CFCN flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

FICA spiritual assessment

A brief assessment covering Faith or belief, Importance and Influence of that belief, the person's Community of support, and how care should Address these issues.

Spiritual distress

A state of disrupted meaning, hope, or connection with transcendence, often expressed as hopelessness, anger at the divine, or inability to pray or forgive.

Presence as intervention

Deliberate, attentive companionship without an agenda - listening, sitting with, and not fixing - which is among the most basic spiritual care actions within nursing scope.

HOPE spiritual history

A framework exploring sources of Hope, Organized religion, Personal spirituality and practices, and the Effects of those beliefs on care and medical decisions.

Proselytizing boundary

Sharing one's own faith as persuasion is outside the nursing role; care is offered in a way that respects the client's own beliefs and stated preferences.

Transtheoretical model stages

Precontemplation, contemplation, preparation, action, maintenance, and termination; interventions must match the stage or they will be rejected or premature.

OARS motivational interviewing skills

Open-ended questions, Affirmations, Reflections, and Summaries - the core communication set that builds engagement and avoids argument with resistance.

Teach-back method

Asking the learner to explain the plan in their own words; a check on how well teaching was delivered, not a test of the patient.

Health literacy universal precautions

Assuming all patients may struggle with health information, so plain language, limited key points, pictures, and comprehension checks are used universally.

SMART objectives

Objectives stated as Specific, Measurable, Achievable, Relevant, and Time-bound, allowing a program to be evaluated against a stated target.

Windshield survey

Structured observation by driving or walking a community to note housing, transport, food access, services, signs of disorder, and gathering places.

Logic model chain

A one-page program diagram linking inputs and activities to outputs, then short-term outcomes, and finally long-term impact or health status change.

Asset mapping

Identifying existing strengths and resources in a community - congregations, volunteers, food pantries, schools - before focusing on deficits and needs.

Key informant interview

Primary qualitative data gathered from community leaders and gatekeepers who hold specialized knowledge about a population's needs and priorities.

Closed-loop referral

A referral process that tracks whether the client actually connected with the service and documents the outcome, rather than ending when the referral is sent.

Medication reconciliation

A systematic comparison of the medications the client is actually taking against the prescribed list at every transition of care to catch duplication and omission.

Social determinants of health

The conditions where people live, work, and worship - income, housing, food, transportation, education - that shape health outcomes as much as clinical care.

HIPAA minimum necessary rule

Disclosures are limited to the least protected health information needed for the purpose; other uses require patient authorization or a legal exception.

Area Agency on Aging

A regional public agency that coordinates services for older adults such as meals, transportation, caregiver support, and respite referrals.

Autonomy principle

Respecting the competent person's right to make their own decisions, including refusing recommended care, even when the clinician disagrees.

Mandatory reporting duty

A legal obligation under state law to report suspected child, elder, or dependent adult abuse or neglect within a specified timeframe, regardless of confidentiality.

Dual relationship

Occurring when the nurse holds two roles with one person, such as clinician and fellow congregant, requiring explicit role clarification to protect boundaries.

Nurse scope of practice

The set of activities authorized by state nurse practice law and licensure; a congregational title or volunteer role never expands that authority.

Veracity in nursing

The obligation to tell the truth and avoid deception, including honest disclosure of errors and of what is and is not known.

Cultural humility

A lifelong process of self-reflection, correcting power imbalances in the relationship, and institutional accountability rather than a fixed list of competencies.

LEARN cross-cultural model

Listen to the client's perspective, Explain your view, Acknowledge differences and similarities, Recommend a plan, then Negotiate a mutually acceptable approach.

Kleinman explanatory model questions

Questions asking what the person calls the problem, what they believe caused it, why now, and what they fear most - revealing the illness framework in use.

Ramadan fasting accommodation

Fasting during Ramadan is typically waived for illness, pregnancy, and travel; medication schedules can be shifted to pre-dawn and sunset meals with prescriber input.

SOAP note format

A documentation structure of Subjective data, Objective findings, Assessment or interpretation, and the Plan, allowing other readers to follow the reasoning.

Donabedian quality framework

Health care quality is evaluated across three domains: structure (resources and setting), process (what is done), and outcome (the resulting health status).

PDSA improvement cycle

Plan a small change, Do it on a small scale, Study the results, then Act to adopt, adapt, or abandon before spreading the change more widely.

Incident reporting principles

Reports are factual, objective, and non-blaming, filed separately from the clinical record; the original note is never altered after the event.