Introduction to Integrative Therapies and Healing Practices Quiz Answers

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Introduction to Integrative Therapies and Healing Practices Week 01 Quiz Answers

Quiz 1: Your New Role

Q1. Clarice, a 57 -year-old patient, is interested in trying acupuncture for her sleep-related issues. She raises this with her provider, Dr. Freeman, who is receptive. Dr. Freeman listens to Clarice and asks specific questions about what Clarice is hoping to achieve with acupuncture.

Dr. Freeman educates Clarice about what she can expect in an acupuncture session as well as what the research indicates about potential benefit. Together they identify a provider Clarice could call for this treatment. Dr. Freeman asks Clarice to let her know if the acupuncture helps.

Which of the following patient-centered practices did the Dr. Freeman demonstrate? (Click all that apply.)

• Reviewing literature before allowing patient to see the acupuncturist
• Coordination and integration of care
• Respect for patient values and preferences
• Providing information and education

Q2. Anil, who has heart failure, is experiencing a great deal of anxiety and asks the nurse if he should get anti-anxiety medication. The nurse suggest that he explore this with his physician, but offers to show him how he can slow his breathing with slower, deeper breaths in the interim. His family watches as she leads him through the technique.

Anil’s pulse, which was at 104 beats per minute before the breathing technique, slows to 80 beats per minute. Anil says he feels much calmer and is surprised by the fast results.

In a couple of minutes, the nurse has made which of the following impacts? (Click all that apply.)

• The patient may have avoided the use of medications and potential side effects
• The patient has a new skill they can use in the future
• The patient will no longer experience anxiety
• The family has learned how to help the patient

Q3. Dr. Samuel sees many patients who are interested in integrative therapies to help with symptoms from their chemotherapy. What are two principles that she should keep in mind when advising patients?

What do you think?
Your answer cannot be more than 10000 characters.

Quiz 2: What, Why, and How of Integrative Therapies

Q1. Some of the underlying premises of integrative health are: (Click all that apply.)

• Balance body, mind, and spirit
• Consider social and environmental factors
• Create healing relationships between patient and practitioner
• Focus on patient preference, not research education

Q2. The goal to optimize wellbeing and facilitate the body’s own healing responses applies most to which type of healthcare approach?

• Biomedicine
• Allopathic medicine
• Integrative therapies
• Surgery

Q3. A patient is interested in trying an integrative therapy and is looking for more ways to be more active in their own care. Which one of the following should the patient do to be more of an active participant and partner?

• Wait to ask about options until after getting medication recommendations
• Wait for the provider to tell them what to do
• Don’t bother the provider and research integrative therapies on their own
• Ask questions during the appointment

Q4. An 82-year-old patient is anxious , with a pulse of 104. Which of the following are integrative approaches that might help? (Click all that apply.)

• Using a guided imagery of a calming scene
• Talking the patient through slower regular breathing
• Meditation
• Anti-anxiety medication

Q5. Integrative therapies are:

• Not widely used in the United States
• Completely safe
• Widely used by allopathic (traditional biomedical) providers
• Less expensive than common biomedical interventions

Q6. The first principle of patient-centered care is listed below. What is the missing word?

Respect for patients’ __, preferences, and expressed needs.

Answer: Values

Q7. According to the World Health Organization, the definition of health is a state of well-being in body, mind and spirit that reflects aspects of individual, community, and population.

• True
• False

Q8. Which of the following is NOT a category of integrative health?

• Manual-based therapies
• Plant-based therapies
• Energy-based therapies
• Whole systems

Q9. Which of the following is NOT a principle of patient-centered care?

• Information and education
• Coordination and integration of care
• Access to care
• Patient evaluation

Q10. Which of the following are potential benefits of integrative healthcare? (Click all that apply.)

