A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

Provide massage therapy and corticosteroid medications to clients.

Monitor C-reactive protein and joint x-rays on clients.

Offer nonsteroidal anti-inflammatory medications and occupational therapy to clients.

Request a referral for surgery and physical therapy for clients.

Answer and Explanation

The Correct Answer is A

A.   This plan incorporates both a complementary therapy (massage therapy) and a conventional treatment (corticosteroid medications). This combination aligns well with integrative health principles, as it aims to manage pain and improve well-being through both physical and pharmacological means.
B.   This option focuses solely on conventional medical assessments. While monitoring these parameters is essential for managing rheumatoid arthritis, it does not incorporate any complementary or integrative health strategies. It is more about evaluating the disease process than addressing holistic care.
C.   This option combines conventional medication with occupational therapy, which can be considered a supportive, rehabilitative approach. However, it does not include complementary therapies, which are often a key component of integrative health practices.
D.   This plan emphasizes surgical and physical therapy interventions, which are conventional treatments. While physical therapy can be beneficial, this option does not include complementary therapies, making it less aligned with integrative health principles.

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Correct Answer is A

Explanation

A. This statement incorporates an inquiry into the client's emotional and psychological state, recognizing that stress may contribute to headache frequency. It reflects a holistic approach by considering factors beyond the physical symptoms, acknowledging the interplay between mental health and physical well- being.
B. This question focuses specifically on the physical symptoms of the headaches. While it’s important to understand the client’s symptoms, this statement does not consider emotional or psychosocial factors, making it less holistic.
C. Checking blood pressure is a vital assessment related to potential physiological causes of headaches. However, this action is primarily focused on physical health and does not encompass a holistic view of the client’s overall experience or emotional state.
D. This question addresses treatment and management of headaches, focusing on the effectiveness of medication. While important, it does not explore other contributing factors such as lifestyle, emotional health, or stress, and therefore lacks a holistic perspective.

A. Peripheral neuropathy B. Rheumatoid arthritis C. Surgical incision D. Fibromyalgia

Correct Answer is C

Explanation

A. Peripheral neuropathy is a type of chronic pain that results from damage to the peripheral nerves. It often manifests as numbness, tingling, or pain, and it typically lasts for a long period. This is not an example of acute pain.
B. Rheumatoid arthritis is a chronic inflammatory condition that causes pain, swelling, and stiffness in the joints. The pain associated with rheumatoid arthritis is usually ongoing and can flare up at times, but it is not considered acute pain.
C. This is the correct example of acute pain. Acute pain is typically short-term and has a clear cause, such as injury, surgery, or illness. A surgical incision causes immediate pain that usually diminishes as healing progresses.
D. Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. The pain is persistent and can fluctuate in intensity, making it a chronic pain condition rather than acute.

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A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports frequent headaches. Which of the following statements by the nurse uses holistic nursing?

Correct Answer is A

Explanation

A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?

A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?

A nurse is discussing time management strategies with another nurse. The nurse should include which of the following as an example of a time management strategy?

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?