Complexity and Adaptation in Clinical Practice

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37 Questions

What is the primary focus of the conceptual system and theory of goal attainment?

The individual's ability to provide self-care

According to the theory, individuals have no power to make decisions about their self-care.

False

What happens when a patient regains the ability to engage in self-care?

The patient resumes self-care actions.

Humans require continuous, deliberate _______________________ for health development and well-being.

self-care

Match the following concepts with their descriptions:

Self-care = The ability of individuals to meet their own health needs. Nurse's role = To compensate for the patient's inability to engage in self-care. Goal attainment = The outcome of successful self-care. Transaction = A life situation in which the perceiver and the object perceived are encountered.

The nurse's role is limited to providing care without considering the patient's ability to engage in self-care.

False

What is the definition of health according to the content?

Absence of disease and major illness

Environmental fields are finite.

False

What is the focus of the assessment in the nursing process?

Total pattern of events at any given point in space-time, simultaneous state of the patient and his/her environment

The principles of hemodynamics postulate a way of perceiving unitary human beings through the lens of _______________________________

pattern appraisal

What is the characteristic of the environmental fields?

Infinite and changing continuously

Pandimensional energy field is reducible.

False

What is the focus of the nursing process?

Unitary human beings and their environmental fields

Match the following concepts with their definitions:

Pandimensional energy field = A spaceless and timeless reality. Environmental fields = Specific to each human field and infinite. Health = Absence of disease and major illness. Nursing process = Focuses on unitary human beings and their environmental fields.

What is the primary goal of nursing?

To increase sense of well-being and ability in patients

Patients can meet their needs independently.

False

What is the focus of the theory of culture care diversity and universality?

Culturally congruent and competent nursing care

Madeleine Leininger introduced the theory of culture care diversity and universality in the _______________________.

1960s

What is the outcome of unmet needs for help?

Feelings of helplessness

Nurses are only concerned with immediate needs of patients.

False

What is the result of patients regaining the ability to engage in self-care?

Sense of well-being and ability

Match the following concepts with their descriptions:

Nursing = Process of care in an immediate experience for avoiding, relieving, diminishing or curing the individual’s sense of helplessness. Health = Sense of adequacy or well-being. Environment = Not defined directly. Human = Developmental beings with needs.

What is the primary goal of the Lines of Resistance (LOR) mechanism?

To stabilize the client system and foster a return to wellness

According to the Adaptation Model, contextual stimuli can have a negative effect on the focal stimulus.

True

What is the main function of the Lines of Resistance (LOR) mechanism?

To stabilize the client system and foster a return to wellness

The focal stimulus is the ______________________ response that confronts the individual and demands the most attention and adaptive energy.

most immediate

What is the term for environmental factors of which the effects are unclear in a given situation?

Residual Stimuli

The Adaptation Model was developed by Callista Roy.

True

Match the following terms with their definitions:

Focal Stimuli = The most immediate response that confronts the individual and demands the most attention and adaptive energy Contextual Stimuli = All other stimuli present in the situation that contribute to the strength of the focal stimulus Residual Stimuli = Environmental factors of which the effects are unclear in a given situation

What is the term for the protective mechanism that attempts to stabilize the client system and foster a return to wellness?

Lines of Resistance (LOR)

What is the primary focus of conservation according to the theory?

keeping together the wholeness of the individual

The goal of conservation is to confront disability.

False

The external environment is divided into 3 levels: ________________________.

Perceptual, Operational, and Conceptual

What is an organismic response?

A change in the behavior of an individual during an attempt to adapt to the environment

What does the theory changed in the profession's understanding?

what it means to be an expert

Match the following terms with their descriptions:

Conservation = Help individuals to protect and maintain their integrity. Organismic Response = A change in the behavior of an individual during an attempt to adapt to the environment Perceptual Level = A level of the external environment

The theory emphasizes the importance of recognizing the influence of all conservation principles.

True

Study Notes

Theory of Conservation

  • The goal of conservation is health and strength, and to confront disability.
  • The primary focus is on keeping the wholeness of the individual together.
  • Through conservation, individuals are able to confront obstacles, adapt accordingly, and maintain their uniqueness.
  • The theory changed the profession's understanding of what it means to be an expert, placing the designation on the nurse who provided the most exquisite nursing care.

Organismic Response

  • Change in the behavior of an individual during an attempt to adapt to the environment.
  • Helps individuals to protect and maintain their integrity.
  • External environment is divided into three: Perceptual Level, Operational Level, and Conceptual Level.
  • Events manifested in the life process indicate the extent to which a human being achieves maximum health according to some value system.

Pandimensionality

  • Nonlinear domain without spatial or temporal attributes.
  • Provides an infinite domain without limit, essentially a spaceless and timeless reality.
  • Best expresses the idea of a unitary whole.
  • Environmental fields are infinite, and change is continuously innovative, unpredictable, and characterized by increasing diversity.

Nursing Process

  • Assessment involves a total pattern of events at any given point in space-time.
  • Simultaneous state of the patient and his/her environment, including rhythms of the life processes.
  • Supplementary data, categorical disease entities, and subsystem pathology are also considered.
  • The assessment should be a comprehensive assessment of the human and environmental fields.

Assumptions

  • The principles of hemodynamics postulate a way of perceiving unitary human beings.
  • The individual is capable of providing self-care to meet some health needs.
  • Humans require continuous, deliberate self-care for health development and well-being.
  • Nurses maintain the capacity of individuals for self-care and assist when they are unable to do so.

Adaptation Model: Callista Roy

  • Focal Stimuli: most immediate response that confronts the individual and demands the most attention and adaptive energy.
  • Contextual Stimuli: all other stimuli present in the situation that contribute to the strength of the focal stimulus.
  • Residual Stimuli: environmental factors of which the effects are unclear in a given situation.

Theory of Culture Care Diversity and Universality: Madeleine Leininger

  • Developed to establish a substantive knowledge base to guide nurses in discovery and use of transcultural nursing practices.
  • During the post-World War II period, Dr. Leininger realized nurses would need transcultural knowledge and practices to function with people of diverse cultures worldwide.
  • Persons become patients who require nursing care when they have needs for help that cannot be met independently.
  • Patients experience distress or feelings of helplessness as the result of unmet needs for help.

This quiz assesses understanding of complex systems and their ability to adapt in the face of challenges. It covers concepts such as conservation, embodied knowledge, and seeing the big picture in clinical practice.

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