Nursing as a System and King’s Theory
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Nursing as a System and King’s Theory

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Questions and Answers

What characterizes the Wholly Compensatory System in nursing?

  • Patients are not capable of performing self-care. (correct)
  • Patients perform self-care with minor assistance.
  • Patients are fully capable of self-care.
  • Patients require no assistance.

    • Which system allows patients to perform some self-care while needing assistance due to limited mobility?

  • Independent System
  • Supportive Educative System
  • Partly Compensatory System (correct)
  • Wholly Compensatory System

    • What is a key aspect of King’s Goal Attainment Theory?

  • All individuals participate in decision making. (correct)
  • Only nurses set goals for patients.
  • The nurse makes decisions without patient input.
  • Patient autonomy is ignored in care.

    • How does the Supportive Educative System assist patients?

    <p>It encourages patients to learn and perform self-care.</p> Signup and view all the answers

    What does the Successive Goal Attainment process primarily involve?

    <p>Continuous communication between the nurse and the patient.</p> Signup and view all the answers

    What is one function of Active Range of Motion (ROM) in patient care?

    <p>To facilitate building strength and mobility.</p> Signup and view all the answers

    According to King, what leads to stress in nurse-client interactions?

    <p>Unclear roles and responsibilities.</p> Signup and view all the answers

    What is a primary goal of nursing according to King’s theory?

    <p>To prevent illnesses and promote patient autonomy.</p> Signup and view all the answers

    What does the flexible line of defense provide in relation to the normal line of defense?

    <p>It protects the normal line of defense.</p> Signup and view all the answers

    Which of the following is NOT a level of prevention mentioned in the content?

    <p>Tertiary prevention</p> Signup and view all the answers

    How does the normal line of defense relate to stressors?

    <p>It can become ineffective when stressors impact it.</p> Signup and view all the answers

    What role do coping patterns and lifestyle factors play in relation to the client system?

    <p>They may influence changes in the client system.</p> Signup and view all the answers

    What is the main focus of secondary prevention?

    <p>Preventing damage to the internal core after stressor impacts.</p> Signup and view all the answers

    Which aspect characterizes the concept of people as adaptive systems?

    <p>They include holistic processes for adaptation.</p> Signup and view all the answers

    What does the line of resistance represent in the context of the client system?

    <p>A barrier that limits stressor impact.</p> Signup and view all the answers

    In relation to nursing interventions, what does the anticipated outcome refer to?

    <p>The expected results from implementing interventions.</p> Signup and view all the answers

    What is the primary focus of the personal system within the Interacting Systems Framework?

    <p>Coping, spirituality, and self-perception</p> Signup and view all the answers

    In the context of nurse-client interactions, which component is essential for the verification of perception?

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

    What condition must be met for goal attainment to occur in the nurse-client relationship?

    <p>Mutual knowledge of self and health status</p> Signup and view all the answers

    Which system in the Interacting Systems Framework involves groups of people sharing common goals?

    <p>Social System</p> Signup and view all the answers

    What outcome occurs if perceived interaction accuracy is present in nurse-client relationships?

    <p>Transaction takes place</p> Signup and view all the answers

    Which phase of the nursing process utilizes data collected during assessment?

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

    What concept is emphasized by the proposition of King's Theory in nursing?

    <p>Congruence in role expectations</p> Signup and view all the answers

    What is the primary goal of interactions between nurses and clients as suggested in the content?

    <p>To enhance growth and development</p> Signup and view all the answers

    What is the primary function of the regulator subsystem in response to stress?

    <p>To initiate physiological processes.</p> Signup and view all the answers

    How does the cognator subsystem contribute during a stressful Incident?

    <p>By utilizing cognitive and emotional processes.</p> Signup and view all the answers

    What happens when an individual is continuously exposed to stress?

    <p>The normal line of defense is modified.</p> Signup and view all the answers

    What is the role of the stabilizer subsystem?

    <p>To align group structures with its primary purpose.</p> Signup and view all the answers

    Which of the following exemplifies the role of the regulator subsystem during a stressful event?

    <p>Pumping adrenaline to escape a threat.</p> Signup and view all the answers

    What does the innovative subsystem primarily address in the context of stress management?

    <p>Coping with environmental changes.</p> Signup and view all the answers

    What might occur if the flexible line of defense fails to cope with stress?

    <p>Alteration in the normal line of defense.</p> Signup and view all the answers

    What does the term 'socio-cultural' refer to in the context of environmental effects?

    <p>Combined effects of social and cultural conditions</p> Signup and view all the answers

    How do family values influence the stabilizer subsystem?

