Podcast
Questions and Answers
What underlying issue is highlighted by Nelly's tearfulness and concerns?
What underlying issue is highlighted by Nelly's tearfulness and concerns?
How has Nelly’s health condition affected her sense of self-sufficiency?
How has Nelly’s health condition affected her sense of self-sufficiency?
What is a significant impact of Nelly's hysterectomy on her personal life?
What is a significant impact of Nelly's hysterectomy on her personal life?
What stage is Nelly's cervical cancer classified as?
What stage is Nelly's cervical cancer classified as?
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What type of symptoms is Nelly experiencing that indicates a need for restorative care?
What type of symptoms is Nelly experiencing that indicates a need for restorative care?
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What influences set formation in individuals?
What influences set formation in individuals?
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What is the significance of the functional requirements for the subsystems?
What is the significance of the functional requirements for the subsystems?
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What does the term 'perseverative set' refer to?
What does the term 'perseverative set' refer to?
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In Nelly's case, what was indicated by her symptoms before diagnosis?
In Nelly's case, what was indicated by her symptoms before diagnosis?
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How do age, gender, and culture impact choices?
How do age, gender, and culture impact choices?
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What condition must be met for a person’s observable behavior to be effective in goal attainment?
What condition must be met for a person’s observable behavior to be effective in goal attainment?
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What play a critical role in determining choices and actions in an individual's behavior?
What play a critical role in determining choices and actions in an individual's behavior?
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What is one of the three functional requirements shared by all subsystems?
What is one of the three functional requirements shared by all subsystems?
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What is the primary goal of nursing according to Johnson's theory?
What is the primary goal of nursing according to Johnson's theory?
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According to Johnson's model, what encompasses a patient’s behavioral system?
According to Johnson's model, what encompasses a patient’s behavioral system?
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In Johnson's Behavioral System Model, which system does nursing primarily focus on?
In Johnson's Behavioral System Model, which system does nursing primarily focus on?
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What assumption does Johnson identify as essential for understanding a person as a behavioral system?
What assumption does Johnson identify as essential for understanding a person as a behavioral system?
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Which statement best describes a system according to Johnson's perspective?
Which statement best describes a system according to Johnson's perspective?
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How does Johnson describe the tendency of a behavioral system in relation to balance?
How does Johnson describe the tendency of a behavioral system in relation to balance?
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How does health relate to behavioral responses in Johnson's model?
How does health relate to behavioral responses in Johnson's model?
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What is the role of subsystems in Johnson's model of a behavioral system?
What is the role of subsystems in Johnson's model of a behavioral system?
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What role does the environment play in Johnson's Behavioral System Model?
What role does the environment play in Johnson's Behavioral System Model?
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What does Johnson suggest about behavior that deviates from cultural norms?
What does Johnson suggest about behavior that deviates from cultural norms?
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Which of the following concepts is NOT included in Johnson's discussion of behavior?
Which of the following concepts is NOT included in Johnson's discussion of behavior?
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What potential consequence does Johnson note when a behavioral system attempts to reestablish balance?
What potential consequence does Johnson note when a behavioral system attempts to reestablish balance?
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Which statement about the client's status in Johnson's model is correct?
Which statement about the client's status in Johnson's model is correct?
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Which of the following factors does Johnson recognize as influential on behavior?
Which of the following factors does Johnson recognize as influential on behavior?
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According to Johnson, which of the following best describes the nature of behavioral patterns?
According to Johnson, which of the following best describes the nature of behavioral patterns?
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What does Johnson mean by stating that balance is essential for effective functioning of a person?
What does Johnson mean by stating that balance is essential for effective functioning of a person?
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What role may a nurse take when a behavioral system imbalance occurs?
What role may a nurse take when a behavioral system imbalance occurs?
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Which of the following is NOT one of the goals of nursing?
Which of the following is NOT one of the goals of nursing?
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What is the primary focus of the attachment-affiliative subsystem?
What is the primary focus of the attachment-affiliative subsystem?
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How do the functional requirements vary in individuals?
How do the functional requirements vary in individuals?
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Which subsystem promotes helping behavior and calls for a nurturing response?
Which subsystem promotes helping behavior and calls for a nurturing response?
