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Fun of nurs ch 32
Fundamentals of nursing 8e ch 32 complete
| Question | Answer |
|---|---|
| Therapies used in addition to conventional treatment (allopathic medicine) recommended by patients HC provider are called | Complementary therapy |
| Passive relaxation is useful for persons for whom the effort and energy expenditure of active muscle contracting leads to | discomfort or exhaustion |
| Explain the term "meridian" related to acupuncture | channels of energy that run in regular patterns through body & over surface; qi flows through energy channels that form a system of pathways 12 prime & 8 secondary called meridians |
| Any activity that limits stimulus input by directing attention to a single unchanging or repetitive stimulus to become aware of self (Relaxing the body and stilling the mind) (hindu, buddhism & taoism) is | meditation |
| dietary supplements, herbal medicines, macrobiotic diets, mycotherapies, orthomolecular , probiotics, & the zone are all considered | biological based therapies (natural products) |
| Clinical applications that can be used for lower back pain, myofascial pain (mandibular joint disorder and trigeminal neuralgia), headache, sciatica, plantar heel pain ,shoulder pain, tennis elbow, osteoarthritis, whiplash, & musculoskeletal sprains | acupuncture |
| during acupuncture, what are the specific areas of energetic meridians that are directly manipulated by needles influencing deeper internal organs by redirecting qi | acupoints |
| Predominantly vegan diet (no animal products except fish); initially used in the management of cancers; emphasis placed on whole cereal grains, vegetables, & unprocessed foods | macrobiotic diet |
| Biofield therapy derived from ancient Buddhist rituals; practitioner places h&s on or above a body area & transfers “universal life energy,” providing strength, harmony, & balance to treat a patient's health disturbance | Reiki Therapy |
| In TCM Practitioners use four methods to evaluate a patient's condition | observing, hearing/smelling, asking/interviewing, and touching/palpating |
| A mind body intervention that uses art to reconcile emotional conflicts, foster self-awareness, & express patients’ unspoken & frequently unconscious concerns about their disease | Art therapy |
| A mind body intervention that focuses on body musculature, posture, breathing mechanisms, & consciousness; goal is physical & mental well-being thru body exercise, holding of postures, proper breathing, & meditation | Yoga |
| Explain the "qi" terms related to acupuncture | vital energy of the body; flows like a river through the body |
| The outcome of relaxation therapy is: to | lower the heart rate & blood pressure, decrease muscle tension, improve sense of well being, and improve symptoms of distress |
| List the four phases of acupuncture | 1) access qi (vital energy) thru specific points (acu points) along meridians, 2) direct interpersonal energy facilitating healing using touch, 3) locate 12 primary & 8 secondary meridians 3) insert needles along channel called acupoints to influence flow |
| Clinical application that can be used to treat sinusitis, gastrointestinal disorders, chronic pruritus, perimenstrual, menopausal symptoms, clinical depression, smoking, & addictions with varying effectiveness | acupuncture |
| Healing touch, magnet therapy, reiki therapy, & therapeutic touch are all considered | biofield energy therapies |
| Movement therapy that is a method of body movement used to strengthen, lengthen, & improve voluntary control of muscles & groups, especially those used for posture & core strengthening; awareness of breathing & precise movements are integral components | Pilates |
| A technique involving the use of slow, deep abdominal breathing while tightening and relaxing an ordered succession of muscle groups, focusing on the associated bodily sensations while letting go of extraneous thoughts | Progressive (active) relaxation training |
| acupressure, chiropractic medicine, craniosacral therapy, massage therapy & simple touch are considered | manipulative & body based methods |
| Explain the term "acupoints related to acupuncture | along the meridian channels some vital energy qi pools making qi more accessible in these holes, these are the points that acupuncturists locate & insert needles to redirect qi flow |
| acupunture, art therapy, biofeedback, breathwork, guided imagery, meditation, music therapy, healing intention, psychotherapy, yoga, & tai chi are all considered | mind body interventions |
| A mind body intervention that concentrates on an image or series of images to treat pathological conditions | Guided imagery |
| Identify the limitations of relaxation therapy 1st few mos, when learning to focus body sensations & tensions, there is increased sensitivity in detecting muscle tension, Limitation is that it can also | cause intensification of symptoms or develop new symptoms |