• Cure for cancer
• Reduced side effects
• Management of chronic disease
• Potential disease reversal

Introduction to Integrative Therapies and Healing Practices Week 02 Quiz Answers

Quiz 1: Relaxation Techniques

Q1. Be sure you have read the following sections on the NCCIH website about relaxation techniques:

What’s the Bottom Line?

What the Science Says About the Effectiveness of Relaxation Techniques

What the Science Says About the Safety and Side Effects of Relaxation Techniques

Considering this information, what do we know about the effectiveness of relaxation techniques? In other words, according to the research, which of the following are health conditions where relaxation technique may be helpful? (Click all that apply.)

• Chemotherapy-induced nausea
• Insomnia
• Labor pain
• Anxiety associated with illnesses or medical procedures

Q2. Pick two conditions in the list under the title “What the Science Says About the Effectiveness of Relaxation Techniques” and summarize the state of the evidence here.

Answer: Relaxation techniques like progressive muscle relaxation (PMR), mindfulness meditation, and guided imagery have shown promise in improving sleep quality and reducing insomnia symptoms. Studies indicate that these techniques can help individuals fall asleep faster, stay asleep longer, and experience better overall sleep quality.

Anxiety associated with illnesses or medical procedures: Relaxation techniques such as deep breathing exercises, progressive muscle relaxation (PMR), and mindfulness meditation have been found effective in reducing anxiety in medical settings. They provide patients with tools to manage stress and anxiety related to medical procedures, thereby improving overall patient comfort and potentially reducing the need for pharmacological interventions.

These techniques are supported by research indicating their effectiveness in clinical settings.

Q3. While relaxation techniques are generally considered safe for healthy people, which of the following are potential risks with relaxation techniques? (Click all that apply.)

• Worsening of symptoms in people with epilepsy or certain psychiatric conditions, or with a history of abuse or trauma
• Increased anxiety, intrusive thoughts, or fear of losing control
• Invocation of the sympathetic nervous system
• Increased desensitization

Quiz 2: Research an Herb

Q1. In this quiz, you will go to a US National Institutes of Health website and choose an herb that you want to learn more about and answer some questions.

Begin by going to to the Herbs at a Glance website (https://nccih.nih.gov/health/herbsataglance.htm )

What herb did you choose and why? Type your answer here.

Answer: Let’s choose St. John’s Wort as an example herb. St. John’s Wort is a popular herbal remedy known for its traditional use in treating mild to moderate depression.

Q2. What do people use this herb for? Type your answer here.

Answer: People use St. John’s Wort primarily for:

• Depression: It is often used to alleviate symptoms of mild to moderate depression.
• Anxiety: Some people use it to reduce symptoms of anxiety disorders.
• Sleep disorders: It may be used to improve sleep quality and manage insomnia.
• Nerve pain: It has also been used traditionally to alleviate nerve pain.

Q3. What is the evidence to support this use? Type your answer here.

Answer:

Depression: Numerous studies have explored the effectiveness of St. John’s Wort in treating depression. Some clinical trials suggest it may be as effective as conventional antidepressants in mild to moderate depression, though results are mixed and more research is needed.

Anxiety: Evidence for anxiety disorders is less robust compared to depression, but some studies indicate potential benefits in reducing symptoms.

Sleep disorders: Limited evidence suggests St. John’s Wort may improve sleep quality, possibly due to its calming effects.

Nerve pain: Traditional use and some studies suggest it may have analgesic properties beneficial for nerve pain.

Q4. Are there any safety concerns? Type your answer here.

Answer:

• Interaction with medications: St. John’s Wort can interact with a wide range of medications, including antidepressants, birth control pills, and immunosuppressants. It can reduce the effectiveness of these medications or increase their side effects.
• Photosensitivity: It may cause increased sensitivity to sunlight, leading to skin reactions.
• Side effects: Common side effects include gastrointestinal symptoms, dizziness, and fatigue.
• Not recommended for severe depression: It is not recommended for severe depression or as a replacement for prescribed medications without medical supervision.

