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AHNCC Advanced Practice Holistic Nurse
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tudent’s understanding of ethics?
rovide general advice without specific examples. ocus solely on institutional policies and procedures.
ncourage the student to reflect on their values and how these influenc practice through real-life scenarios.
uggest the student avoid making decisions until they feel confident. wer: C
anation: Encouraging reflection on personal values and their influence ice through real-life scenarios helps the student develop critical ethica oning skills.
When evaluating the effectiveness of a holistic intervention in a clinical tri h statistic would best indicate the practical significance of the results r ust statistical significance?
value
P
F
E e
their
S
Ans
Expl on
pract l
reas
al,
whic ather
than j
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Confidence interval
Sample size
Effect size Answer: D
Explanation: Effect size provides a measure of the magnitude of the
intervention's impact, indicating its practical significance and relevance in a clinical context.
uggest increasing the frequency of therapeutic touch ssure the patient that emotional distress is normal iscourage the patient from seeking additional therapies ecommend a referral to a mental health professional
wer: D
anation: Referring the patient to a mental health professional is appro emotional distress persists, ensuring comprehensive care that address hysical and emotional aspects.
listic nurse is reviewing the effectiveness of a care plan that includes peutic touch for a patient with chronic pain. Which outcome would m indicate a positive response to this intervention?
S
A
D
R
Ans
Expl priate
when es
both p
A ho
thera ost
likely
The patient reports increased pain levels
The patient avoids discussing their pain experience
The patient adheres to medication schedules
The patient expresses a greater sense of relaxation and well-being Answer: D
Explanation: A greater sense of relaxation and well-being indicates a positive response to therapeutic touch, reflecting its effectiveness in managing chronic pain.
ismiss the participant’s skepticism as unfounded. void discussing holistic practices to prevent conflict.
ngage the participant in a respectful discussion, providing evidence an ning to their concerns.
ncourage the participant to seek more information from other sources wer: C
anation: Engaging in a respectful discussion while providing evidence ning to concerns promotes understanding and addresses skepticism tively.
role does the nurse play in disseminating research findings within th tic nursing community?
eeping findings confidential to protect participants resenting findings at conferences and publishing in journals
nly sharing findings with colleagues within the same institution
D
A
E d
liste
E only.
Ans
Expl and
liste effec
What e
holis
K
P
O
Focusing solely on research that supports existing practices Answer: B
Explanation: Nurses play a crucial role in disseminating research findings by presenting at conferences and publishing in journals, thus contributing to the broader knowledge base and practice improvements in holistic nursing.
In a holistic care plan for a patient experiencing chronic stress, which intervention should the nurse prioritize to foster relaxation and emotional balance?
erbal supplements for stress relief ructured cognitive-behavioral therapy herapeutic touch sessions
wer: D
anation: Therapeutic touch is a direct, hands-on approach that can hel iate stress and promote relaxation, making it an effective intervention ional balance.
inic settings, holistic nurses may face challenges related to time traints. Which strategy is most effective for providing holistic care in ed timeframe?