| manipulative body based method that manipulates soft tissue through stroking, rubbing, or kneading to increase circulation, improve muscle tone, & provide relaxation | Massage therapy |
| A mind body intervention using music for physical, psychological, cognitive, & social needs of individuals w/disabilities & illnesses; helps physical movement/communication, devlps emotional expression, evokes memories, & distracts people who are in pain | Music therapy |
| what therapy may assist with complications from medical treatments, chronic illness, or loss of a significant other, hypertension, depression, menopause, vasomotor response, insomnia, mood & musculoskeletal pain | relaxation therapy |
| infections resulting from nonsterile needles or left in place for an extended time, broken needles, puncture of an internal organ, bleeding, fainting, seizures, & posttreatment drowsiness are limitations of | acupuncture |
| oldest practice in world, key traditional Chinese medicine | acupuncture |
| dance therapy, feldenkrais method, & pilates are all considered | movement therapies |
| Based on TCM, Practitioners believe that disease occurs when there is an imbalance in these two paired opposites | YIN and YANG |
| this therapy is same as complementary therapy but becomes the primary treatment that replaces allopathic therapy | alternative therapy |
| Biofield therapy that uses gentle touch directly on or close to body to influence & support human energy system & bring balance to whole body (physical, spiritual, emotional, & mental) | Healing touch therapy |
| A mind body intervention providing a person with visual or auditory information about autonomic physiological functions of the body such as muscle tension, skin temperature, & brain wave activity through the use of instruments | Biofeedback |
| A whole med system that Prescribes substances called remedies made from naturally occurring plant, animal, or mineral substances & are used to stimulate the vital force of the body so it can heal itself | Homeopathic medicine |
| Techniques that incorporate a repetitive mental focus & uses calm, peacefulness like Yoga produces; Yoga focuses on muscle, posture, breathing & consciousness which is closely related to | relaxation therapy & response |
| (defined by DSHEA) intake by mouth; contain one or more dietary ingredients, including vitamins, minerals, herbs or other botanical products | dietary supplements |
| People with advanced diseases [cancer , AIDS or decreased energy reserves] cannot use active progressive relation techniques because it requires | expenditure of energy they do not have and will increase fatigue (They need passive relaxation or guided imagery) |
| a patient using yoga & opioids to control pain yoga is a | complementary intervention therapy |
| a patient deciding to not use opioids & do only yoga to control pain is a | alternative therapy because yoga is used as primary therapy without medication intervention |
| Fungi-based (mushroom) products | mycotherapies |
| Current evidence shows that this traditional Chinese medicine modifies body response to pain & how pain is processed by central neural pathways & cerebral function | acupuncture |
| whole medicine system that has a set of systematic techniques & methods includ acupuncture, herbal medicines, massage, acupressure, moxibustion, Qi gong , cupping, & massage; concepts are from Taoism, Confucianism, & Buddhism | traditional Chinese medicine |
| therapies such as yoga, imagery & music reduces pain & anxiety while improving | well being, giving more positive psychological state & a decreased feeling of helplessness |
| Dietary program that requires eating protein, carbohydrate, & fat in a 30:40:30 ratio: 30% kcal protein, 40% kcal carbohydrate, & 30% from fat; used to balance insulin & other hormones for optimal | The Zone |
| biofield energy therapy used most to alleviate pain associated with musculoskeletal injuries or disorders ; therapy that uses devices (magnets) applied to the body surface, producing a measurable magnetic field | Magnet therapy (Bioelectromagnetic therapy) |
| a limitation of Acupuncture is it should not be used for people with | bleeding disorder , skin infections, HIV, or pregnant |
| A TCM that was a martial art, now viewed as a series of carefully choreographed movements or gestures that are designed to promote & manipulate the flow of qi within the body | qi gong |
| Imagery often evokes powerful psychophysiological responses such as alterations in | gastric secretions, body chemistry, internal & superficial blood flow, wound healing, & heart rate/heart rate variability |
| manipulative body based method that assess head & spine motion for rate, amplitude, symmetry, & quality, attuning/aligning the spinal column, cerebrospinal fluid, & rhythmic processes releasing restrictions or abnormal barriers to motion | Craniosacral therapy |
| the first phase of Acupuncture accesses the qi through | specific points along the energy meridians of the body |
| The 2nd phase of acupuncture a practitioner intentionally directs interpersonal energy to | facilitate the patient's healing process during a therapeutic touch session |
