Nursing Theories and Models Quiz
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Questions and Answers

What does the CORE component of Hall's model refer to?

  • Hands-on bodily care
  • Teaching patients about their health
  • Medical interventions performed on the patient
  • Using the self in relationship to the patient (correct)

Which of the following best describes Hall's view on professional nursing care?

  • It is adequate for all patient types
  • It is essential for hastening patient recovery (correct)
  • It should only focus on physical health
  • It is less important than medical care

What is emphasized as the source of energy and motivation for healing according to Hall's metaparadigm?

  • The family support system
  • The medical community
  • The individual care recipient (correct)
  • The healthcare provider

How does Hall define health?

<p>A state of self-awareness and optimal behaviors (C)</p> Signup and view all the answers

In Hall's model, what does the CARE component consist of?

<p>Exclusive domain of nursing (A)</p> Signup and view all the answers

Who does Hall believe should provide care to patients?

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

What is the main focus of nursing actions in a hospital environment during acute illness, according to Hall?

<p>Addressing the individual patient's personal goals (C)</p> Signup and view all the answers

What phase of healthcare does Hall's model primarily address?

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

What is a potential challenge when implementing Lewin's Change Model?

<p>Lack of leadership support (D)</p> Signup and view all the answers

Which of the following is NOT a way Lewin’s Change Model can be implemented?

<p>Changing employee job titles (B)</p> Signup and view all the answers

According to Erikson's Psychosocial Development theory, what happens if a stage is not successfully completed?

<p>The individual may face difficulties in achieving later stages (A)</p> Signup and view all the answers

What aspect of moral development does Kohlberg highlight in his theory?

<p>Individuals progress through fixed stages in a set order (D)</p> Signup and view all the answers

Which of the following correctly describes Maslow’s Human Needs Theory?

<p>It prioritizes self-actualization as the highest need (D)</p> Signup and view all the answers

Which characteristic is considered a basic virtue according to Erikson's theory?

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

Which of the following stages is classified under Kohlberg's pre-conventional moral reasoning?

<p>Obedience and punishment orientation (B)</p> Signup and view all the answers

What is implied by the phrase that Erikson's theory is a 'tool to think with'?

<p>It is intended for practical applications in child-rearing (A)</p> Signup and view all the answers

What is the primary goal of Levine's Conservation Model?

<p>To promote adaptation and maintain wholeness (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of adaptive change according to Levine's model?

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

Which of these principles is essential to achieve conservation in nursing practice?

<p>Balancing nursing interventions with patient participation (B)</p> Signup and view all the answers

What does the term 'wholeness' refer to in the context of Levine's model?

<p>Interactions and adaptations ensuring individual integrity (A)</p> Signup and view all the answers

How does Levine define adaptation?

<p>Frugal use of resources in response to environmental challenges (A)</p> Signup and view all the answers

What is meant by the term 'metaparadigm person' in Levine's framework?

<p>A holistic being striving for integrity within a social context (A)</p> Signup and view all the answers

Which of these concepts is NOT considered a major component of Levine's Conservation Model?

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

What is emphasized as a critical part of patient care in nursing according to the metaparadigm?

<p>Active participation of the patient in their care (D)</p> Signup and view all the answers

What is the primary focus of LOCSIN's model in nursing?

<p>The harmonious coexistence between technology and caring in nursing (B)</p> Signup and view all the answers

What significant achievement is associated with Rossano C. Locsin?

<p>Creating the first Masters program in Uganda (A)</p> Signup and view all the answers

What does Carmelita Divinagracia emphasize in nursing interventions?

<p>Humane and spiritually oriented interventions (D)</p> Signup and view all the answers

Which of the following is NOT a component of Divinagracia's metaparadigm?

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

What role does technology play according to LOCSIN's conceptual model?

<p>It enhances understanding of patients as individuals (D)</p> Signup and view all the answers

What is a key factor that influences a patient's wellness outcome according to Divinagracia?

<p>The socio-demographic characteristics of the individual (C)</p> Signup and view all the answers

What educational background does Rossano C. Locsin possess?

<p>Master's and doctoral degrees in nursing (D)</p> Signup and view all the answers

How does LOCSIN view the relationship between technology and patient care?

<p>Technology is essential for effective nurse-patient interactions. (D)</p> Signup and view all the answers

What is the primary focus of COMPOSURE behaviors in nursing?

<p>To ensure high-quality nursing care through understanding and empathy (C)</p> Signup and view all the answers

Which of the following best describes physiologic wellness outcomes?

