Orlando's Deliberative Nursing Process
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Orlando's Deliberative Nursing Process

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Questions and Answers

What leads individuals to become patients requiring nursing care?

  • Experiencing physical limitations or environmental distress (correct)
  • Their ability to manage all needs independently
  • Expressing all their needs clearly and confidently
  • A strong support system at home

    • Which assumption of Ida Jean Orlando's model of nursing addresses patient responses?

  • Patients are unique in their responses to care (correct)
  • Patients rarely show feelings of distress
  • Patients do not require nurse-patient relationships
  • Patients service their needs independently

    • What is NOT included in the nursing metaparadigm according to Ida Jean Orlando?

  • Person
  • Health
  • Environment (correct)
  • Nursing

    • How does Orlando's model define the nurse-patient relationship?

    <p>Dynamic and influenced by both parties</p> Signup and view all the answers

    What underlying principle does the Deliberative Nursing Process emphasize regarding patient behavior?

    <p>All patient behavior can be a cry for help.</p> Signup and view all the answers

    Which stage is NOT part of the Deliberative Nursing Process?

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

    What role do nurses play in a patient's expression of needs according to the assumptions?

    <p>They help patients articulate their distress</p> Signup and view all the answers

    In the Deliberative Nursing Process, how are patient observations used?

    <p>To ascertain and meet the patient's needs immediately</p> Signup and view all the answers

    What was Ida Jean Orlando-Pelletier's role at Yale University?

    <p>Project investigator for research grants</p> Signup and view all the answers

    What challenge may patients face that necessitates nursing care according to Orlando?

    <p>Ambivalence about dependency needs</p> Signup and view all the answers

    What is one of the key outcomes of the Deliberative Nursing Process?

    <p>It facilitates the adaptation of care plans in response to patient complexities.</p> Signup and view all the answers

    How did Orlando contribute to the nursing curriculum?

    <p>By integrating mental health concepts into the basic curriculum.</p> Signup and view all the answers

    Which concept emphasizes individuality in the nurse-patient relationship in Orlando's model?

    <p>Human being</p> Signup and view all the answers

    When was the Deliberative Nursing Process published?

    <p>1961</p> Signup and view all the answers

    What does the acronym ADPIE stand for in the context of the Deliberative Nursing Process?

    <p>Assessment, Diagnosis, Planning, Implementation, Evaluation</p> Signup and view all the answers

    What was the main focus of the research project Orlando led?

    <p>Integration of mental health concepts in nursing education.</p> Signup and view all the answers

    What is the primary focus of Sister Callista Roy's Adaptation Model of Nursing?

    <p>Individual patient needs</p> Signup and view all the answers

    What is the primary focus of the Adaptation Model in nursing?

    <p>Promoting positive adaptation through environmental interactions</p> Signup and view all the answers

    Which degrees did Sister Callista Roy obtain after her bachelor’s degree in nursing?

    <p>Master's in Sociology and Doctorate in Sociology</p> Signup and view all the answers

    Which component of the adaptive system is responsible for physiological coping mechanisms?

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

    In which year was Sister Callista Roy awarded the American Academy of Nursing’s Living Legend award?

    <p>2007</p> Signup and view all the answers

    What does the self-concept mode in the Adaptation Model relate to?

    <p>The individual's perception of themselves</p> Signup and view all the answers

    Which institution adopted the adaptation framework as the philosophical foundation of its nursing curriculum?

    <p>Mount Saint Mary’s College</p> Signup and view all the answers

    Where is Sister Callista Roy currently a professor?

    <p>Boston College</p> Signup and view all the answers

    In the context of adaptation, what does an integrated process signify?

    <p>The individual’s needs are met by various adaptive modes</p> Signup and view all the answers

    Which of the following represents a compensatory process in adaptation?

    <p>Struggling with grief after a loss</p> Signup and view all the answers

    What did Sister Callista Roy found in 1991 that later became known as the Roy Adaptation Association?

    <p>The Boston Based Adaptation Research in Nursing Society</p> Signup and view all the answers

    What role did Sister Callista Roy hold at Mount Saint Mary’s College until 1982?

    <p>Chairperson of the Department of Nursing</p> Signup and view all the answers

    What role does a nurse play in the adaptation model when addressing stimuli?

    <p>Manipulating stimuli to enhance patient adaptation</p> Signup and view all the answers

    Which mode focuses on the influence of social relationships on adaptation?

    <p>Interdependence mode</p> Signup and view all the answers

    How many research projects based on her adaptation model has the Roy Adaptation Association critiqued and synthesized?

    <p>350</p> Signup and view all the answers

    What distinguishes a compromised process in adaptation?

    <p>It fails to meet the challenges of the environment</p> Signup and view all the answers

    What type of stimuli involve the immediate issues confronting a person that require urgent attention?

    <p>Focal stimuli</p> Signup and view all the answers

    What are factors termed that contribute to the overall effect of the primary issue but are not the main focus?

