Dorothy Johnson's Behavioral System Model Quiz
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Questions and Answers

What underlying issue is highlighted by Nelly's tearfulness and concerns?

  • Her social relationships with friends
  • Her ability to find employment for her husband
  • Her ability to fulfill personal and family needs (correct)
  • Her financial contributions to her mother
  • How has Nelly’s health condition affected her sense of self-sufficiency?

  • It has led her to become more independent
  • It has encouraged her to seek employment
  • It has made her more focused on her children
  • It has caused a decrease in self-sufficiency (correct)
  • What is a significant impact of Nelly's hysterectomy on her personal life?

  • It has improved her sexual relationship with her husband
  • It strengthens her emotional stability
  • It allows her to engage in more physical activities
  • It raises concerns about her feminine identity (correct)
  • What stage is Nelly's cervical cancer classified as?

    <p>Stage II squamous cell carcinoma</p> Signup and view all the answers

    What type of symptoms is Nelly experiencing that indicates a need for restorative care?

    <p>Fatigue, pain, and possible sleep disturbance</p> Signup and view all the answers

    What influences set formation in individuals?

    <p>Societal norms</p> Signup and view all the answers

    What is the significance of the functional requirements for the subsystems?

    <p>They ensure constant stability.</p> Signup and view all the answers

    What does the term 'perseverative set' refer to?

    <p>Persistence in maintaining habits.</p> Signup and view all the answers

    In Nelly's case, what was indicated by her symptoms before diagnosis?

    <p>Stage II cervix cancer</p> Signup and view all the answers

    How do age, gender, and culture impact choices?

    <p>They broaden or narrow the range of options available.</p> Signup and view all the answers

    What condition must be met for a person’s observable behavior to be effective in goal attainment?

    <p>The behavior must be efficient and effective.</p> Signup and view all the answers

    What play a critical role in determining choices and actions in an individual's behavior?

    <p>Set</p> Signup and view all the answers

    What is one of the three functional requirements shared by all subsystems?

    <p>Nurturance</p> Signup and view all the answers

    What is the primary goal of nursing according to Johnson's theory?

    <p>To maintain balance in the behavioral system</p> Signup and view all the answers

    According to Johnson's model, what encompasses a patient’s behavioral system?

    <p>Patterned, purposeful, repetitive behaviors</p> Signup and view all the answers

    In Johnson's Behavioral System Model, which system does nursing primarily focus on?

    <p>The behavioral system</p> Signup and view all the answers

    What assumption does Johnson identify as essential for understanding a person as a behavioral system?

    <p>There is organization, interaction, and integration within the system.</p> Signup and view all the answers

    Which statement best describes a system according to Johnson's perspective?

    <p>A whole that functions due to the interdependence of its parts</p> Signup and view all the answers

    How does Johnson describe the tendency of a behavioral system in relation to balance?

    <p>It continually strives to maintain balance and steady states.</p> Signup and view all the answers

    How does health relate to behavioral responses in Johnson's model?

    <p>Health is a result of adaptive responses to maintain stability</p> Signup and view all the answers

    What is the role of subsystems in Johnson's model of a behavioral system?

    <p>They are interrelated and interdependent parts of the whole system.</p> Signup and view all the answers

    What role does the environment play in Johnson's Behavioral System Model?

    <p>It directly influences a patient’s behavior</p> Signup and view all the answers

    What does Johnson suggest about behavior that deviates from cultural norms?

    <p>It reflects unsuccessful attempts to establish balance.</p> Signup and view all the answers

    Which of the following concepts is NOT included in Johnson's discussion of behavior?

    <p>Random and chaotic actions without patterns</p> Signup and view all the answers

    What potential consequence does Johnson note when a behavioral system attempts to reestablish balance?

    <p>It could lead to overexpenditure of energy.</p> Signup and view all the answers

    Which statement about the client's status in Johnson's model is correct?

    <p>The client is viewed as an open system with interrelating subsystems</p> Signup and view all the answers

    Which of the following factors does Johnson recognize as influential on behavior?

    <p>A combination of biological, psychological, and sociocultural factors.</p> Signup and view all the answers

    According to Johnson, which of the following best describes the nature of behavioral patterns?

    <p>They create an organized and integrated whole.</p> Signup and view all the answers

    What does Johnson mean by stating that balance is essential for effective functioning of a person?

    <p>It indicates that adjustments and adaptations are necessary for stability.</p> Signup and view all the answers

    What role may a nurse take when a behavioral system imbalance occurs?

    <p>Regulate the environment temporarily</p> Signup and view all the answers

    Which of the following is NOT one of the goals of nursing?

    <p>Ensure patient remains dependent on healthcare providers</p> Signup and view all the answers

    What is the primary focus of the attachment-affiliative subsystem?

    <p>Providing survival and security through social bonds</p> Signup and view all the answers

    How do the functional requirements vary in individuals?

    <p>They vary based on age, gender, culture, and illness severity.</p> Signup and view all the answers

    Which subsystem promotes helping behavior and calls for a nurturing response?

    <p>Dependency subsystem</p> Signup and view all the answers

    Which of the following is considered a restorative behavior in nursing?

    <p>Relaxation</p> Signup and view all the answers

    What is the expected outcome of the dependency subsystem's evolution over time?

    <p>Greater self-dependence</p> Signup and view all the answers

    What characterizes the concept of behavioral system balance?

    <p>Adaptive responses to stressors</p> Signup and view all the answers

    What is the primary function of the ingestive subsystem?

    <p>To satisfy appetitive needs</p> Signup and view all the answers

    In what way does the eliminative subsystem relate to social and psychological factors?

    <p>They may conflict with biological aspects.</p> Signup and view all the answers

    Which two functions does the sexual subsystem encompass?

    <p>Procreation and gratification</p> Signup and view all the answers

    What aspect of behavior does the achievement subsystem primarily focus on?

    <p>Manipulating the environment to achieve control.</p> Signup and view all the answers

    What does the aggressive-protective subsystem aim to ensure?

    <p>Protection and preservation of people and property</p> Signup and view all the answers

    Which component is NOT part of the structural and functional requirements of a subsystem?

    <p>Observable environmental mastery</p> Signup and view all the answers

    How is the goal of a subsystem defined?

    <p>It reflects the ultimate consequence of behaviors.</p> Signup and view all the answers

    What is the relationship between subsystems and their input/output mechanisms?

    <p>Each subsystem has its own distinct input and output.</p> Signup and view all the answers

    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.

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