AHN-BC flashcards
AHN-BC · Build recall with a focused review session.
35 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Holism
- The principle that a person is an integrated whole of body, mind, spirit, and environment, greater than the sum of separate parts, so care must address the whole person.
- Five core values of holism
- Holistic nursing's stated core values are holism, caring, intuition, spirituality, and cultural diversity, which guide assessment and intervention across settings.
- Complementary versus alternative
- Complementary modalities are used alongside conventional medical treatment; alternative modalities are used in place of it. Holistic nursing supports complementary use with informed consent.
- AHNA scope and standards
- The American Holistic Nurses Association publishes scope and standards for holistic nursing, aligned with ANA standards and adding holistic-specific competencies for practice and certification.
- Integrative nursing principles
- Integrative nursing applies person-centered, relationship-based care that uses all appropriate conventional and complementary approaches to promote healing of the whole person and environment.
- Holistic nursing definition
- Nursing practice with healing the whole person as its goal, advancing the integration of body, mind, spirit, and environment through caring relationships and evidence-informed modalities.
- Burnout triad
- The three dimensions of burnout are emotional exhaustion, depersonalization or cynicism, and reduced sense of personal accomplishment, typically arising from chronic workplace stress.
- Compassion fatigue
- A form of distress arising from empathic engagement with another's suffering, overlapping with secondary traumatic stress and distinguishable from burnout's workplace origins.
- Reflective practice
- Structured self-inquiry after an experience, examining what happened, one's reactions, and what to change, converting clinical experience into durable learning.
- Personal knowing
- Carper's pattern of knowing describing self-awareness and the therapeutic use of self; it is knowledge of the nurse as instrument in the caring relationship.
- MBSR
- Mindfulness-based stress reduction is an eight-week structured program of meditation and body awareness shown to reduce stress reactivity and improve coping in nurses and patients.
- Self-care as professional duty
- Holistic nursing holds that the nurse's own well-being is the instrument of care, making self-care a professional responsibility rather than a personal luxury.
- Carper's patterns of knowing
- Four fundamental ways of knowing in nursing: empirics (science), esthetics (art), personal knowing (self), and ethics (moral), with emancipatory knowing added later.
- Holistic assessment domains
- A whole-person screen covering physical, emotional, social, spiritual, cultural, and environmental dimensions, gathered through both narrative and objective data.
- Nursing diagnosis format
- A three-part statement of the problem, its related etiology, and defining characteristics as evidenced by, which directs holistic interventions toward the cause.
- Patient-centered outcomes
- Measurable, time-bound goals written from the patient's perspective and reflecting the patient's own values, used to evaluate whether holistic interventions succeeded.
- Narrative as data
- In holistic assessment the patient's story is treated as legitimate clinical data, because subjective meaning shapes experience and response to care.
- Evaluation in caring process
- The step comparing observed outcomes with stated goals; unmet goals trigger reassessment and revision of the plan rather than continuation unchanged.
- Active listening
- Full attentiveness with paraphrase and reflection of feeling, used to convey understanding and encourage the patient to elaborate without interruption or advice.
- Nontherapeutic responses
- Communication patterns that block disclosure, including false reassurance, giving unsolicited advice, changing the subject, and minimizing the patient's experience.
- SBAR handoff
- A structured communication format of Situation, Background, Assessment, and Recommendation that standardizes clinical handoffs and reduces omission and error.
- Teach-back method
- A confirmation technique in which the patient restates instructions in their own words, revealing misunderstanding better than asking whether they understood.
- Therapeutic silence
- The intentional use of quiet presence that allows the patient time to process emotion and to lead the conversation, communicating respect rather than detachment.
- Interpreter standards
- When a patient's preferred language differs, a qualified medical interpreter is required; untrained family members, particularly children, should not interpret clinical information.
- Swanson's five caring processes
- Knowing, being with, doing for, enabling, and maintaining belief describe caring as striving to understand, be emotionally present, and sustain hope.
- Peplau's relationship phases
- The nurse-patient relationship proceeds through orientation, working, and termination phases, with the nurse's role evolving as the patient's independence grows.
- Transpersonal caring moment
- Watson's concept of a connection in which nurse and patient affect each other's subjective experience, transcending the physical task being performed.
- Therapeutic boundaries
- Limits that protect the professional relationship; self-disclosure and involvement must be purposeful and patient-centered rather than meeting the nurse's needs.
- Motivational interviewing
- A collaborative conversation method using open questions, affirmation, reflection, and summarization to evoke the patient's own reasons and confidence for change.
- Unconditional positive regard
- Rogers' stance of accepting the patient as a worthwhile person without endorsing every behavior, which supports disclosure and engagement in care.
- Cultural humility
- A lifelong stance of self-critique and openness to correction about one's own cultural assumptions, extending beyond the static knowledge of cultural competence.
- Leininger's care decisions
- Culture care preservation, accommodation, and repatterning are decisions that maintain, adapt to, or modify cultural practices to achieve congruent, safe care.
- Informed consent elements
- Valid consent requires patient capacity, adequate disclosure, comprehension, and voluntariness; the clinician's recommendation does not substitute for the patient's decision.
- Advance directives
- Legal documents such as living wills and durable power of attorney for health care that direct care when the patient lacks decisional capacity.
- Scope of holistic practice
- The permissible use of holistic modalities is set by state nurse practice acts and institutional policy; certification alone does not expand legal scope.