    <p>They determine the primary purpose of the group.</p> Signup and view all the answers

    What is the primary role of the 'flexible line of defense'?

    <p>To provide a protective buffer for the client’s stable state</p> Signup and view all the answers

    Which of the following best describes the 'normal line of defense'?

    <p>It is the core element activated during environmental stressor invasion.</p> Signup and view all the answers

    What happens if the flexible line of defense fails?

    <p>Potential energy depletion and death</p> Signup and view all the answers

    In the context of decision-making, what is the importance of involving patients?

    <p>It ensures patients are in the driver's seat of their care.</p> Signup and view all the answers

    Which factor is NOT considered a basic survival factor in the central core structure?

    <p>Spiritual beliefs</p> Signup and view all the answers

    What components are included under the lines of resistance?

    <p>Known and unknown resources for defense</p> Signup and view all the answers

    What is the significance of lifestyle and coping skills within the lines of defense?

    <p>They enhance the protective nature of the defenses.</p> Signup and view all the answers

    Study Notes

    Nursing as a System

    • Nursing focuses on self-care more than any other health discipline.
    • There are five methods of helping patients:
      • Acting for or doing for the patient
      • Teaching the patient
      • Directing the patient
      • Supporting the patient
      • Providing an environment for the patient
    • There are three types of nursing systems:
      • Wholly compensatory- patient cannot perform self-care
      • Partly compensatory- limited mobility due to illness
      • Supportive educative- patient is capable of learning to perform self-care.

    Imogene King’s Goal Attainment Theory

    • Explains how the needs of a patient can be met by the nurse, patient or both.
    • Decision making, choices, alternatives, and outcomes of nursing care are important for all individuals involved.
    • Interaction, perception, communication, transaction, self, role, stress, growth and development, time and personal space are important aspects.
    • Nursing is different from other healthcare professions because of what nurses do for and with individuals.
    • People have three fundamental needs:
      • Information on health
      • Care in times of need or illness
      • Care that aims to prevent illness
    • There are three types of interacting systems:
      • Personal: the individual
      • Interpersonal: individuals interacting with one another
      • Social: groups of people sharing common goals, interests, and values
    • The ADPIE nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation) is used to meet patient goals.

    Sister Callista Roy’s Adaptation Model

    • Goal of the model is to help people adapt to environmental stressors.
    • Adaptation is the process of changing or adjusting to meet new conditions.
    • Roy's model views people as adaptive systems.

    Roy's Adaptation Model Concepts

    • Individuals:
      • Regulator Subsystem: Uses physiological responses (e.g. chemical, neurologic, endocrine) to cope with environmental changes.
      • Cognator Subsystem: Involves cognitive and emotional processes that interact with the environment.
    • Groups:
      • Stabilizer Subsystem: Structures, values, and daily activities work together to fulfill the group's purpose.
      • Innovative Subsystem: Response to environmental change.

    Roy's Model: Importance of Adaptation

    • People are viewed as holistic adaptive systems with coping processes.
    • Adaptation helps maintain equilibrium and promote transformation between people and their environments.
    • The model is conceptual and deductive.
    • It is based on causality.
    • It explains how people adapt to illness and stressors.

    Roy's Adaptation Model: Key Concepts

    • People as Open Adaptive Systems: People interact with their environments.
    • Coping Mechanisms: People develop strategies to manage stress and maintain health.
    • Adaptation Levels: Different levels of adaptation occur, influencing health and wellness.

    Roy's Model: Key Elements in Adaptation

    • Stimuli: Internal or external factors that trigger a response.
    • Cognitive Appraisal: Individual's interpretation of the situation and its impact.
    • Regulator and Cognator Subsystems: Physiological and psychological responses to stimuli.
    • Adaptive Responses: Actions taken to cope with stressors and maintain health.
    • Outcome: The result of the adaptation process.

    Roy’s Model: Application in Nursing

    • Helps nurses understand how individuals adapt to illness and stressors.
    • Provides a framework for nursing interventions to promote adaptation.
    • Emphasizes the importance of the nursing assessment to identify individual needs and stressors.
    • Nursing interventions can be tailored to support adaptation.

    Roy’s Model: Limitations

    • Complex model can be challenging to apply in practice.
    • May focus too much on the individual's adaptation without considering broader social and environmental factors.
    • It can be subjective, as the interpretation of stimuli and responses can vary.

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    Description

    Explore the essential principles of nursing, focusing on self-care and patient support methods. Delve into Imogene King's Goal Attainment Theory, which emphasizes the collaboration between nurses and patients in meeting healthcare needs. Understand various nursing systems and the key components that shape effective nursing care.

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