A client reports taking St. John's wort for depression. The client states, “I’m taking the recommended dose, but it seems like if two capsules are good, four would be better!” Which is the most appropriate nursing reply?
“Increasing the dose of herbal preparations can lead to overdose and toxicity.”
“Certain companies are better than others. Always buy a reputable brand.”
“Herbal medicines are more likely to cause adverse reactions than prescription medications.”
“The U.S. Food and Drug Administration (FDA) does not regulate herbal remedies; therefore, ingredients are often unknown.”
The Correct Answer is A
Choice A reason: This response directly addresses the client’s unsafe idea of doubling the dose. Herbal remedies, including St. John’s wort, can cause toxicity if taken in excess. Risks include serotonin syndrome, photosensitivity, and drug interactions. This reply is therapeutic and safety-focused.
Choice B reason: While brand quality matters, this does not address the client’s unsafe dosing behavior. It shifts focus away from the immediate risk.
Choice C reason: Herbal medicines can cause adverse reactions, but this statement is overly general and does not specifically address the client’s plan to increase dosage.
Choice D reason: FDA regulation is limited for herbal remedies, but this fact does not directly address the client’s unsafe dosing practice. It provides information but lacks therapeutic guidance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Biopsychosocial therapy refers to a model of care that integrates biological, psychological, and social factors. While holistic, it is not the specific category describing acupuncture.
Choice B reason: Complementary therapy refers to interventions used alongside conventional treatments. Acupuncture is often used to enhance the effects of medications and physical therapy, making this the correct answer.
Choice C reason: Alternative therapy refers to interventions used instead of conventional treatments. Since acupuncture is being used in addition to prescribed medications and physical therapy, it is complementary, not alternative.
Choice D reason: Physiotherapy involves physical rehabilitation techniques such as exercise, massage, and mobilization. Acupuncture is not classified as physiotherapy.
Correct Answer is A
Explanation
Choice A reason: Using a certified interpreter with a health-care background ensures accuracy, confidentiality, and cultural sensitivity. Certified interpreters are trained to convey medical terminology correctly and avoid misinterpretation. This approach promotes patient safety and compliance with legal and ethical standards.
Choice B reason: A nurse who took a Spanish class in high school may not have sufficient fluency or medical vocabulary to interpret accurately. Miscommunication could lead to errors in care and compromise patient safety.
Choice C reason: Asking the client’s daughter to interpret is inappropriate because family members may filter information, omit sensitive details, or feel uncomfortable. It also breaches confidentiality and places undue responsibility on the family member.
Choice D reason: A friend who teaches Spanish may have language skills but lacks medical training and professional accountability. Without certification, accuracy and confidentiality cannot be guaranteed.
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