| In Chinese medicine outward manifestations reflect | the internal environment |
| The 3rd phase of acupuncture Twelve primary and eight secondary | meridians are used by medical acupuncturists |
| The 4th phase of acupuncture Acupuncturists insert needles in specific areas along the channels called | acupoints, through which the qi can be influenced and flow reestablished |
| In addition to 4 phases of acupuncture, what other method can enhance the effects of the needles | Application of heat or weak electrical currents |
| A mind body intervention using a variety of techniques in multiple cultures that incorporate caring, compassion, love, or empathy with the target of prayer | Healing intention (prayer) |
| Four components of meditation are | 1 quiet space, 2 comfortable position, 3 receptive attitude, 4 focus of attention |
| This teach ways to effectively rest & reduce tension in the body by detecting subtle localized muscle tension sequentially one muscle group at a time & how to differentiate between high intense tension (strong fist tension), subtle tension & relaxation | Progressive (active) relaxation training |
| The difference between alternative therapies & allopathic medicines (conventional medicine is that Alt therapies are based on | different philosophies & life systems than allopathic medicine & identified as Whole Medical Systems (eg traditional Chinese medicine (TCM), folk med) |
| Increased intake of nutrients (Megavitamin ) such as vitamin C & beta-carotene; treats cancer, schizophrenia, autism, & certain chronic diseases such as hypercholesterolemia & coronary artery disease | Orthomolecular medicine |
| when there is an obstruction in these it blocks energy flow in other parts of the body | meridian channels |
| Manipulative body based method that touches the patient in appropriate & gentle way to make connection, display acceptance, & give appreciation | Simple touch |
| a biofield energy therapy that requires credentials through a formal education & certification system for practitioners | Healing touch therapy |
| In acupuncture it is believed that vital energy qi pools along the meridian channels which makes qi more accessible these pooled areas are called | acupoints |
| A whole med system (WMS) of therapeutics focused on treating the whole person & promoting health & well-being rather than an individual disease | Naturopathic medicine |
| Nurses should monitor individuals learning meditation closely for | physiological changes with respect to their medications |
| Although most imagery techniques involve visual images, they also include the | auditory, proprioceptive, gustatory, and olfactory senses |
| Plant-based therapies used in whole systems of medicine or as individual preparations by allopathic providers & consumers for specific symptoms or issues | herbal medicines |
| Biofield therapy involving direction of a practitioner's balanced energies in an intentional manner toward those of a patient; practitioner's h&s lay on or close to a patient's body | Therapeutic touch |
| A manipulative body based method that Applies digital pressure in a specified way on designated points on the body to relieve pain, produce analgesia, or regulate a body function | Acupressure |
| A mind body intervention that treats emotional & mental disorders by psychological techniques | Psychotherapy |
| Movement therapy & alternative therapy based on establishing good self-image thru awareness & correction of body movements; integrates underst&ing of the physics of body movement patterns w/awareness of the way people learn to move, behave, & interact | Feldenkrais method |
| can decrease heart rate, respiratory rate, blood pressure, & oxygen use & increases alpha brain activity & peripheral skin temp are all responses to | relaxation therapy |
| a clinical application for chiropractic therapy is that it improves | short term pain & disability, acute & sub acute lower back & joint pain caused by osteoarthritis for long or med term |
| a manipulative body based method that Manipulates the spinal column; includes physiotherapy & diet therapy | Chiropractic medicine. |
| A mind body interventn prod'g analgesia/altering function of a body system by inserting thin needles along a series of lines/channels, called meridians; direct needle manipulation of energetic meridians influences deeper internal organs by redirecting qi | Acupuncture a traditional Chinese method |
| a Limitation in acupuncture is that semipermanent needles should not be used with patients who have | valvular heart disease because of the increased risk of infection |
| This technique is self directed & usually combined with relaxation training, & a practitioner leads through scenario | imagery |
| One effective passive relaxation technique incorporates slow, abdominal breathing exercises while | imagining warmth and relaxation flowing through specific body parts such as the lungs or hands |
