Chapter 20: Dimensions of Holistic Health Care

Chapter 20: Dimensions of Holistic Health Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care?

1. Medicare and Healthy People 2020
2. Healthy People 2020 and nursing theorists
3. Integrative health and Healthy People 2020
4. Integrative health and foreign exchange of ideas

Correct Answer: 3

Rationale: A blend of both Eastern and Western medicine, known as integrative health and initiatives in Healthy People 2020 have moved the health care system away from a illness/disease-based framework to a more comprehensive approach to health care. Changes in Medicare have not encouraged the change in view of health care. Nursing theorists develop a body of knowledge that is used to support nursing practice. A foreign exchange of ideas assists in transcultural and world health issues.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: IX.17. Develop a beginning understanding of complementary and alternative modalities and their role in health care.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Describe the change in the view of health care from one of biological focus on disease management to comprehensive health care.

Page Number: pp. 382–383

Question 2

Why is a review of CAM therapies included in a study guide for the NCLEX?

1. It will be valuable for education of future patients.
2. It is an ethical responsibility for nurses to be knowledgeable about changes in health care.
3. Herbal remedies never interact with prescribed medications.
4. CAM therapies are rarely used by patients.

Correct Answer: 2

Rationale: Complementary and alternative medicine (CAM) therapies are getting increased focus in research and practice as they become a more common choice for many clients. In order to provide comprehensive, individualized care to clients, nurses must be knowledgeable about the modalities that clients are selecting to enhance their health and healing. Sometimes the choices the clients are making to improve their health can actually have detrimental effects on their health.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: IX.17. Develop a beginning understanding of complementary and alternative modalities and their role in health care.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Describe the change in the view of health care from one of biological focus on disease management to comprehensive health care.

Page Number: p. 382

Question 3

What is the philosophy of health care that encourages healthcare providers to be more comprehensive in their approach to patient care, including physical, emotional, spiritual, and psychological attributes?

1. Holistic health
2. Nursing with a purpose
3. Complete health assessment
4. Contemporary alternative medicine

Correct Answer: 1

Rationale: Holistic health is a concept that evolved in the 1970s and 1980s and is defined as “a comprehensive approach to health care including physical, emotional, psychological, and spiritual attributes of a person.” Nursing with a purpose is a goal of delivering nursing care but is not a philosophy of health care. A complete physical health assessment is often performed on patients at an initial health evaluation. Contemporary alternative medicine (CAM) is use of unconventional medicine or healing therapies.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: IX.17. Develop a beginning understanding of complementary and alternative modalities and their role in health care.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Define holistic health and holistic nursing.

Page Number: p. 386

Question 4

Which organization developed standards of nursing practice that define holistic nursing practice as a specialty?

1. AHNA
2. ANA
3. NCCAM
4. ANCC

Correct Answer: 1

Rationale: The American Holistic Nurses Association (AHNA) developed standards of practice that define holistic nursing practice as a specialty practice that draws upon nursing knowledge, theories, expertise, and intuition to guide nurses in becoming therapeutic partners with clients to strengthen the client’s ability to heal. The ANA is the American Nurses Association, this organization has not developed standards of nursing practice for the holistic nurse. The NCCAM is the National Center for Complementary and Alternative Medicine; their mission is to explore complementary and alternative healing practices within the context of rigorous science. The ANCC, American Nurses Credentialing Center, has not defined or developed the standards of nursing practice for the holistic nurse.

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: patient/family/community preferences, values.

AACN Essential Competencies: IX.17. Develop a beginning understanding of complementary and alternative modalities and their role in health care.

NLN Competencies: Context and Environment; Practice; Apply health promotion/disease prevention strategies; Apply health policy

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 2. Define holistic health and holistic nursing.

Page Number: p. 382