    <p>Contextual stimuli</p> Signup and view all the answers

    Which type of stimuli includes environmental factors whose effects are difficult to determine?

    <p>Residual stimuli</p> Signup and view all the answers

    How is health defined in relation to the adaptation model?

    <p>The ability to cope effectively with challenges</p> Signup and view all the answers

    In the adaptation model, what is the main goal of nursing?

    <p>To promote adaptation across all dimensions</p> Signup and view all the answers

    Which of the following does NOT represent a component of health in the adaptation model?

    <p>A state of complete wellness with no illness</p> Signup and view all the answers

    Which of the following best describes residual stimuli in a health context?

    <p>Factors that contribute but are not easily identified</p> Signup and view all the answers

    Which statement reflects a key aspect of health as defined in the adaptation model?

    <p>Coping effectively with life's challenges is essential to health.</p> Signup and view all the answers

    Study Notes

    Orlando's Deliberative Nursing Process

    • Patients become patients when they cannot meet their own needs due to limitations.
    • Nurses help patients meet their needs by interpreting distress.
    • Orlando's theory has 13 assumptions about the nurse- patient relationship.
    • Patients may be unaware of their distress; they need help.
    • The nurse-patient relationship is dynamic and influenced by both.
    • The nurse is concerned with meeting the patient's unmet needs.

    Major Concepts in Orlando's Deliberative Nursing Process

    • Three core concepts: person, health, and nursing.
    • Focuses on the individual nature of each patient.
    • The nurse-patient relationship is dynamic.

    Ida Jean Orlando

    • Internationally recognized psychiatric health nurse, theorist, and researcher.
    • Developed the "Deliberative Nursing Process Theory".
    • Theory focused on creating adaptable nursing care plans.
    • Earning a Masters in 1954, Orlando began teaching at Yale University.
    • Developed her theory using a grant from the National Institute of Mental Health.
    • Published "The Dynamic Nurse-Patient Relationship" in 1961.
    • Her theory focused on interpreting patient distress and meeting their needs.
    • The Deliberative Nursing Process includes five stages: assessment, diagnosis, planning, implementation, and evaluation (ADPIE).

    Sister Callista Roy & Adaptation Model of Nursing

    • Developed the Adaptation Model of Nursing.
    • Received her Bachelor of Arts in Nursing in 1963 and Master's in Nursing in 1966.
    • Earned a Masters in Sociology in 1973 and a Doctorate in Sociology in 1977.
    • Her work is recognized internationally, having presented in over 36 countries.
    • She was awarded the American Academy of Nursing’s Living Legend Award in 2007.
    • She is currently a professor at Boston College’s Connell School of Nursing.
    • She developed the basic concepts of her model while a graduate student at the University of California.
    • In 1968, she began operationalizing her model at Mount Saint Mary's College.
    • She was a professor at Mount Saint Mary’s College and the University of Portland.
    • In 1991, she founded the Boston Based Adaptation Research in Nursing Society (BBARNS), later renamed the Roy Adaptation Association.

    Major Concepts in Roy’s Adaptation Model

    • Environment: categorized stimuli as focal, contextual, and residual.
    • Focal: primary issue facing the patient requiring immediate attention.
    • Contextual: secondary factors that contribute to the focal stimuli.
    • Residual: additional factors impacting adaptation, but with less clear effects.
    • Health: defined as the ability to cope with environmental stimuli.
    • Nursing: defined as facilitating adaptation for individuals and groups.
    • Adaptation: the process of managing environmental stimuli through conscious awareness and choice.
    • Person as an Adaptive System: The individual is a system that interacts with the environment (biological, psychological, and social).

    Internal Processes in Roy’s Adaptation Model

    • Regulator: physiological coping mechanism.
    • Cognator: mental coping mechanism.

    Adaptive Responses in Roy’s Adaptation Model

    • Physiological Mode: physical responses to stimuli.
    • Self-Concept Mode: perception of self, self-esteem, and body image.
    • Role Function Mode: roles in society and their impact on adaptation.
    • Interdependence Mode: relationships and support systems that influence adaptation.

    Levels of Adaptation in Roy’s Adaptation Model

    • Integrated Process: stable processes that meet environmental needs.
    • Compensatory Process: processes working to meet environmental needs.
    • Compromised Process: Inadequate responses to environmental challenges.

    Roy's Six-Step Nursing Process

    • 1. Assess the patient’s behaviors manifested in the four adaptive modes.
    • 2. Analyze the assessment data to identify the adaptive modes.
    • 3. Set goals based on the patient's needs and abilities.
    • 4. Develop interventions to promote adaptation.
    • 5. Implement interventions.
    • 6. Evaluate the effectiveness of interventions and modify as needed.

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    Description

    Explore the key elements of Orlando's Deliberative Nursing Process and its emphasis on the nurse-patient relationship. This quiz covers the core concepts of the theory, focusing on how nurses help patients meet their unmet needs. Dive into the dynamics of patient care guided by Orlando's principles.

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