kipping holistic assessments to save time
inimizing patient interaction to adhere to time limits
Increased physical activity H St T Ans Expl p allev for emot In cl cons a limit S M Relying solely on follow-up appointments for holistic care Utilizing brief, focused assessments that prioritize key holistic dimensions Answer: D Explanation: Brief, focused assessments that prioritize key dimensions of holistic care allow nurses to deliver comprehensive care efficiently within time A holistic nurse is advocating for a new holistic program in their facility but faces resistance from management. What is the most effective strategy to promote this initiative? Complain about management’s lack of support to colleagues. bandon the initiative due to challenges. resent data on the positive outcomes of similar programs in other facil hasizing potential benefits for patients and the organization. wer: D anation: Presenting data on positive outcomes emphasizes the benefits rogram for both patients and the organization, making a compelling c implementation. listic nurse is collaborating with a multidisciplinary team to design a n ness initiative for a hospital. Which aspect should the nurse advocate f re that holistic principles are effectively integrated? rioritizing medical interventions over holistic approaches corporating patient feedback into the program development process Focus solely on personal testimonials without supporting evidence. A P ities, emp Ans Expl of the p ase for its A ho ew well or to ensu P In Limiting the program to only physical health aspects Focusing solely on cost-effectiveness of interventions Answer: B Explanation: Incorporating patient feedback ensures that the program addresses the actual needs and preferences of those it serves, enhancing the effectiveness A nurse is assessing the effectiveness of a new herbal therapy for a patient with anxiety. Which outcome would best indicate that the intervention is successful? mprovement in sleep quality ecreased use of prescribed anxiolytics nhanced coping skills wer: C anation: A decreased reliance on prescribed anxiolytics suggests that t al therapy is effectively managing the patient's anxiety, indicating a essful intervention. ng a holistic assessment, a nurse discovers that a patient is experienci mnia due to anxiety about a recent diagnosis. What is the most approp intervention to address this issue? eaching relaxation techniques rescribing a sleep aid Increased social interactions I D E Ans Expl he herb succ Duri ng inso riate initial T P Scheduling a follow-up appointment Encouraging increased physical activity Answer: A Explanation: Teaching relaxation techniques directly addresses the anxiety and can help improve sleep quality, providing a holistic approach to the patient’s A holistic nurse is preparing to implement a new holistic program in their practice. What ethical consideration should be prioritized during this implementation? Limiting the program to high-profile patients to ensure success. noring patient feedback to streamline implementation. roviding equal access to the program for all patients. wer: D anation: Providing equal access to the program for all patients reflects al commitment to fairness and equity in holistic care. ystematic review assessing the effectiveness of complementary thera anaging chronic pain, which of the following criteria is most critical f ring the reliability of the research findings? he number of studies included in the review he publication date of the studies he geographical location of the studies he methodological quality of the included studies wer: D Ig P Ans Expl an ethic In a s pies in m or ensu T T T T Ans Explanation: The methodological quality of the included studies is crucial for reliability, as it ensures that the studies are rigorously designed and free from bias, leading to more trustworthy conclusions. A patient with a history of anxiety and physical ailments mentions that they find relief in meditation. How should this information be integrated into the holistic care plan? Include meditation as a complementary approach to managing anxiety and physical symptoms. Encourage the patient to stop meditation and focus on medical treatments. uggest alternative therapies without considering the patient’s preferen wer: A anation: Acknowledging and incorporating the patient's preferred copi egy into the care plan promotes a holistic approach that values the pati olistic nurses work in multidisciplinary teams, they must communicat tively with other health professionals. Which communication strategy effective in fostering a collaborative environment? sing medical jargon to assert expertise ctively listening to team members and integrating their feedback into ominating discussions to ensure holistic perspectives are prioritized S ce. Ans Expl ng strat ent’s input. As h e effec is most U A care plans D Minimizing input from allied health professionals to streamline decision- making Answer: B Explanation: Actively listening and integrating feedback fosters collaboration and respect among team members, enhancing the overall quality of patient care. As part of a quality improvement initiative, a holistic nurse analyzes patient feedback regarding their experiences with holistic care. What ethical principle should guide the nurse’s interpretation of this feedback? Autonomy: ensuring that patient voices are heard and respected. Non-maleficence: prioritizing the avoidance of conflict. ustice: ensuring that feedback is considered only from specific ographics. wer: A anation: Ensuring that patient voices are heard and respected aligns w thical principle of autonomy, promoting patient-centered care. olistic nursing intervention aimed at improving patient self-managem ronic conditions, which evaluation method would best assess the long tiveness of the intervention? mmediate post-intervention surveys ne-time retrospective evaluations necdotal reports from healthcare providers ollow-up assessments at multiple time points wer: D Beneficence: enhancing care based on feedback, regardless of its validity. J dem Ans Expl ith the e In a h ent of ch -term effec I O A F Ans Explanation: Follow-up assessments at multiple time points provide a comprehensive understanding of the intervention's long-term effectiveness, capturing changes and trends in patient self-management over time. In hospital settings, holistic nurses must often balance holistic care with institutional policies. Which strategy is most effective in achieving this balance? Ignoring institutional policies in favor of holistic practices Following policies strictly without consideration for holistic principles ring to existing regulations ompromising on holistic care to minimize conflict with administration wer: C anation: Advocating for policy changes while adhering to regulations ws holistic nurses to promote holistic care within the framework of utional policies. Advocating for policy changes that support holistic approaches while adhe C Ans Expl allo institQue
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