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Which of the following is considered a restorative behavior in nursing?
Which of the following is considered a restorative behavior in nursing?
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What is the expected outcome of the dependency subsystem's evolution over time?
What is the expected outcome of the dependency subsystem's evolution over time?
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What characterizes the concept of behavioral system balance?
What characterizes the concept of behavioral system balance?
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What is the primary function of the ingestive subsystem?
What is the primary function of the ingestive subsystem?
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In what way does the eliminative subsystem relate to social and psychological factors?
In what way does the eliminative subsystem relate to social and psychological factors?
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Which two functions does the sexual subsystem encompass?
Which two functions does the sexual subsystem encompass?
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What aspect of behavior does the achievement subsystem primarily focus on?
What aspect of behavior does the achievement subsystem primarily focus on?
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What does the aggressive-protective subsystem aim to ensure?
What does the aggressive-protective subsystem aim to ensure?
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Which component is NOT part of the structural and functional requirements of a subsystem?
Which component is NOT part of the structural and functional requirements of a subsystem?
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How is the goal of a subsystem defined?
How is the goal of a subsystem defined?
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What is the relationship between subsystems and their input/output mechanisms?
What is the relationship between subsystems and their input/output mechanisms?
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Study Notes
Dorothy Johnson's Behavioral System Model
- Nursing is defined as an external regulatory force that maintains patient behavior at an optimal level, particularly when illness threatens physical or social health.
- Each individual has unique, patterned, purposeful, and repetitive behavioral patterns (a system).
- The client is viewed as a living open system comprised of interacting subsystems.
- Behavior is the system, not the individual; therefore, behaviors are consistent, regular, predictable, and goal-directed.
- The human being consists of two systems: biological (medicine's focus) and behavioral (nursing's focus.)
- Health is an adaptive response to maintain balance in a dynamic relationship with internal and external stimuli (physical, mental, emotional, and social.)
- The environment directly influences a patient's behavior.
- Nursing's primary goal is to maintain behavioral system balance during illness.
Major Concepts
- Behavior: Coordinated output of intra-organismic processes, responsive to internal/external stimuli, especially social interaction; impactful in maintaining balance.
- Behavioral System: Patterned, repetitive, purposeful behaviors that form an integrated system, influencing interactions with the environment, including limiting factors.
Subsystems
- Johnson identified seven subsystems (achievement, affiliative, aggressive/protective, dependence, eliminative, ingestive, and sexual.)
- Each subsystem has its own goal, set behaviors, and choices for action based on universal drives.
Functional Requirements/Sustained Imperatives
- Constant supply of protection, nurturance, and stimulation is necessary for subsystem development and stability; especially important during illness.
Regulation/Control
- Deviations from a balanced state are detected and corrected, regulated, and maintained to an optimal level in both health and illness.
- Feedback and client self-regulation are essential; if necessary, the nurse can provide temporary external regulation to restore balance.
Stressors
- Internal/external stimuli creating instability and imbalances (ranging from desired inputs to absent requirements.)
- Open-linked systems (physiological, psychological, family, and society/community) are in constant interchange.
Equilibrium/Balance
- A relatively stable, resting state where biological and psychological forces are in balance with impinge social forces.
- It is not synonymous with health, though it can be present in both health and disease.
Major Assumptions
- Nursing's goal is to maintain/restore behavioral system balance and stability.
- Nursing is an external force that influences behavioral system organization and integration to optimal levels using temporary controls.
- Knowledge of order, disorder, and control is essential for nursing practice.
Case History Example (Nelly)
- A case example was given to illustrate application; 29 year old female with cervical cancer.
- The case emphasizes the importance of assessing Nelly's biopsychosocial well-being.
- Nelly's behavioral assessment highlighted challenges related to achievement, affiliative, aggressive/protective, dependency, ingestive, eliminative, sexual, and restorative subsystems.
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Description
Test your knowledge on Dorothy Johnson's Behavioral System Model, which defines nursing as a regulatory force that maintains patient behavior. This model emphasizes the importance of understanding individuals as living open systems with unique behavioral patterns. Explore the concepts of health, balance, and the influence of the environment on behavior.