| This whole med system includes eight branches; internal medicine; surgery; treatment of head & neck disease; gynecology, obstetrics, & pediatrics; toxicology; psychiatry; elder care & rejuvenation; & sexual vitality | branches of Ayurvedic medicine |
| the main goal of chiropractic therapy is restoring structure and function imbalances because | structure and function coexist |
| A mind body intervention that uses a variety of breathing patterns to relax, invigorate, or open emotional channels | Breathwork |
| Touch is a primal need, as necessary as food, growth, or shelter; Touch is like a nutrient transmitted through the skin, and “skin hunger” is like | a form of malnutrition especially among older adults |
| people with bone & joint infections & disorders should not use chiropractics because | bone can be compromised from excessive force (need pharmaceuticals & surgical) |
| Yin is IN (inside) meaning dark, shade, cold, inhibition inside the body YIN is | internal organs, viscera, liver, heart, spleen, lung, kidney |
| visualizing a lemon being sliced in half and squeezing the lemon juice on the tongue is an example of | imagery involving auditory, proprioceptive, gustatory, and olfactory senses |
| A mind body intervention that is a self-directed practice for relaxing the body & calming the mind using focused rhythmic breathing | Meditation |
| Whole medicine system that is focused on yin/yang energy & uses concepts from Taoism, Confucianism, & Buddhism | traditional Chinese medicine |
| Nurses should weigh the risk & benefits of each intervention when recommending complementary therapies, what should a nurse consider | history of therapy; Nurse experience w/ therapy; data about therapy (outcomes, safety, case study, research); therapies cultural influence |
| Biofeedback techniques are used to change _A_, _B_, and _C_, which in turn support beneficial physiological changes, resulting in improved health and well-being | A) thinking, B) emotions, and C) behaviors |
| Therapies used with conventional medicine are organized into two groups name them | Nursing accessible therapies & training specific therapies |
| the most important concept of Traditional Chinese medicine (TCM) is | "YIN and YANG |
| When guiding a patient in progressive (active) relaxation, you may decide to begin with the muscles in the | face, followed by those in the arms, hands, abdomen, legs, and feet |
| Prolonged practice of meditation techniques sometimes reduces the need for | antihypertensive, thyroid-regulating, and psychotropic medications ( antidepressants & anti-anxiety agents) |
| Chiropractics may enhance effects of conventional treatment in | pediatric asthma, headache, dysmenorrhea, vertigo, tinnitus, & visual disorders |
| The imagery technique using the senses to visualize a lemon being sliced in half & squeezing the lemon juice on the tongue produces | increased salivation as effectively as the actual event |
| YANG is OUT (outside), light, hot (fire), excitement and represents | the outer part of body , bowels, stomach, & bladder |
| A mind body intervention that incorporates breath, movement, & meditation to cleanse, strengthen, & circulate vital life energy & blood; stimulate the immune system & maintain external & internal balance | Tai chi |
| This therapy includes: therapeutic touch, guided imagery, breathwork, relaxation, exercise, massage, reflexology, prayer, biofeedback, hypnotherapy, creative therapy (art, music, dance, meditation, chiropractic, herb & supplements) | complementary therapy |
| A major structural problem that chiropractors treat is | vertebral (neck/back) subluxation & its pain |
| A (WMS) that uses therapeutics; herbal medicine, nutritional supplements, physical medicine, homeopathy, lifestyle counseling, & mind-body therapies with an orientation toward assisting the person's internal capacity for self-healing (vitalism) | Naturopathic Medicine |
| Cognitive skills include | focusing, passivity, and receptivity |
| Biofeedback instruments that measure, process, & provide information to patients about their muscle tension, cardiac activity, respiratory rates, brain-wave patterns, & autonomic nervous system activity are called | Electronic or electromechanical instruments |
| Replaces convention medicine (allopathic therapy) as primary therapy | alternative therapy |
| Live microorganisms (in most cases, bacteria) that are similar to beneficial microorganisms found in the human gastrointestinal system; also called good bacteria | probiotics |
| according to TCM external causes of disease originate in Six “evils” primarily linked to weather & climate (wind, cold, fire, damp, summer heat, & dryness) are manifested as | linked patterns such as wind-cold, wind-heat, fire-toxin |
| thoughts and feeling that influence productions of chemicals (neurotransmitters, neurohormones, & peptides) they circulate in body convey via cells to systems are | Stress responses |
| A TCM therapy that originally was a martial art that is now viewed as a moving meditation in which patients move their bodies slowly, gently, & with awareness while breathing deeply | Tai Chi |