Always consult a healthcare provider before using St. John’s Wort or any herbal supplement, especially if you are taking medications or have underlying health conditions.

If you have a specific herb in mind from the NIH’s Herbs at a Glance page, let me know, and I can provide tailored information based on that herb!

Quiz 3: Reiki

Q1. Reiki is like other energy therapies, such as healing touch, in that it uses specific techniques to make specific corrections in the biofield.

• True
• False

Q2. Which of the following are true statements about researching Reiki? (Click all that apply.)

• Science must prove the existence of the biofield to prove Reiki benefits.
• Contemporary technology is unable to document the existence of the biofield.
• The randomized controlled trial is not well suited to studying Reiki.
• Many commonly reported benefits of Reiki may not be quantifiable.

Q3. For which conditions has the National Institute of Health in the U.S. (specifically, NCCIH) conducted research on the benefits of Reiki?

• Diabetes
• Fibromyalgia
• Stress
• Prostate cancer
• Advanced AIDs

Quiz 4: Chiropractic

Q1. There is some evidence that spinal manipulation is effective in relieving which of the following conditions? (Click all that apply.)

• Asthma
• Headaches
• Low back pain
• Neck pain

Q2. Which of the following factors do chiropractors consider when developing a treatment plan? (Click all that apply.)

• The patient’s preferences and outcome goals
• The presence of health behaviors which may facilitate or delay recovery
• The extent of injury or irritation (including severity and chronicity
• The condition of the spine and other joints as affected by age and previous injury
• The diagnosis

Q3. Which of the following is the most common side effect of chiropractic?

• Inflamed discs
• Infection
• Localized soreness
• Dissected vertebral artery

Quiz 5: Traditional Chinese Medicine

Q1. Is this statement true or false? Health in TCM is defined as harmony between yin and yang.

• True
• False

Q2. In Traditional Chinese medicine, acupuncture is: (Click all that apply.)

• One treatment modality
• The application of suction cups
• The way all disease is treated
• Used to access and manipulate Qi

Q3. Which of the following is NOT a TCM therapy?

• Acupuncture
• Herbal medicine
• Surgery
• Dermal friction

Quiz 6: Types of Integrative Therapies

Q1. Which of the following is NOT a category of integrative therapies?

• Acupuncture systems
• Whole systems
• Manipulative and body-based therapies
• Mind-body therapies

Q2. A 42-year-old patient tells you that they are experiencing chronic back pain but because they have been sober for 4 years now, they don’t want to take any opioids. They also don’t find Tylenol and other pain medications very helpful and still experience pain. You remember reading about Mindfulness-Based Stress Reduction and studies that have shown it to decrease the perception of pain for the patient.

Mindfulness-Based Stress Reduction is an example of which category of integrative therapy?

• Mind-body therapy
• Manipulative therapy
• Energy based healing
• An allopathic approach

Q3. Considering the example above, what are some other integrative options you could offer to this patient to help with the back pain? (Click all that apply.)

• Chiropractic
• Guided imagery
• Cranberry juice
• Acupuncture

Q4. Although generally safe for most patients, mind-body therapies should be used with caution in the following conditions:

• Patients with hypertension
• Patients who have severe depression
• Patients who have experienced trauma
• Patients experiencing pain

Q5. A review of the research finds considerable evidence of efficacy for mind-body therapies in the treatment of all of the following except:

• Improving post-surgical outcomes
• Schizophrenia
• Coronary artery disease
• Insomnia

Q6. Manipulative and body-based practices focus primarily on the structures and systems of the body, including the bones and joints, soft tissues, and circulatory and lymphatic systems. Identify commonly used therapies that fall within this category.

• Acupuncture and cupping
• Homeopathy and guided imagery
• Chiropractic and massage
• Healing touch and Reiki

Q7. Which of the following options is not a common type of Traditional Chinese Medicine (TCM) treatment?

