A nurse is teaching a class about manual therapies. The nurse should include that which of the following treatments is part of chiropractic medicine?
Acupuncture
Surgical procedures
Spinal manipulation
Prescription medications
The Correct Answer is C
Choice A Reason:
Acupuncture.
Acupuncture is a traditional Chinese medicine practice that involves inserting thin needles into specific points on the body to balance energy flow and promote healing. While it is a form of manual therapy, it is not part of chiropractic medicine. Chiropractors focus on the musculoskeletal system, particularly the spine, and do not typically use acupuncture as a primary treatment modality.
Choice B Reason:
Surgical procedures.
Surgical procedures are not part of chiropractic medicine. Chiropractors are not licensed to perform surgeries. Their practice is centered around non-invasive treatments, primarily involving manual adjustments and manipulations of the spine and other joints. Surgery is outside the scope of chiropractic care and is typically handled by medical doctors or surgeons.
Choice C Reason:
Spinal manipulation.
This is the correct response. Spinal manipulation, also known as chiropractic adjustment, is a core component of chiropractic medicine. Chiropractors use their hands or specialized instruments to apply controlled force to spinal joints, aiming to improve spinal alignment, reduce pain, and enhance physical function. This technique is fundamental to chiropractic care and distinguishes it from other forms of manual therapy.
Choice D Reason:
Prescription medications.
Prescription medications are not part of chiropractic medicine. Chiropractors do not prescribe medications; instead, they focus on manual therapies, exercise, and lifestyle counseling to manage and prevent musculoskeletal issues. The use of medications is typically managed by medical doctors or other healthcare providers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Administer the medication with food.
Administering clonazepam with food can help reduce gastrointestinal discomfort, but it is not the most critical consideration. While it is beneficial to minimize potential side effects like nausea, it does not address the primary safety concerns associated with clonazepam use.
Choice B Reason:
Administer the medication to the client at night to avoid daytime sedation.
Administering clonazepam at night can help avoid daytime sedation, which is a common side effect of benzodiazepines. However, this is not the most critical safety concern. While managing sedation is important, it does not address the potential for more serious interactions and risks.
Choice C Reason:
Encourage the client to avoid drinking alcohol when taking this medication.
This is the correct response. Alcohol can significantly increase the sedative effects of clonazepam, leading to dangerous levels of sedation, respiratory depression, and even death. It is crucial to educate clients about the risks of combining alcohol with benzodiazepines to prevent potentially life-threatening interactions.
Choice D Reason:
Assess for history of smoking.
While assessing for a history of smoking is part of a comprehensive health assessment, it is not the most critical consideration when administering clonazepam. Smoking does not have the same immediate and severe interaction risks with clonazepam as alcohol does.
Correct Answer is D
Explanation
Choice A Reason:
“There is no such thing as the devil. It’s all in your mind.”
This response dismisses the client’s experience and can make them feel invalidated. Telling the client that their experience is “all in your mind” does not acknowledge their distress and can increase their feelings of isolation and mistrust. It is important to validate the client’s feelings while gently orienting them to reality.
Choice B Reason:
“You are not going to hell. You are a good person.”
While this response is supportive, it does not address the client’s immediate distress about hearing voices. It is important to acknowledge the client’s experience of hearing voices and provide reassurance in a way that helps them feel understood and supported. Simply telling them they are a good person may not alleviate their anxiety about the voices.
Choice C Reason:
“Did you take your medicine this morning?”
Asking about medication adherence is important, but it is not the most appropriate immediate response to the client’s distress. This question can come across as dismissive and may not provide the immediate comfort and validation the client needs. It is better to first acknowledge the client’s experience and then address medication adherence later.
Choice D Reason:
“The voices sound distressing, but I don’t hear them.”
This is the correct response. It acknowledges the client’s distress and validates their experience without reinforcing the delusion. By stating that the nurse does not hear the voices, it gently orients the client to reality while showing empathy and understanding. This approach helps build trust and provides comfort to the client.
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