The health clinic nurse is interviewing a new patient. The nurse ...

[altibaby]

The health clinic nurse is interviewing a new patient. The nurse asks questions about the patient's self-care and about his healthcare providers. Which statement is likely to yield the most information from the patient regarding the use of CAM?
 
  a. Many people go to a medical provider and other healers, as well. Please tell me about the practitioners and healers you use.
  b. Some people go to both medical and nonmedical providers for healthcare. Do you use both?
  c. Many people only go to a medical physician. Tell me about the practitioners you see for healthcare.
  d. Some people go to different types of CAM healers. You don't use CAM, do you?

Question 2

The nurse understands that CAM therapies are popular with many patients. What is the most important thing for the nurse to know regarding safe use of CAM therapies? CAM therapies
 
  a. Must be sensitive to the patient's culture
  b. Need to be tested to establish their effectiveness
  c. Should be determined by the patient
  d. Chosen by the patient can bypass testing

[mrphibs]

Answer to Question 1

A
For therapeutic questioning, the nurse should use open-ended questions to yield the most information. The question ending in Do you use both? is a yes/no question that will likely elicit very little information. Although the option ending in Tell me about the practitioners you see for healthcare, seems open ended, the negative use of only (only go to a medical physician) implies that there is not another acceptable answer, thus decreasing the information the patient may share. You don't use CAM, do you? is a negative, closed question. It suggests that the patient should answer No, and almost certainly will elicit a one-word answer.

Answer to Question 2

B
Patients may use CAM therapies even if there is no accurate evidence on which to base their effectiveness or safety. Therefore, the nurse needs to look at empirical research to guide the nurse, patient, and healthcare provider in using these therapies. The other responses negate the importance of research data in the use of CAM, although they do suggest issues that can improve the effectiveness of any therapy (i.e., cultural sensitivity, the patient wants to use them).

[altibaby]

Excellent

[frankwu0507]

TYSM