<p>The perceived wellness in terms of vital signs and bodily sensations (B)</p> Signup and view all the answers

Which domain includes the ability to cope with, and control one's emotions?

<p>Emotional domain (A)</p> Signup and view all the answers

What aspect of wellness is primarily addressed by the spiritual domain?

<p>Personal relationships with others and self-development (D)</p> Signup and view all the answers

What defines emotional wellness?

<p>The ability to cope with daily circumstances positively and constructively (B)</p> Signup and view all the answers

How are biobehavioral wellness outcomes characterized?

<p>By physical, intellectual, emotional, and spiritual aspects (B)</p> Signup and view all the answers

What is the primary focus of professional nursing according to the organizing principle?

<p>Finding and meeting the patient’s immediate needs for help (C)</p> Signup and view all the answers

What is a significant outcome of patient wellness after receiving nursing care?

<p>Perceived improvements in various aspects of health (D)</p> Signup and view all the answers

What kind of exercise does relaxation entail?

<p>Alternate tension and relaxation of selected muscle groups (C)</p> Signup and view all the answers

What does the term 'presenting behavior' refer to in a nursing context?

<p>The cry for help represented by the patient's condition (D)</p> Signup and view all the answers

How does the patient’s immediate reaction influence the nurse-patient relationship?

<p>It shapes the communication effectiveness between nurse and patient (C)</p> Signup and view all the answers

What is a critical aspect of the nursing process discipline during patient interaction?

<p>Engaging in a process of exploration to validate reactions with the patient (A)</p> Signup and view all the answers

What signifies the resolution in the nursing process?

<p>The effectiveness of nurse's activity in assisting the patient (D)</p> Signup and view all the answers

What does Orlando emphasize about nursing in relation to individuals in distress?

<p>Nursing is reactive and concerned with immediate patient experiences (C)</p> Signup and view all the answers

What role does automatic thought play in a patient's immediate reaction?

<p>It initiates a cycle of feelings that influence patient behavior (C)</p> Signup and view all the answers

How should the nurse approach their initial reactions to a patient's needs?

<p>Verify the appropriateness of reactions through exploration with the patient (B)</p> Signup and view all the answers

Flashcards

Transactional Analysis

A theory that examines interactions between people, focusing on how individuals communicate and relate to each other within a social context. It involves analyzing transactions, which are exchanges between individuals based on their ego states: Parent, Adult, and Child.

Lewin's Change Theory

A framework that outlines the phases of change: unfreezing, changing, and refreezing. It emphasizes the importance of understanding and managing the forces that drive and resist change.

Maslow's Hierarchy of Needs

A pyramid-shaped model that depicts the stages of human needs, ranging from basic physiological needs (survival) to self-actualization (personal fulfillment). Individuals prioritize their needs, moving up the hierarchy as lower-level needs are met.

General Systems Theory

A framework that views organizations as systems composed of interconnected parts. It emphasizes the importance of understanding the interactions between parts and the whole.

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Erikson's Stages

A theory suggesting eight stages of psychosocial development from infancy to adulthood. Each stage presents a psychosocial crisis that needs to be resolved successfully to develop healthy personality characteristics.

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What is the goal of successful completion of Erikson's stages?

Successful completion of each stage leads to a healthy personality with acquired basic virtues, which strengthen the ego to handle future challenges. Failure to complete a stage may hinder future development and create a less healthy sense of self.

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Kohlberg's Stages of Moral Development

A theory proposing six stages of moral reasoning grouped into three levels: Pre-conventional, Conventional, and Post-conventional. Individuals progress through these stages in a fixed order, with each stage reflecting increasing complexity of moral understanding.

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How does moral judgment develop?

Moral judgment develops through social interactions, involving empathy, respect, and learning from others. It starts early with simple rules (sharing, taking turns) and becomes more sophisticated as individuals mature.

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Professional Nursing's Focus

The primary goal of professional nursing is to identify and address a patient's immediate needs for help, especially when they feel helpless or anticipate helplessness.

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Presenting Behavior: Problematic Situation

The nurse observes the patient's behavior, recognizing it as a potential indicator of a need for help. This behavior, even if seemingly inconsequential, may represent a hidden plea for assistance.

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Internal Response: Immediate Reaction

The nurse's internal reaction to the patient's presenting behavior is a complex interplay of thoughts, feelings, and actions. This response is triggered by the nurse's own perceptions and understanding of the situation.

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Nursing Process Discipline: Investigation

The nurse actively probes into the patient's experience and needs by sharing observations and engaging in open communication to confirm if a genuine need exists.