| Identify the clinical applications of imagery | Can help control/relieving pain, decrease nightmares, improve sleep, & treat chronic diseases |
| A limitation when using Electroacupuncture is that it is not recommended for persons with a | pacemaker and those who have cardiac arrhythmias or epilepsy or are pregnant |
| therapies such as CAM treatments need post graduate cert/degree & liscensure for because using with conventional medicine, these are considered | training specific therapies |
| an instrument that feedback is given in physical, physiological, auditory, &/or visual feedback signals that increase a person's awareness of internal processes that are linked to illness and distress is called | Electronic or electromechanical |
| Disease is present when Yin & Yang is out of balance because it | disrupts qi mind, body &spirit |
| simple touch enhances communication, Older adults have fewer family members & friends to touch them, they need touch as much or more, older adults experience what is known as | skin hunger, especially when other senses are reduced |
| In chiropractic therapy the central belief is that the spine & functions in the body are closely related, when spinal cord is misaligned | energy flow is impeded causing the healing ability of body to become impaired |
| people who are sensitive to human interaction and touch or people who are sensitive to energy re-patterning it is not advised to use therapies such as | therapeutic touch |
| chiropractics can cause adverse affects for patients with | acute myelopathy, fractures, dislocations, rheumatoid arthritis, and osteoporosis |
| Acupuncture regulates or realigns the _A_ , which flows like a river through the body in channels that form a system of pathways called _B_ | A) vital energy (qi), B) meridians |
| Movement therapy that is an Intimate & powerful medium because it is a direct expression of the mind & body; treats persons with social, emotional, cognitive, or physical problems | Dance therapy |
| Systems of theory & practice that have evolved independently from or parallel to allopathic [conventional] medicine): includes Ayurvedic, homeopathic, naturopathic , & traditional Chinese med, Latin American, & Native American traditional healing | Whole Medical Systems (WMS) |
| Because people respond to environment according to the way they perceive it & by their own visualizations & expectancies when using imagery techniques | Make sure to individualize imagery for each patient to avoid invoking negative memory or feeling |
| ATCM therapy that burning moxa, a cone or stick of dried herbs that have healing properties on or near the skin is called | moxibustion |
| TCM that represents opposing yet complementary phenomena that exist in a state of equilibrium; (Health is life in balance); IN/OUT hot/cold, light/dark | YIM & YANG |
| In ayuredic medicine Treatments using a combination of dietary & lifestyle changes, herbal remedies & purgatives, massage, meditation, & exercise balances the | doshas |
| whole med system dev in Germany, based on the theory that certain diseases can be cured by giving small, highly diluted doses of substances that in a healthy person would produce symptoms like those of the disease | Homeopathic medicine |
| according to traditional chinese medicine what are the three causes of disease | internal causes, external causes, & nonexternal & noninternal causes |
| a state of generalized decreased cognitive, physiological, or behavioral arousal (arousal reduction) is a | relaxation response |
| during therapeutic touch therapy, people sensitive to human interaction and touch (been physically abused or have psychiatric disorders) often misinterpret the | intent of the treatment & feel threatened & anxious by it |
| A technique that helps reduce hypertensive risks, reduces relapse in alcohol treatment programs, reduces depression, anxiety, & distress in cancer patients, reduces PTSD & pain; increases productivity, mood, sense of identity, & lowers irritability | meditation |
| Mind-body technique that uses instruments to teach self regulation and voluntary self control over specific physiological responses are techniques called | biofeedback |
| Indentify Clinical Applications of Traditional Chinese Medicine | it helps in treatment of fibromyalgia, reduces pain and spasm in children with cerebral palsy |
| according to TCM non external & non internal causes of disease originate in disharmony which are conditions such as | congenital weak constitutions (birth defects), trauma, overexertion, excessive sexual activity, poor quality diet, parasites & poisons |
| Nurses use holistic nursing interventions ( relaxation therapy, music therapy, touch therapies, & guided imagery) which affect the whole person (mind-body-spirit) because they are | effective, economical, noninvasive, non-pharmacological complements to medical care |
| Mild: headache, increased pain & stiffness; Serious:vertebral artery dissection are risk associated with | chiropractics |
| Imagery when used for PTSD and social anxiety disorders it can | increase anxiety and fear |
