HN-BC case studies
HN-BC · Put your knowledge to work in context.
HN-BC (Holistic Nurse Board Certified) is a voluntary specialty credential conferred by the American Holistic Nurses Credentialing Corporation (AHNCC) on registered nurses whose practice is grounded in holistic nursing. It is not a license: certification is a non-governmental recognition that a nurse has met specified qualifications and demonstrated competency in a defined area of practice. AHNCC describes its certifications as the only nationally accredited holistic nursing and nurse coaching programs in the USA, accredited by the Accreditation Board for Specialty Nursing Certification and recognized by the ANCC Magnet Program. The HN-BC is the entry level in a family of holistic nursing exams (HN-BC, HNB-BC, AHN-BC, APHN-BC); candidates are not required to sit for the highest level they qualify for and may apply for a lower-level exam. The HN-BC case studies are 5 cases and about 4,359 words.
1The Patient Who Says He Is Done: Capacity, Surrogacy, and Moral Distress
R, 68, is admitted for the fourth time in six months with a COPD exacerbation (FEV1 32% predicted). He tells you he is "done with the vent" and wants comfort-focused care only.
978 words, about 5 min2Post-op Pain in Remission from Opioid Use Disorder: A Multimodal Judgment Call
T, 41, is post-op day 1 after a laparoscopic cholecystectomy. She rates pain 8/10, is guarding, has not ambulated or slept, and reports nausea 3/10.
823 words, about 4 min3A Noisy Unit, a Calling-Out Resident, and $6,000
You manage a 32-bed medical-surgical unit. HCAHPS "quietness at night" sits at the 41st percentile.
811 words, about 4 min4Insulin, Ramadan, and a Food-Insecure Household
A, 52, is a Somali refugee resettled three years ago, newly started on basal-bolus insulin after an A1c of 10.2%. She speaks some English; her 19-year-old son usually interprets but works nights.
887 words, about 4 min5Lavender Oil, a Study Someone Read, and an $800 Budget
A staff nurse brings a single randomized trial of lavender aromatherapy for preoperative anxiety to your shared-governance meeting and proposes unit-wide adoption. She has 10 minutes on the agenda.
860 words, about 4 min