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Nurse's Role in Investigation

The nurse avoids assumptions and carefully examines her own reactions to ensure they are appropriate and helpful. This exploration aims to maintain clear communication with the patient.

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Assessing Improvement

The success of the nursing process is measured not by the nurse's actions alone, but by the positive outcome for the patient. This outcome focuses on whether the nurse assisted the patient in effectively communicating and addressing their needs.

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The Goal of Nursing Actions

Ultimately, nursing interventions are designed to help the patient communicate their needs and find effective solutions. It is about improving the patient's overall well-being.

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Patient-Centric Approach

Professional nursing prioritizes understanding the patient's unique needs and circumstances. It emphasizes active communication and collaboration to address the patient's immediate concerns.

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CARE

Hands-on bodily care provided by nurses, including tasks like bathing, feeding, and medication administration.

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CORE

The nurse's use of their 'therapeutic self' to connect with and understand the patient.

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CURE

Medical interventions and treatments performed on the patient, often based on physician orders.

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Lydia Hall's Theory

A nursing framework that emphasizes the importance of professional nursing in the patient's recovery, with three distinct domains: CORE, CARE, and CURE.

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Self-actualization

The patient's ability to reach their full potential and develop their self-identity through their recovery journey.

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Therapeutic Self

The nurse's ability to use their personality, compassion, and empathy to connect and support the patient.

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Professional Nursing

Nursing practice based on specialized knowledge, skills, and ethical principles, focusing on patient care, teaching, and learning.

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Patient Autonomy

The patient's right to make decisions about their own care and recovery, emphasizing self-responsibility.

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Technological Competency as Caring

A nursing model that emphasizes the harmonious co-existence of technology and caring in providing nursing care.

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Locsin's View on Technology in Nursing

Locsin believes that technology allows nurses to better understand the patient and provide more comprehensive care.

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Carmelita Divinagracia's Metaparadigm

A conceptual framework that defines the core concepts of nursing: person, environment, health, and nursing.

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Divinagracia's View on Nursing Interventions

Divinagracia believes nurses must provide humane and caring interventions to promote wellness regardless of the patient's background.

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Person in Divinagracia's Metaparadigm

Each individual has unique needs and deserves personalized care.

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Environment in Divinagracia's Metaparadigm

The environment in which care is delivered influences patient outcomes.

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Health in Divinagracia's Metaparadigm

Health is measured by both physiological and behavioral outcomes, influenced by diverse factors.

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Nursing in Divinagracia's Metaparadigm

Nursing encompasses the knowledge and skills needed to understand patients' needs and prevent complications.

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Conservation in Levine's Model

The principle of maintaining a balance between nursing interventions and patient participation within the patient's limits.

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Adaptation in Levine's Model

The process where individuals adjust to their environment using resources. This process involves 'fitting' into the environment.

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Wholeness in Levine's Model

A state of being where an individual maintains integrity through constant adaptation to the environment. It's about being whole and integrated.

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Levine's Model: Goal of Conservation

The goal is to promote health and strengthen the individual's ability to cope with disability.

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Levine's Model: Goal of Adaptation

The goal is to conserve wholeness (health) and maintain integrity by successfully adapting to the environment.

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Levine's Model: Characteristics of Adaptation

Adaptation has three characteristics: Historicity (patterned responses from genetics), Specificity (unique responses to challenges), and Redundancy (having multiple adaptive responses).

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Person in Levine's Model

A holistic being striving to maintain wholeness and integrity. They are sentient, thinking, future-oriented, and past-aware. They are also unique individuals within a social context.

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Environment in Levine's Model

The environment complements the individual's wholeness, implying a connection between the individual and surroundings.

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Empathy in Nursing

The ability of a nurse to understand and share the feelings of a patient, putting themselves in the patient's shoes to provide holistic care.

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COMPOSURE Behaviors

A set of behaviors that nurses use to ensure holistic patient care, promoting wellness and addressing both physiological and biobehavioral needs.

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Physiologic Wellness Outcome

A measure of patient well-being based on physical indicators like vital signs, pain, and blood count.

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Biobehavioral Wellness Outcome

A measure of patient well-being considering physical, mental, emotional, and spiritual components.

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Emotional Wellness

The ability to manage feelings and cope with daily challenges in a positive and constructive way.

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Dimensions of Wellness

Different aspects of well-being that contribute to a healthy and fulfilling life, including physical, emotional, intellectual, and spiritual domains.

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Relaxation Technique

A form of exercise involving alternating muscle tension and relaxation, promoting stress reduction and well-being.