| Some patients with chronic obstructive pulmonary disease (COPD) and asthma experience increased airway constriction when using | guided imagery |
| A TCM therapy of placing a heated cup on the skin to create a slight suction | cupping |
| the importance of Simple touch is it helps older adults feel more _A_ to and _B_ by those around them and more in tune with their environment; Touch enhances _C_ and _D_ | A) connected B) accepted C) self-esteem D) sense of worth |
| according to TCM internal causes of disease originate in emotions and affect different organs which organs are effected by anger, joy, fear, grief (sadness), pensiveness (worry), & shock | anger (liver), joy (heart), fear (kidney), grief/sadness (lung), pensiveness/worry (spleen), & shock (heart/kidney) |
| cognitive skill used in relaxation that is the ability to identify, differentiate, maintain attention on, & return attention to simple stimuli for an extended period | focusing |
| WMS that includes a humoral model for classifying food, activity, drugs, & illnesses & a series of folk illnesses; The goal is to create a balance between the patient & his or her environment, thereby sustaining health | Latin American traditional healing (Curanderismo) |
| Complementary therapies teach individuals ways in which to change their behavior to alter physical responses to stress & improve symptoms such as | muscle tension, gastrointestinal discomfort, pain, or sleep disturbances |
| WMS that include the use of sweating & purging, herbal remedies, & ceremonies in which a shaman (a spiritual healer) makes contact with spirits to ask their direction in bringing healing to people to promote wholeness & healing | Native American traditional healing |
| elongates muscles fibers, reduces neural impulses sent to brain and in turn decreases activity of brain and body systems are | the physical effects of relaxation response |
| according to TCM The pulse provides information about the condition & balance of | qi, blood, ying and yang, and internal organs |
| patients that are pregnant, neonates, have cardiovascular & neurological instabilities, or who are dying, are reluctant about therapeutic touch therapy because of | energy re-patterning (Sessions with these populations need to be time limited & particularly gentle) |
| A limitation of biofeedback when using for Long-term is that it sometimes | lowers blood pressure, heart rates, and other physiological parameters |
| many institutions, including medical and nursing schools, have training programs that incorporate complementary & alternative therapy content into the curriculum defined as | integrative health care |
| WMS that is an ancient healing tradition focused on balancing yin/yang energies | Traditional Chinese medicine |
| A benefit of biofeedback is that it gives immediate feedback to patient & shows patient that they have ability to | control physiological response, ID relationship between thoughts, feelings, & physiological response & how to be able to self control |
| use of heat from burning herbs used in traditional Chinese medicine | moxibustion |
| Used in traditional Chinese medicine to balance energy flow through body movement | QI gong |
| therapies a nurse cannot perform without additional training and/or certification | (CAM treatments: Biofeedback, acupuncture, acupressure, therapeutic touch, chiropractic therapy, Traditional chinese med |
| Natural & herbal therapies) are considered | training-specific therapies |
| A cognitive skill used in relaxation that is the ability to stop unnecessary goal-directed and analytic activity | passivity |
| The only TCM that is regulated is | acupuncture |
| Most of TCM herbal remedies are not | certified as herbal medicine |
| On of the limitations of Traditional Chinese Medicine is that | FDA does not regulate or inspect for toxin & many are contaminated with drug, toxin, & metal or ingredient not listed or labeled |
| clinical application that can be useful in treating headache, smoking cessation, stroke recovery, ADHD, hyperactivity, epilepsy, & a variety of gastrointestinal & urinary tract disorders | biofeedback |
| A WMS that is one of the oldest systems of medicine practiced in India since the first century AD; Ancient Sanscrit books are considered the main texts on (eg Caraka Samhita & Sushruta Samhita) | Ayurvedic medicine |
| structural damage, chronic illness (angina, tension headache, cardiac arrhythmia, pain, ulcer, & atrophy of immune system organs) is caused by | Long Term Stress |
| the goal of passive relaxation is: to still the mind & body intentionally without the need to | tighten & relax body parts |
| what therapeutic procedure affects the energy fields that surround & penetrate the human body w/ conscious intent to help or heal | Therapeutic Touch (TT) |
| Holistic nursing regards and treats the | mind-body-spirit of the patient |
| Some complementary therapies/techniques are general in nature & use natural processes (breathing, thinking & concentration, presence, movement) which helps a patient | feel better , cope with both acute & chronic conditions |
