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TFN Pre Finals 2

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baejuhyeoned's version from 2018-11-15 21:09

Ida Jean Orlando

Question Answer
Deliberative Nursing ProcessName of Orlando's Nursing Theory
The Discipline and Teaching of Nursing ProcessesName of Orlando's book
DISTRESSexperience of patient whose need has not been met
NURSING ROLEto find and meet the patients need for help
NURSING ACTIONSdirectly or indirectly provide patient’s need
OUTCOMEchange in the behavior of the patient
She used the term “human”. Humans in need are the focus of the nursing practice.How did Orlando define person?
Sense of well-being and needs are fulfilled. There is no sense of helplessness.How did Orlando define Health?
Not clearly defined directly but implicitly in the immediate context for a patientHow did Orlando define Environment?
Process of care in an immediate experience for avoiding, diminishing or curing a sense of helplessnessHow did Orlando define Nursing?
(1) Patient Behavior, (2) Nurse Reaction, (3) Nurse Action3 Major Concepts
Deliberative Nursing Action & Automatic Nursing ActionNurse Action is divided into 2 kinds
Automatic Nursing ActionNursing actions without patient’s validation. Therefore, the results are unspecific to patient’s needs.
Automatic Nursing ActionIt is a bad nursing practice
Deliberative Nursing ActionIt is a good nursing practoce
Deliberative Nursing ActionVerbal communication is used for validation. Therefore, nursing actions are specific to the patients’ needs.
Patient Behaviormust be considered as a plea for help and must be validated.
Patient BehaviorCommunication is important for the patient’s participation in achieving health
Patient Behaviormay represent a cry for help from the patient
Patient Behaviornurse must first recognize the situation as problematic
Patient Behaviorcauses an automatic internal response in the nurse, which in turn causes a response in the patient
Patient Behaviorpatient’s problematic situation
(1) Perception through 5 senses, (2) Automatic Thought, (3) Automatic Feeling, (4) Validation of Nurse Reaction, (5) Deliberation of Nurse Reaction and Patient Input5 Steps of Nurse Reaction
(1) Assessment, (2) Diagnosis, (3) Planning, (4) Implementation, (5) Evaluation5 steps Deliberative Nursing Process
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Question Answer
AssessmentThe nurse completes a holistic assessment of the patient
AssessmentThe nurse collects all subjective and objective data.
DiagnosisThe nurse uses clinical judgment of the assessment.
Diagnosiscan be confirmed using links, related factors and risk factors based on the patient’s assessment.
PlanningThe nurse addresses each problem found during diagnosis and each problem is given a specific goal or outcome.
Nursing Care PlanWhat is formulated after the planning?
ImplementationThe nurse begins to perform the nursing intervention and use the nursing care plan.
EvaluationThe nurse looks at the progress of the patient when it comes to the goals set in the nursing plan.
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Sister Callista Roy