• Cupping
• Herbal therapy
• Placing needles in the body at acupuncture points
• Using electronic devices to control body temperature and heart rate

Q8. Is the following statement true or false?

Meditation can change the structure and function of the brain.

• True
• False

Q9. Which of the following is NOT an example of a whole system?

• Traditional Chinese Medicine
• Ayurveda
• Homeopathy
• Reiki

Q10. Which of the following are potential safety issues with herbal medicines?

• Interaction with prescription medications
• Interaction with over-the-counter medication
• Dosage (amount taken)
• Purity of the product

Introduction to Integrative Therapies and Healing Practices Week 03 Quiz Answers

Quiz 1: Check Your Knowledge: Evidence-Informed Practice

Q1. What types of evidence have you seen clinicians use in practice to make decisions about diagnosis or treatment?

Answers: Clinicians rely on a variety of types of evidence to make informed decisions about diagnosis and treatment. These types of evidence can be broadly categorized into several main categories:

1. Clinical Experience and Expertise:
   • Personal Clinical Experience: Clinicians draw from their own practice and experiences in treating patients over time. This includes patterns they have observed, responses to treatments, and outcomes.
   • Expert Opinion: Consultation with colleagues, specialists, or experts in specific fields provides valuable insights and recommendations based on their expertise and knowledge.
2. Research Evidence:
   • Randomized Controlled Trials (RCTs): These are considered the gold standard in clinical research. RCTs involve randomly assigning participants to different treatment groups to compare outcomes. They provide strong evidence of causality and treatment efficacy.
   • Systematic Reviews and Meta-analyses: These studies compile and analyze results from multiple RCTs or other research studies on a particular topic. They provide a comprehensive overview of the evidence base and help identify consistent findings or discrepancies.
   • Observational Studies: These include cohort studies and case-control studies, among others. They observe outcomes in groups of participants based on exposure or intervention, without random assignment.
   • Qualitative Research: This type of research explores patient experiences, perspectives, and behaviors through interviews, focus groups, or observations. It provides insights into patient preferences, adherence to treatments, and the impact of illness on daily life.
3. Clinical Practice Guidelines:
   • Evidence-Based Guidelines: These are systematically developed statements to assist clinicians in making decisions about appropriate healthcare for specific clinical circumstances. They integrate research evidence with clinical expertise and patient values.
4. Patient Preferences and Values:
   • Shared Decision-Making: Recognizing the importance of patient values and preferences, clinicians engage patients in discussions about treatment options, risks, benefits, and alternatives. This approach ensures that treatments align with patients’ goals and preferences.
5. Healthcare System and Resource Considerations:
   • Health Economics and Outcomes Research (HEOR): This type of research evaluates the cost-effectiveness of treatments and interventions. It considers healthcare system constraints, resource allocation, and impacts on quality of life.
6. Emerging Evidence:
   • Pilot Studies and Innovations: Clinicians may consider emerging evidence from pilot studies, case reports, or innovative approaches that show promise in improving outcomes or addressing gaps in current treatments.

In practice, clinicians often integrate multiple types of evidence, balancing the rigor of research findings with the nuances of clinical experience and patient preferences. This comprehensive approach helps ensure that clinical decisions are evidence-based, patient-centered, and aligned with best practices in healthcare delivery.

Q2. Which of the following are examples of patient presentation as a type of evidence that a clinician should consider? (Click all that apply.)

• A patient’s previous experience with guided imagery
• Research on the results of guided imagery for hypertension
• The clinician’s own observations that mind-body therapies seem to reduce hypertension
• A patient’s family history of heart disease
• A patient’s preference for natural types of treatments

Q3. Select the statements that are true about clinical experience. (Click all that apply.)

• Developed through practice over time
• Places high value on the authority that comes with more experience
• Includes the collective experience of a profession
• Often passed on through apprenticeships (like internships)

Introduction to Integrative Therapies and Healing Practices Week 04 Quiz Answers

Quiz 1: Symptom Management

Q1. Vernon’s wife asked why he should use integrative therapies—aren’t there drugs for nausea that are effective? What do you think is the best response?