| One limitation of biofeedback is that precautions should be taken for patients with | psychological or neurological conditions |
| When using complementary therapies nurses need to conduct ongoing outcome assessments & evaluations of patient responses to the intervention due to | changes that can alter physiological responses & lead to therapeutic responses which can alter physician prescribed medication & therapies |
| Nurses use holistic interventions to _A_ standard treatments, replace interventions that are _B_ or _C_, and _D_ or _E_ health | A) augment, B) ineffective, C) debilitating, D) promote, E) maintain |
| This technique helps individuals develop cognitive skills to reduce the negative ways in which they respond to situations within their environment | relaxation therapy |
| ) relaxation therapy: progressive therapies self taught used in patient care (breathing, thinking & concentration, presence, movement & passive, Meditation & breathwork, imagery & creative visualization) are considered | nursing-accessible therapies |
| the Clinical applications of therapeutic touch is that it can be used to treat | pain in children & adults, dementia, trauma, & anxiety during chronic illness but some research is inconclusive |
| in acupuncture what Therapy uses Energy of provider to influence patient energy field & consists of placing the practitioner's open palms either on or close to the body of a person | Therapeutic Touch (TT) |
| Herbs can interact with drugs & complicate treatment, nurses should always ask TCM patients about | full complement therapy including type of herb, tea, dietary additives, powders, supplements & OTC meds |
| limitations of meditation is contraindicated (inadvisable) for people who have | strong fear of losing control ( are resistant) or hypersensitive (use shorter sessions); medication use (can increase effects of drugs) |
| A cognitive skill used in relaxation that is the ability to tolerate and accept experiences that are uncertain, unfamiliar, or paradoxical | receptivity |
| The long-term goal of relaxation therapy is for people to continually monitor themselves for indicators of | tension & consciously let go & release the tension contained in various body parts |
| Explain the cascade of changes that are associated with the stress response | causes an increase heart rate, respiratory rate, tightened muscles, increased metabolic rate, apprehension, fear, nervousness, irritability, & negative mood |
| one form of self directed imagery that is based on the principle of mind - body connectivity(every mental image leads to physical or emotional changes) is called | Creative visualization |
| elevated blood pressure, dilated pupils, stronger heart contractions, high blood glucose, cholesterol circulating fatty acids & triglycerides are usually caused by | Short term stress or Preparing for short term stress |
| technique self taught through audio tapes & books that involves in slow, relaxed, deep, abdominal breathing that evokes a restful state, lowers oxygen consumption, reduces respiratory & heart rates, & reduces anxiety is called | meditation |
| For older adults, touch is a primal need like food, growth or shelter, without it is a form of malnutrition that is called | skin hunger |
| a group of visualization techniques that use the conscious mind to create mental images to stimulate physical change in the body, improve perceived well being or enhance self awareness is called | imagery |
| Repressed emotions or feelings can emerge, patient may have difficulty coping is a limitation of | biofeedback |
| When using biofeedback a nurse should monitor patients closely to determine the need for | medication adjustments |
| other forms of Therapeutic Touch (TT) Includes | acupressure, healing touch (HT), reiki, and the M technique |
| Therapeutic touch (TT) consists of five phases name them | centering, assessment, unruffling, treatment, evaluation |
| a therapy that aims to normalize the relationship between the structure & function of the spinal cord by a series of manipulations or body based therapy | chiropractic therapy |
| Name & phase of Therapeutic touch (TT) that practitioner is fully aware & present during entire treatment: they are physically & psychologically fully present in the moment & quieting outside distractions | Centering (the first phase of therapeutic touch (TT) |
| The second phase of therapeutic touch the hands/palms (2-6" above body) move in rhythmic & symmetrical motion, scanning body from head to toe noticing quality of energy flow, assessing biofield head to toe called | assessment |
| Identify the clinical applications of herbal therapy: (non vitamin/nonmineral)Can be used for | Urinary tract infection, sleep and relaxation, mild gastrointestinal disturbance & premenstrual symptoms |
