Orlando's Nursing Process Theory Quiz

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Questions and Answers

What marks the beginning of the nursing process discipline?

The nurse’s reaction to the patient’s behavior (correct)

The evaluation of the nurse's actions

The patient’s improvement in behavior

The patient’s disclosure of their needs

What best describes deliberative nursing actions?

Automatic responses to routine conditions

Actions taken without assessing the patient's need

Actions decided upon after assessing a need (correct)

Decisions made based on standard protocols

What does an outcome indicate in the nursing process?

A resolution of the nurse's confusion

A summary of the nursing actions taken

A return to baseline conditions

A change in the patient’s behavior (correct)

How is improvement defined in the context of the nursing process?

The result of the nurse's actions is assessed Signup and view all the answers

Which action describes automatic nursing actions?

Actions taken without a direct patient need Signup and view all the answers

What role does observation play in the nursing process discipline?

It is essential for exploring patient needs Signup and view all the answers

What is the primary focus during the action process in nurse-patient contact?

The patient's perceived needs and responses Signup and view all the answers

What is the primary role of a nurse according to Orlando's theory?

Finding and meeting the patient's immediate need for help Signup and view all the answers

What happens if there is no change in the patient's behavior after nursing actions?

The process may restart with new efforts Signup and view all the answers

How does Orlando define 'presenting behavior' in patients?

The patient's problematic situation which indicates their need for help Signup and view all the answers

Which of the following concepts is NOT part of the five major interrelated concepts introduced by Orlando?

Patient recovery outcomes Signup and view all the answers

According to Orlando, what causes the patient's behavior to reflect distress?

An unmet need that the patient cannot resolve Signup and view all the answers

Which aspect does NOT characterize the immediate or internal response of the nurse?

Making decisions based solely on past experiences Signup and view all the answers

Why is it important for nurses to validate their inferences with patients?

To ensure the care provided meets the true needs of the patient Signup and view all the answers

Which degree did Orlando obtain in 1951?

Bachelor of Science in Public Health Nursing Signup and view all the answers

What is the organizing principle of professional nursing according to Orlando?

Finding out and meeting patients' immediate needs for help Signup and view all the answers

What happens to patients who cannot cope with their needs on their own?

They become distressed by feelings of helplessness. Signup and view all the answers

Which assumption about nursing posits that patients are unique in their responses?

Patients are unique and individual in how they respond. Signup and view all the answers

What is a key aspect of the nurse-patient relationship according to the Deliberative Nursing Process Theory?

It is dynamic, influenced by both parties. Signup and view all the answers

In the assessment stage of the Deliberative Nursing Process, what does the nurse focus on?

A holistic assessment of the patient’s needs. Signup and view all the answers

What is the primary focus of the planning stage in the Deliberative Nursing Process?

Addressing each problem identified in the diagnosis. Signup and view all the answers

Why might a patient not be able to articulate the nature of their distress?

They require assistance from the nurse to express their needs. Signup and view all the answers

Which assumption suggests that nursing adds to the distress of the patient?

Nursing in its professional character adds to patient distress. Signup and view all the answers

What is the primary role of the nurse as described in the Deliberative Nursing Process?

To address the needs the patient cannot meet on their own. Signup and view all the answers

Study Notes

Orlando's Deliberative Nursing Process Theory

Focused on the patient's immediate need for help. The nurse's role is to discover and address the patient's immediate need for help.
Patient's behavior may be a cry for help but the need may not be obvious.
The nurse uses perception, thoughts, and feelings to understand the meaning behind the patient's behavior.
The theory emphasizes a dynamic nurse-patient interaction. The nurse's perception, thoughts, and feelings directly influence patient care.

Five Major Interrelated Concepts

Function of Professional Nursing: The overarching principle of the theory. The nurse aims to identify and meet the patient's immediate needs for help. Nursing is responsive to individuals experiencing distress or anticipating helplessness.
Presenting Behavior of the Patient: The patient's problematic situation or "cry for help". It reveals the patient's immediate need for assistance. The behavior might not accurately reflect the true need.
Immediate or Internal Response of the Nurse: This is the nurse's automatic reaction to the patient's behavior. It involves three stages: Perception (sense-based), Thought (automatic), and Feeling, which then leads to the nurse's action.
The Nursing Process Discipline: The investigation into the patient's needs. The nurse explores the patient's situation by observing, sharing, and asking questions to understand their needs and whether they require any help.
Improvement: The resolution to the patient's situation where the effectiveness of the nurse's actions is evaluated based on any changes in the patient's behavior. The nurse learns from every interaction and seeks to improve their ability to help the patient.

Assumptions of Orlando's Theory

Patients experience distress when unable to cope with their needs.
Nursing, in its professional nature, can contribute to patient distress.
Patients are unique individuals with diverse responses.
Nursing embodies "mothering" and nurturing.
Nursing practice involves people, their environment, and health.
Patients need help communicating their dependency needs.
People can be secretive or open about their needs, perceptions, thoughts, and feelings.
The nurse-patient situation is dynamic, influenced by both parties.
People attach meanings to situations and actions that may not be apparent to others.
Patients enter the care system through medicine.
Patients need the nurse's help to articulate their distress.
Any observation shared with the patient helps understand their needs.
Nurses are concerned with the needs the patient cannot fulfill independently.

Five Stages of the Deliberative Nursing Process

Assessment: An assessment stage involves a holistic evaluation of the patient's needs to gather subjective and objective data. This stage is independent of the reason for the encounter.
Diagnosis: The nurse focuses on determining the health problems using collected data. Utilizing links to defining characteristics, related factors, and risk factors, this stage helps specify the diagnosis.
Planning: Develops a plan for addressing each identified problem with specific goals and outcomes. Each outcome is linked to nursing interventions for reaching the goal.
Implementation: Involves putting the plan into action using nursing interventions to achieve the desired outcomes.
Evaluation: Refers to evaluating the effectiveness of the implemented nursing interventions against the outlined goals and outcomes. This determines whether the interventions were successful or require adjustments for better results.

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Description

Explore Orlando's Deliberative Nursing Process Theory with this quiz. Learn about the nurse's role in identifying and addressing patients' immediate needs for help. Delve into the five major concepts that shape dynamic nurse-patient interactions and enhance patient care.