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Holism in Nursing

The approach that considers the patient as a whole being, including their physical, mental, emotional, and spiritual aspects.

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Study Notes

Sullivan's Transactional Analysis

  • Definition: A method for understanding people's behavior by analyzing interactions.
  • Purpose: A social psychology method to improve communication, highlighting the philosophy that people can change and deserve acceptance.
  • Personification: Tools to understand self and the world.
    • Mechanism to combat anxiety (but can also cause it).
    • Types:
      • Good Me: Aspects people like about themselves.
      • Bad Me: Aspects people dislike.
      • Not Me: Unconscious feelings.

Lewin's Change Theory

  • Model: Restraining forces influence organizational and individual behavior, deciding the fate of change. Driving forces motivate employees towards the new state.
  • Stages:
    • Unfreeze: Preparing for change, managing perceptions, creating urgency. Effective communication is critical.
    • Change: Implementing the desired change. An iterative, flexible approach that incorporates feedback is crucial.
    • Refreeze: Solidifying the change, reinforcing the new norms, and making it permanent.
  • Implementation: Balancing driving and restraining forces through communication and employee involvement, training, and stress management.

Maslow's Hierarchy of Needs

  • Theory: Individuals strive to fulfill five categories of needs: physiological, safety, love/belonging, esteem, and self-actualization.
  • Progression: Higher needs emerge only after lower needs are sufficiently met.
  • Impact: While not fully supported by all research, Maslow's work has significantly impacted positive psychology.

Von Bertalanffy's General Systems Theory

  • Definition: A systems theory that focuses on the interaction between objects or elements within a system or how a system relates to its surroundings.
  • Properties: A system is more than the sum of its parts, because the relationships within the system create unique properties. Systems are also arranged hierarchically.
  • Application: This theory is a transdisciplinary study of how systems organize phenomena across various scales. Applicable to analyzing and thinking about organizations.

Erikson's Psychosocial Development

  • Theory: Successful completion of each psychosocial stage results in a healthy personality and the acquisition of "basic virtues." Failure to complete a stage may (but does not always) lead to challenges in future stages.
  • Stages: Key stages are described, like Trust vs. Mistrust, Identity vs. Confusion and others.
  • Implications: The theory is useful for understanding human development over the lifespan as progressing through each stage is important for personality development.

Kohlberg's Moral Development

  • Theory: Individuals progress through stages of moral reasoning from infancy to adulthood.
  • Stages: Pre-conventional (self interest based), conventional (social rules based), post-conventional (based on personal morals).
  • Implication: Moral understanding develops in stages, linked to cognitive growth.

Orlando's Deliberative Nursing Process Theory

  • Focus: Meeting a patient's immediate need for help in an interactive, disciplined fashion.
  • Process: The nurse engages in a "deliberative" process, utilizing assessment, diagnosis, planning, implementation, and evaluation steps to understand factors that trigger the patient's need for help.
  • Metaparadigm: Focuses on the individual human in need of assistance in an immediate situation.

Hall's Care, Core, Cure Theory

  • Focus: Three interconnected domains of care.
    • Care: Direct, hands-on bodily care.
    • Core: Using the self in a relationship.
    • Cure: Medical interventions.
  • Application: Explores the integration of patient experiences, medical interventions, and therapeutic self-use of the nurse.

Levine's Conservation Model

  • Concepts: Conservation of energy, structural integrity, social integrity, and personal integrity.
  • Theory: Focuses on how individuals adapt to the environment to maintain wholeness and balance.
  • Application: Nursing actions that maintain or restore physical, mental, and social balance.

Pender's Health Promotion Model

  • Key elements: Perceived benefits (advantages of taking action), perceived barriers (hindrances), self-efficacy, interpersonal influences, situational influences, competing demands of action, personal factors (e.g., beliefs, skills).
  • Application: Applying the model helps to understand actions focused on increasing/improving health and promoting wellbeing.
  • Theoretical Assumptions: Individuals are active participants in their own health processes, making decisions considering their situation and factors around them.

(Additional) Local Conceptual Models (from the text)

  • (Specific details from Kuan's, Abaquin's, Divinagracia’s, and Agravante’s theories in the context of the Philippines) are included in the text, categorized by theorist.

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Description

Test your understanding of key nursing theories, focusing on Hall's model, Lewin's Change Model, Erikson's stages of development, and Maslow's theory of human needs. This quiz will help reinforce essential concepts in professional nursing care and moral development. Ideal for nursing students and professionals seeking to deepen their knowledge.

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