Holistic Nursing Test Questions – Flashcards

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Holistic Involves
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Mind, Body, and Spirit
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Florence Nightingale
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Introduced the practice of holistic nursing
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American Holistic Nursing Association Definition
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All nursing practice that has healing the whole person as its goal. This practice recognizes the totality of the human being- the interconnectedness of body, mind, emotion, spirit, social/cultural, relationship, context, and environment.
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Purpose of Holistic Nursing
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Draw on nursing knowledge, theories, expertise and intuition to guide nurses in becoming therapeutic partners with people in their care of their physiological, psychological , and spiritual needs
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Responsibilities of holistic nurse
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Nurse is a therapeutic partner who plans care with patient not for patient
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Active listening
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-Body gestures and eye contact -Honor and respect subjective experiences and beliefs -Caring and compassion -Incorporate holistic nursing into clinical and private practice, education, research, and community service -Care for pt
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Determine what you need to teach and how your pt learns to maximize treatment
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Addresses all aspects of the person's ability to learn. Individualizes the plan of care. Use Bloom's Taxonomy to create an effective plan of care.
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Cognitive (mental skills)
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Knowledge, comprehension, recall, and critical thinking on a particular topic
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Affective (growth in attitudes, emotions, and feelings)
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the way people react emotionally
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Psychomotor (manual or physical skills)
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the ability to physically manipulate objects and focus on change and/or development in behavior and/or skills
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2 Dimensions of Learning
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The Knowledge Dimension (the kind of knowledge to be learned) + The Cognitive Process Dimension (the process used to learn)= Holistic Plan of Care *Nurses assesses the level of knowledge required for pt to learn and the way the pt learns to design a holistic plan of care
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Creating
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Can the pt create new product or point of view
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Evaluating
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Can the pt justify a stand or decision
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Analyzing
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Can the pt distinguish between the different parts
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Applying
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Can the pt use the information in a new way
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Understanding
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Can the pt explain ideas or concepts
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Remembering
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Can the pt recall or remember the information
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Conventional Methods
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Allopathic interventions consist of medications, surgery and commonly accepted practices in western medicine
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Alternative methods
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Nontraditional holistic remedies like naturopathy, homeopathy, faith healing or self-healing. Achieving harmony or balance with internal and external worlds promotes health
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Parish Nursing
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A registered nurse who works in a faith community to address health issues of its members and surrounding community
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Founded in Christian faith and other faiths
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Jewish Congretional Nurses and Muslim Crescent Nurses
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History
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1980s Rev. Dr. Granger Wesberg began parish nursing in Chicago to revive faith community nursing done by religious orders in 1800s
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Training
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Course developed in partnership with the international Parish Nurse Resource Center at more than 130 nursing schools and health systems around the world. Over 15,000 parish nurses in US today
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Provides holistic care with focus on spirit
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H- Health advisor E- Educator on health issues A- Advocate/resource person L- Liaison to faith and community resources T- Teacher of volunteers and developer of support groups H- Healer of body, mind, spirit, and community
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Holistic care at the end of life
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Hospice and palliative care should include a holistic approach
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Promote and improve the pts quality of life at all stages of pts illness
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1. Coping with reality of illness relieving pain and suffering 2. Preparing the pt to face death and transition to death 3. Helping the family prepare for loss and grieve after death
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ANA's 3 major precepts underlying hospice and end of life care
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1. Person is living until moment of death 2. Coordinate collaborative team of professionals to nurture mind, body, and spirit 3. Care should be culturally congruent with pt and family
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Ethics in holistic nursing
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Treating pts using holistic care my create ethical dilemmas
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Prejudice and Stereotyping
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Nurse's biases do not allow a therapeutic relationship to develop with pt
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Patient refusal of conventional methods/lack of empirical evidence alternative method works
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Nurse pushes her values or feels conflicted about allowing alternative methods to be used by pt
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The placebo effect
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Patient gets positive health benefits without taking an active substance. Patient believes the placebo effect is evidence of mind's role in disease and healing
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Factors the influence placebo response
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1. Endorphin-mediated response (electro-chemical reactions produced in body) 2. Belief of the client 3. Belief of the healer 4. The client-healer relationship
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