| In the assessment phase of therapeutic touch the body's biofield is assessed for the quality of qi which means the practitioner is trying to identify areas of accumulated energetic tensions such as | uneasiness, sluggishness, or congestion that manifest as sensations of congestion, pressure, warmth, coolness, blockage, pulling or drawing, static or tingling |
| In the third phase of therapeutic touch (TT) The practitioner redirects energetic patterns to harmonize distressed areas or to stimulate movement of qi in areas that are stuck & congested a phase called | unruffling |
| In the 4th phase of TT, the practitioner directs & balances energy attempting to rebalance energy flow using long downward strokes over energy fields of body, & touches body or positions the hands a few inches away from, this is called | treatment phase of therapeutic touch (TT) |
| this therapy using hands or a device to make a controlled sudden force to joint to move past passive range | chiropractic therapy |
| in TT the Redirecting of energetic patterns to harmonize distressed areas or to stimulate movement of qi in areas that are stuck and congested is called | treatment phase of TT |
| the final phase 5 of therapeutic touch (TT), reassessment of the energy field takes place; assesses patient & energy field to ensure that energy is flowing freely, & determining additional outcomes & responses to treatment called | evaluation phase of TT |
| Research now supports the use of cranberry supplements as an herbal remedy to prevent urinary tract infections because cranberry molecules | bind with the iron that bacteria need to grow & reproduce & substances in cranberry block adherence of bacteria to the walls of the bladder |
| Nurses who react adversely to skin changes caused by aging often find it difficult to touch older adults; to older adults this reluctance communicates a | negative message (be aware of your reactions to ensure a therapeutic approach) |
| a chemical compound or substance produced by a living organism, includes herbal medicines (botanicals), dietary supplements, vitamins, minerals, mycotherapies (fungi-based products), essential oils (aromatherapy), & probiotics are known as | Natural Products |
| Patients choose to use unconventional therapy over convention therapy because They are | dissatisfied with & have perception that the treatments offered by the medical profession do not provide relief for a variety of common illnesses |
| The Dietary Supplement and Health Education Act states that | Herbs, vitamins, and minerals may be sold as long as no therapeutic claims are made on the label b/c they not approved and not regulated |
| Which of the following steps should nurses take to be better informed about alternative therapies | Read current books and magazines on alternative therapies |
| When planning patient education, it is important to remember that patients with ______ find relief in complementary therapies? | Chronic back pain and arthritis |
| Which complementary therapies are most easily learned and applied by the nurse? | progressive relaxation, breathwork, & imagery |
| The nurse understands that providing holistic care includes treating which of the following | Mind-body-spirit of the patient and their families |
| In addition to an adequate patient assessment, when the nurse uses one of the nursing-accessible complementary therapies, he or she must ensure that | The patient has provided permission and consent |
| Which role do patients have in complementary and alternative medicine therapy? | they have to be Actively involved in the treatment |
| The nurse is caring for a patient experiencing a stress response; The nurse plans care with the knowledge that systems respond to stress in what manner? | Stress protect an individual from harm in the short term but cause negative responses over time |
| When meditation therapy is used, nurses need to monitor patients’ medications carefully because it may augment the effects of certain drugs such as | Antihypertensive and thyroid-regulating medications |
| A patient using relaxation wants a better response & adds biofeedback; What is the expected outcome related to using this additional modality? | To learn how to control some autonomic nervous system responses |
| A patient asks (TT), the nurse should include what info when providing patient education about Therapeutic touch | it Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's biofield |
| The nurse is planning care for a group of patients that want complementary therapies, Which patient is not a good candidate for imagery? | Patient with posttraumatic stress disorder (PTSD) |
| Several nurses on a busy unit are using relaxation strategies while at work, What is the desired workplace outcome from this intervention | Improved staff satisfaction & staff retention |
| The nurse is caring for a patient who uses several herbs in addition to prescribed medications, What does the nurse need to understand about herbal suppl? | Need to treat as if “drugs” because many have active ingredients that can interact with other medications & change physiological responses |
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larue10510