• We like to use both conventional and integrative therapies. The integrative therapies help your body and mind respond to the conventional treatment and they can help maximize your comfort.
• Integrative therapies are better for you than drugs.
• If Vernon would like prescriptions for those symptoms, we can provide them.
• We don’t recommend medications right away because they can have side effects.

Q2. Which of the following integrative therapies seemed appropriate for Vernon in the video? Click all that apply.

• Aromatherapy (the Calm Aromastick)
• Acupressure band
• Guided imagery
• Yoga

Quiz 2: Safety Considerations

Q1. List three key takeaways about safe use of integrative therapies that you as a provider might apply in your practice.

Answer: Certainly! Here are three key takeaways about the safe use of integrative therapies that are crucial for providers to apply in practice:

1. Patient Assessment and Communication: Conduct thorough patient assessments to understand their health history, current conditions, and any ongoing treatments. Communicate openly about integrative therapies, including potential benefits, risks, and interactions with conventional treatments.
2. Evidence-Based Practice: Emphasize the importance of evidence-based practice when recommending integrative therapies. Encourage patients to consider therapies that have documented efficacy and safety profiles supported by rigorous research.
3. Monitoring and Evaluation: Monitor patients closely during integrative therapy use to assess effectiveness and identify any adverse effects promptly. Establish clear protocols for follow-up visits and encourage patients to report any changes or concerns.

These principles help ensure that integrative therapies are used safely and effectively within the framework of comprehensive patient care.

Quiz 3: Researching Safety of Therapies

Q1. For this task, we are going to find more safety information. Go the following website:

Look at the “Safety and Risk” section.

Which of these risks are mentioned? Click all that apply.

• Some supplements can increase the risk of bleeding
• Supplements are most likely to cause harm when people take them instead of prescribed medicines
• Some supplements can cause dementia
• Dietary supplements can interact with certain prescription drugs

Q2. Now we are going to look at Federal Regulation of Dietary Supplements. Please go to the following website:

Find the section “Federal Regulation of Dietary Supplements,” then identify if the following statement is true or false.

Dietary supplements do not require premarket review or approval by the FDA.

• True
• False

Q3. Finally for some general advice on wise use of dietary supplement, go to:

Which of the following are potential issues with dietary supplements? Click all that apply.

• An herbal supplement may not contain the correct plant species.
• The amounts of the ingredients may be lower or higher than the label states. That means you may be taking less—or more—of the dietary supplement than you realize.
• A dietary supplement may contain bark or other parts of plants.
• The dietary supplement may be contaminated with other herbs, pesticides, or metals, or even adulterated with unlabeled, illegal ingredients such as prescription drugs.

Introduction to Integrative Therapies and Healing Practices Week 05 Quiz Answers

Quiz 1: Policies and Procedures

Q1. Standardization can help you provide better patient care, promote better outcomes, and improve efficiency.

• True
• False

Q2. All of the following are qualities of good policies except:

• Comprehensive
• Current
• Broad
• Micro-level application

Q3. Which of the following are true of both policies and procedures? (Click all that apply.)

• Set standards at a macro-level
• Set a standard that practitioners can use
• Influence major decisions and actions within a boundary
• Translate organizational priorities and values into practice

Q4. Policies can help you: (Click all that apply.)

• Provide a vision for the future
• Build consensus within and across teams
• Inform individuals within an organization about expectations
• Outline priorities and roles of different groups

Quiz 2 : Regulation

Q1. In the U.S., regulation of integrative therapies varies considerably by state, facility, and therapy.

• True
• False

Q2. Medical physicians and nurses can offer the same integrative therapies.

• True
• False

Q3. Facilities and third-party payers usually use credentialing and privileging to regulate who can practice at a given facility and the scope of their practice (which ailments they can treat and which techniques they can perform).

• True
• False

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