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 (B)</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 (C)</p> Signup and view all the answers

What influences set formation in individuals?

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

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

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

What does the term 'perseverative set' refer to?

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

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

<p>Stage II cervix cancer (B)</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. (B)</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. (C)</p> Signup and view all the answers

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

<p>Set (B)</p> Signup and view all the answers

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

<p>Nurturance (C)</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 (D)</p> Signup and view all the answers

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

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

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

<p>The behavioral system (A)</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. (A)</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 (C)</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. (A)</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 (B)</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. (A)</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 (A)</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. (A)</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 (D)</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. (B)</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 (B)</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. (C)</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. (D)</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. (D)</p> Signup and view all the answers

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

<p>Regulate the environment temporarily (A)</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 (C)</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 (A)</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. (A)</p> Signup and view all the answers

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

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

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

<p>Relaxation (D)</p> Signup and view all the answers

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

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

What characterizes the concept of behavioral system balance?

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

What is the primary function of the ingestive subsystem?

<p>To satisfy appetitive needs (A)</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. (A)</p> Signup and view all the answers

Which two functions does the sexual subsystem encompass?

<p>Procreation and gratification (D)</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. (B)</p> Signup and view all the answers

What does the aggressive-protective subsystem aim to ensure?

<p>Protection and preservation of people and property (C)</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 (D)</p> Signup and view all the answers

How is the goal of a subsystem defined?

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

Flashcards

Johnson's Nursing Definition

External force that maintains optimal patient behaviors, preventing threats to physical or social health during illness.

Behavioral System

Patterned, purposeful, repetitive actions specific to an individual, focusing on how people act.

Nursing's Focus

Maintaining the patient's behavioral system balance during illness, rather than focusing on the biological system.

Health (Johnson's Model)

A purposeful, adaptive response to stimuli (internal and external), aimed at keeping stability.

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System (Johnson's View)

A whole functioning because its parts are interconnected. It means the parts are interdependent, interacting, organized, and integrated.

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Behavior (Johnson's Model)

Output from sensory input, coordinated by body systems, affected by others. It emphasizes the connection between the body, sensory stimulation and others.

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Johnson's Model of Client

The client is a collection of behavioral subsystems, working together to form a complete behavioral system, rather than a single individual.

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Equilibrium

This is the main goal in Johnson's model, a state of balance in someone's behavior.

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System Integration

Organized and unified way in which parts of a behavioral system work together.

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Behavioral System Balance

Maintaining a stable state within the behavioral system through adjustments and adaptations.

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Subsystems

Interrelated parts within a behavioral system that contribute to the overall system.

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System Changes

Changes in a behavioral system, related to issues with drive, function, or the environment.

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Balance Maintenance Effort

Effort required to maintain behavioral system balance, which can sometimes deplete energy reserves.

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Seeking New Experiences

Behavioral systems' tendency to seek new experiences, even if it temporarily disrupts balance.

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Behavioral Regularity

The behavioral system's tendency towards regularity and consistency.

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What is Johnson's Behavioral Systems Model?

A nursing theory that views a patient as a behavioral system with seven subsystems, each contributing to overall health and well-being.

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What are the 7 subsystems in Johnson's model?

Achievement, Affiliative, Aggressive, Dependence, Eliminative, Ingestive, and Sexual; plus the Restorative subsystem (sleep, play, relaxation).

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What is the most critical subsystem?

Attachment-Affiliative, as it forms the basis for social organization, promoting survival and security.

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What does the Dependence subsystem do?

Promotes helping behavior, seeking nurture from others. It evolves from total dependence to more self-reliance.

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What is the goal of nursing in Johnson's model?

To assist patients in maintaining behavioral system balance during illness, ensuring they adapt and function effectively.

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What are the 4 nursing goals in Johnson's model?

  1. Behavior in line with social expectations. 2. Ability to modify behavior for biological needs. 3. Benefit from medical expertise. 4. Minimal illness-related trauma.
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What does 'disequilibrium' mean?

A state of imbalance in the behavioral system, leading to stress and potential health issues.

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How does the environment influence the behavioral system?

The environment provides necessary support for sustaining health, including protection, nurturance, and stimulation.

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Achievement Subsystem

A subsystem within Johnson's Behavioral System Model focusing on how individuals manage their tasks, responsibilities, and goals.

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Objective Data

Measurable and observable information about a patient's condition, often collected through physical examination, tests, or medical records.

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Subjective Data

Information about a patient's experience, thoughts, feelings, or perceptions, often gathered through conversation or interviews.

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Biopsychosocial Being

A perspective that recognizes the interconnectedness of a person's biological, psychological, and social factors in influencing their health and well-being.

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Problem in the Achievement Subsystem

When an individual experiences difficulty fulfilling their tasks, responsibilities, or goals, affecting their overall well-being.

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Set (in Behavior)

A tendency to act in a particular way in a given situation, shaped by your culture, family, and personal values. Sets are relatively stable once formed.

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Preparatory Set

Your mental focus and preparation for a specific situation. It's like getting ready for a task.

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Perseverative Set

Your habits, the things you do repeatedly without much thought. These are your routines.

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Choice (in Behavior)

The different actions you consider in a situation. The range of choices you have might be wide or narrow.

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Action (in Behavior)

Your observable behavior, the things you actually do. It's influenced by your physical abilities and the effectiveness in achieving your goal.

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Protection (Functional Requirement)

One of the three basic needs of each behavioral subsystem. It's about staying safe and avoiding harm.

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Nurturance (Functional Requirement)

One of the three basic needs of each behavioral subsystem. It's about providing yourself with support and care.

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Ingestive Subsystem

The subsystem responsible for taking in food. It's influenced by social, psychological, and biological factors, and determines when, how, what, and how much we eat.

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Eliminative Subsystem

The subsystem focused on eliminating waste from the body. Social, psychological, and biological factors influence when, how, and where we eliminate waste.

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Sexual Subsystem

This subsystem serves both procreation and personal satisfaction. It involves a wide range of behaviors, including courting, mating, and gender role identity.

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Aggressive-Protective Subsystem

This subsystem focuses on protecting and preserving ourselves and our property. Society limits aggression and emphasizes respect for others.

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Subsystems' Goal

Each subsystem has a specific goal, representing the ultimate outcome of its behaviors. This goal is influenced by universal drives and individual choices.

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Universal Drive

These are fundamental motivations that underpin each subsystem and drive our behavior. Examples include the need for survival, security, or intimacy.

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Choice and Action in Subsystems

Each subsystem involves a choice and action. We choose how to act and then take specific actions to achieve the subsystem's goal.

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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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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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