Nursing Foundations - Unit 4 (Health Perspectives & Self-Perception)

olanjones's version from 2016-04-10 00:06

Health Models

Question Answer
5 stages of Suchman’s Illness Behavior model1. Symptom Experience 2. Assumption of the Sick Role 3. Medical Care Contact 4. Dependent Client Role 5. Recovery/Rehabilitation
Symptom Experience stagebelief that something is wrong, interpret symptoms to mean something serious
Assumption of Sick Role stageaccepts sick role and seeks confirmation (not always from a provider)
Medical Care Contact stageseeks advice from a provider, looking for reassurance/validation
Dependent Client Role stagedepends on professional for help and management of the illness
Recovery/Rehabilitation stagerelinquishes dependent role, resumes former roles/responsibilities, may include adapting to disability
Focus of Rosenstock’s Health Belief model?What people perceive to be true about themselves in relation to their health (susceptibility, seriousness, threat) effects their motivations to take action (must feel benefit > barrier)
6 stages of Prochaska’s Model of Change1. Pre-contemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance 6. Termination (model is nonlinear, may cycle/relapse)
Pre-contemplation stageno recognition of problem, no consideration of change
Contemplation stagerecognition of problem, gathers information, verbalizes plans to change (6 months)
Preparation stageplan of action to implement in immediate future (1 month), may have started small changes
Action stageengages in actions of change, considered to last 6 months while new behaviors are in practice
Maintenance stagepreserves with change, gains confidence in ability to continue (6 months – 5 years)
Termination stagecomplete confidence that problem is no longer a problem/threat

Health Promotion/Perception

Question Answer
What is the goal of health promotion?it is motivated by a personal, positive approach to expanding wellness (it is not disease oriented)
What is health protection/illness prevention?it is illness or injury specific, motivated by avoidance of condition
What are the 3 levels of illness prevention?Primary- precedes disease (applied to healthy persons), Secondary- prompt intervention for those with health problems (prevention of complications), Tertiary- after illness when disability is fixed, stabilized, or irreversible (focus on rehabilitation)
What factors influence adherence to health care?Regimen (simple vs. complex), Patient (individual factors – not related to age, religion, SES, etc.), Practitioner (more attention to patient = better adherence)
What is the focus of questions used to assess health perception?to examine how the patient feels they are contributing to their own state of health / what the patient considers their state of health to be

Health Perception Pattern NANDA labels

Question Answer
What constitutes Management of Therapeutic Regimen: Ineffective?Regulation of daily living program for treatment that is unsatisfactory for meeting specific health goals
What are characteristics of Ineffective Mgmt of TR?choice of daily living is ineffective for meeting goals of treatment or prevention, patient is having difficulty with prescribed regimen
What outcome/intervention can be used with Ineffective Mgmt of TR?Outcome: Client collaboration with provider to decide on a therapeutic regimen that is congruent lifestyle Intervention: Learning facilitation
What constitutes Ineffective Health Management?Inability to identify, manage, and/or seek out help to maintain health
What are characteristics of Ineffective Health Mgmt?lack of knowledge/interest about basic health practices, impairment of personal support
What outcome/intervention can be used with Ineffective Health Mgmt?Outcome: Client to discuss fear of/or blocks to implementing health regimen Intervention: Assess client’s reasons for not following the prescribed plan of care
What constitutes Health-seeking Behaviors?Client in stable health actively seeks ways to alter personal health habits to more toward a higher level of wellness
What are characteristics of Health-seeking Behaviors? Expressed desire to seek information for health promotion
What outcome/intervention can be used with Health-seeking Behaviors?Outcome: Client will demonstrate continued commitment to positive daily living routine Intervention: Support positive health-promotion and health-protection behaviors


Question Answer
Why is self-perception important?persons who have a healthy self-concept are better able to cope with life’s challenges
What components comprise one’s self-concept?Personal identity, Body image, Role performance, Self-esteem
What is Personal identity?conscious sense of individuality and uniqueness that develops throughout life
Describe Body imagesum of attitudes (conscious/unconscious) that a person had toward their body
Describe Role performanceroles change over lifetime, each role comes with expectations for behaviors that may be set by self of others
What is Self-esteem?one’s judgement of one’s own worth – is derived from self and others and can change often, includes global (how much one likes oneself as a whole) and specific (how much one approves of a specific part of one’s self)
How is assertiveness linked to self-concept?Assertiveness incorporates setting goals, acting on goals in a clear and consistent manner, and taking responsibility for the consequences of those actions; it’s use displays self-confidence without diminishing others
What are the components of assertiveness?the ability to - say “no”, ask for what you want, appropriately express both positive and negative thoughts and feelings, to initiate, continue, and terminate interaction

Self-Concept Pattern NANDA labels

Question Answer
What constitutes Disturbed Body Image?Confusion in mental picture of one’s self
What are characteristics of Disturbed Body Image?Behaviors of avoidance of one’s body, reports feelings that reflect an altered view of one’s body
What outcome/intervention can be used with Disturbed Body Image?Outcome: Client will identify and change irrational beliefs regarding body size or function Intervention: Help client describe ideal self, identify self-criticisms, and give suggestions to support acceptance of self
What constitutes Situational Low Self-esteem?Development of negative perception of self-worth in response to a current situation
What are characteristics of Situational Low Self-esteem?Evaluation of self as unable to deal with events, reports current situational challenges to self-worth
What outcome/intervention can be used with Situational Low Self-esteem?Outcome: Client will demonstrate separation of self-perceptions from societal stigmas Intervention: Assist in identification of problems and situational factors that contribute to problems, offering options for resolution



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