Question Answer
Adaptation ModelName of Callista Roy's theory
Person viewed as a adaptive system, their health, and their environment.How did Callista Roy define person?
The state and a process of being and becoming an integrated and whole personHow did Callista Roy define health?
Roy sees the environment as all conditions, circumstances, and influences that surround and affect the development and behavior of the personHow did Callista Roy define environment?
Nursing acts to enhance the interaction of the person with the environment to promote adaptation.How did Callista Roy define nursing?
(1) Integrated, (2) Compensatory, (3) CopromisedLife processes described in 3 levels
(1) Perceptual & info processing, (2) Learning, (3) Judgement, (4) Emotion4 Cognitive channels
(1) Focal Stimuli, (2) Contextual Stimuli, (3) Residual Stimuli3 types of stimuli
(1) Physiological, (2) Self concept, (3) Role Function, (4) Interdependence4 Adaptive/Effector Modes
(1) Assess Behaviour, (2) Assess Stimuli, (3) Nursing Diagnosis, (4) Goal Setting, (5) Interventions, (6) Evaluations6 Step Nursing Processes
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Question Answer
AdaptationResponding positively to environmental changes.
AdaptationThe process and outcome of individuals and groups who use conscious awareness, self reflection and choice to create human and environmental integration
Integrity of a personis demonstrated when the person is able to meet the goals in terms of survival, growth, reproduction and mastery
Coping mechanismsdescribe the control processes of the person as an adaptive system
Cognator & Regulator2 Major Internal Processing Subsystems
CognatorA major coping process involving four cognitive channels
CognatorReceives varying internal and external stimuli involving psychological and social factors.
RegulatorBasic type of adaptive process that responds automatically through neural, chemical and endocrine coping channels
RegulatorIt produces automatic, unconscious reactions on target organs and tissues, which then affect body responses that serve as feedback for input
Adaptive ResponsesAre those that promote the integrity of the person
Adaptation Levels“a constantly changing point, made up of focal, contextual and residual stimuli, which represent one’s own standard of the range of stimuli to which one can respond with ordinary adaptive responses”
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Question Answer
Focal StimuliAre those that immediately confront the individual in a particular situation
Focal StimuliInternal or external stimuli that most immediately confront the human system
Contextual StimuliStimuli that influence the situation
Contextual StimuliAll stimuli present in the situation that contribute to effect of focal stimulus
Residual StimuliInclude the individuals belief or attitude that mat influence the situation
Residual StimuliEnvironmental stimuli within or without the human system with effects in the current situation that are unclear
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Question Answer
Physiological modesIncludes oxygenation, nutrition, elimination, activity and rest, skin integrity, the senses, fluids and electrolytes, and neurological and endocrine function.
Self Concept ModeConsists of the individual’s feeling and beliefs at a given point in time that influences behavior.
Self Concept ModeThis mode includes physic integrity, physical self, personal self, self consistency, self-ideal, moral-ethical-spiritual self, learning, inner self-concept, and self esteem.
Role Function ModeIncludes role, position, role performance, role mastery, social integrity, primal role, secondary role, tertiary role, and instrumental and expressive behaviors.
Interdependence ModeAddresses the ability to love, respect, and value others and to respond to others on this manner.
Interdependence ModeThis mode includes affection adequacy, nurturing, significant others, support systems, receptive behavior, and contributing behavior.
Interdependence ModeCoping mechanisms arising from close relationships
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Myra Estrine Levine

