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.
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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Related Questions
Correct Answer is C
Explanation
A. This is a subjective indicator of pain. The pain rating is based on the client’s personal experience and perception of their pain intensity. It reflects the individual’s feelings rather than observable data.
B. This statement is also subjective. Describing pain as a "burning sensation" comes from the client's personal experience and interpretation of their symptoms, which cannot be measured or observed by others.
C. This is an objective indicator of pain. A grimace is an observable behavior that can indicate discomfort or pain. It is something that the nurse can see and assess, making it an objective finding.
D. This is another subjective indicator. While knowing the location of pain is important for diagnosis and treatment, the statement reflects the client’s personal experience of pain and cannot be measured or observed directly.
Correct Answer is D
Explanation
A. This action is based on the nurse's responsibility to manage the client's pain effectively, but it does not reflect the client's autonomy. Instead, it focuses on the nurse's duty to provide care.
B. While this demonstrates fairness and equality in care, it does not specifically address the autonomy of the clients. Autonomy involves allowing clients to make choices tailored to their individual preferences and needs, rather than applying the same approach to everyone.
C. This option reflects the nurse's commitment to their responsibilities and maintaining trust with the client. However, it does not exemplify autonomy, as it does not involve the client's choice or decision- making.
D. This is the best example of autonomy. By allowing the client to choose when to take their medication, the nurse respects the client's right to make decisions about their own care, which is a fundamental aspect of autonomy.
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