medicare. 3. Managed care. 4. Private insurance.