Question Answer
4 Conservation PrinciplesName of Levine's Theory
(1) Wholeness, (2) Adaptation, (3) Conservation3 major concepts
(1) Historicity, (2) Specificity, (3) Redundancy3 characteristics of adaptation
HistoricityAdaptation is a historical process, responses are based on past experiences, both personal and genetic
SpecificityAdaptation is also specific. Each system has very specific responses.
SpecificityThe physiologic responses that “defend oxygen supply to the brain are distinct from those that maintain the appropriate blood glucose levels.”
RedundancyAlthough the changes that occur are sequential, they should not be viewed as linear. Rather, Levine describes them as occurring in “cascades” in which there is an interacting and evolving effect in which one sequence is not yet completed when the next begins.
(1) Perceptual environment, (2) Operational environment, (3) Conceptual environment3 external environments
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Question Answer
Perceptual environmentindividuals respond to with their sense organs and includes light, sound, touch, temperature, chemical change that is smelled or tasted, and position sense and balance.
Perceptual environmentConsists of information that is recorded by the sensory organs
Operational environmentthings that affect individuals physically, although they cannot directly perceive them, things such as radiation, microorganisms, and pollutants.
Operational environmentConsists of those undetected natural forces that impinge on the individual
Conceptual environmentconstructed from cultural patterns, characterized by a spiritual existence and mediated by the symbols of language, culture, thoughts, and history.
Conceptual environmentis the influence by language, culture, idea and cognition
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Question Answer
Organismic ResponseIt is the capacity of the individual to adapt to his environmental condition.
(1) Fight of flight, (2) Inflammatory response, (3) Response to stress, (4) Perceptual Awareness4 levels of integration of organismic response
Fight of flightthe individual perceives that he/she is threatened, whether or not a threat actually exists.
Fight of flightThe individual responds by being on the alert to ensure his/her safety and well-being.
Inflammatory responsethis protects the self from insult in a hostile environment. It is a way of healing.
Inflammatory responseThe response uses available energy to remove or keep out unwanted irritants and pathogens but it is limited in time because it drains the individual’s energy reserves.
Response to stressThe wear and tear of life is recorded on the tissues and reflects long-term hormonal responses to life experiences that cause structural change.
Response to stressIt is characterized by irreversibility and influences the way patients respond to nursing care.
Perceptual Awarenessoccurs only as the individual experiences the world around him or her.
Perceptual AwarenessThe individual uses this response to seek and maintain safety. It is information seeking.
Health and the strength to confront disabilityThe goal of conservation is
(1) Conservation of energy, (2) Conservation of structural integrity, (3) Conservation of personal integrity, (4) Conservation of Social integrity4 principles of conservation
Person is a holistic being who constantly strives to preserve the wholeness and integrityHow did Levine define person?
Health is the pattern of adaptive change and the goal of conservationHow did Levine define health?
Nursing to take care of others when they need to be taken care ofHow did Levine define nursing?
Environment is conceptualized as the context in which individuals live their lives. It includes both the internal and external environmentHow did Levine define environment?
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Question Answer
Conservation of energyRefers to balancing energy input and output to avoid excessive fatigue
Conservation of energyIt includes adequate rest, nutrition and exercise.
Conservation of energyAvailability of adequate rest
Conservation of energyMaintenance of adequate nutrition
Conservation of energyBasic to natural, universal law of conservation
Conservation of structural integrityRefers to maintaining or restoring the structure of body preventing physical breakdown and promoting healing.
Conservation of structural integrityAssist patient in ROM exercise
Conservation of structural integrityMaintenance of patient’s personal hygiene
Conservation of structural integrityThis focuses on the healing process
Conservation of structural integrityNurses should support this through proper positioning and range of motion to prevent skeletal deformity
Conservation of personal integrityRecognizes the individual as one who strives for recognition, respect, self awareness, selfhood and self determination.
Conservation of personal integrityRecognize and protect patient’s space needs
Conservation of personal integrityFocuses on a sense of self that "intensely private, always unique, secret knowledge that one use to define oneself
Conservation of social integrityAn individual is recognized as some one who resides with in a family, a community, a religious group, an ethnic group, a political system and a nation.
Conservation of social integrityHelp the individual to preserve his or her place in a family, community, and society.
Conservation of social integrityInvolves a definition of self that goes beyond the individual and includes the holiness of the person
Conservation of social integrityIndividuals use their relationship to define themselves
Conservation of social integrityOne's identity is connected to family, friends, community, workplace, school, culture, ethnicity, religion, vocation, education & socio-economic status
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Question Answer
WHOLENESS (HOLISM)Exists when the interaction or constant adaptations to the environment permits the assurance of integrity
WHOLENESS (HOLISM)Promoted by use of conservation principle
ADAPTATIONEvery individual has a unique range of adaptive responses
ADAPTATIONThe responses will vary by heredity, age, gender, or challenges of illness experiences
ADAPTATIONWhile the response are same, the timing and manifestation of orgasmic responses will be unique for each individual pulse rate
ADAPTATIONAn ongoing process of change in which patient maintain his integrity within the realities of environment
ADAPTATIONAchieved through the frugal, economic, contained and controlled use of environment resource by individual in his or her best interest
ADAPTATIONProcess of change
CONSERVATIONThe product of adaptation
CONSERVATIONKeeping together of the life systems or the wholeness of the individual
CONSERVATIONAchieving a balance of energy supply and demand that is within the unique biological realities of the individual
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