Theoretical Foundations (NCMA110)
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What is the primary focus of the Tidal Model in mental health nursing?

  • Providing medication management to patients
  • Implementing a standardized care plan for all patients
  • Identifying common psychological disorders
  • Helping individuals make their own voyage of discovery (correct)

    • Which competency involves the practitioner helping the person identify their immediate needs?

  • Competency 14
  • Competency 12 (correct)
  • Competency 16
  • Competency 15

    • Who developed the Tidal Model of mental health recovery?

  • Michael Johnson and Lisa Ray
  • Phil Barker and Poppy Buchanan-Barker (correct)
  • James Taylor and Sarah Connor
  • John Doe and Jane Smith

    • Which competency focuses on helping the person develop self-belief?

    <p>Competency 16</p> Signup and view all the answers

    What role does the practitioner play in the context of the Tidal Model?

    <p>A facilitator of personal insight and change</p> Signup and view all the answers

    Which competency is associated with recognizing the value of the patient's time in assessment and care?

    <p>Competency 14</p> Signup and view all the answers

    What type of theory is the Tidal Model categorized as?

    <p>Mid-range theory of nursing</p> Signup and view all the answers

    What is an important aspect of Competency 18?

    <p>Helping individuals recognize the influence of their environment</p> Signup and view all the answers

    What is the primary goal of the practitioner according to Competency 19?

    <p>To ensure the person is aware of the purpose of care processes</p> Signup and view all the answers

    What does the Tidal Model emphasize regarding patient care?

    <p>Doing what is necessary to meet the person's needs</p> Signup and view all the answers

    Which domains does the Tidal Model represent the individual through?

    <p>Self, World, Others</p> Signup and view all the answers

    How does the Tidal Model view mental wellbeing?

    <p>Dependent on individual life experience and perceptions</p> Signup and view all the answers

    What is considered a key principle of Katherine Kolcaba's Theory of Comfort?

    <p>Providing comfort is a primary determining factor of a nurse’s ability</p> Signup and view all the answers

    What approach does the practitioner take in Competency 20?

    <p>Providing copies of assessment and care planning documents</p> Signup and view all the answers

    According to the philosophical approach of the Tidal Model, what is the first step in helping individuals regain control of their lives?

    <p>Empowering patients to express their personal stories</p> Signup and view all the answers

    What is the role of language and personal stories in the process of mental recovery as per the Tidal Model?

    <p>They help in expressing the meaning of lives</p> Signup and view all the answers

    What is the primary focus of the Theory of Chronic Sorrow?

    <p>Pervasive grief-related feelings in chronic health conditions</p> Signup and view all the answers

    Who were the theorists that contributed to the development of the Theory of Chronic Sorrow?

    <p>Eakes, Burke, and Hainsworth</p> Signup and view all the answers

    Which foundational model influenced the theorists on chronic sorrow?

    <p>Lazarus and Folkman's model of stress and adaptation</p> Signup and view all the answers

    What observation did Olshansky make regarding parents of mentally retarded children?

    <p>They experience recurrent sadness and grief reactions.</p> Signup and view all the answers

    What personal experience significantly influenced Georgene Gaskill Eakes in her understanding of chronic sorrow?

    <p>Sustaining life-threatening injuries in an automobile crash</p> Signup and view all the answers

    In what year did Georgene Gaskill Eakes complete her BSN degree?

    <p>1977</p> Signup and view all the answers

    What does the emotional domain include in the context of nursing measures?

    <p>Awareness and control of personal feelings</p> Signup and view all the answers

    What aspect of healthcare did the theorists highlight as lacking in understanding concerning chronic sorrow?

    <p>Preparedness of healthcare professionals</p> Signup and view all the answers

    Active listening is primarily characterized by which of the following?

    <p>Reflecting the speaker's feelings and meanings</p> Signup and view all the answers

    What role does open-mindedness play in nursing practice?

    <p>Considering patients' opinions and preferences</p> Signup and view all the answers

    What age group typically experiences chronic sorrow, according to the Theory of Chronic Sorrow?

    <p>Individuals of all ages with chronic conditions</p> Signup and view all the answers

    How does stimulation serve as a nursing measure?

    <p>Through verbal encouragement and guidance</p> Signup and view all the answers

    What outcome is likely when patients feel actively listened to?

    <p>Increased satisfaction with caregivers</p> Signup and view all the answers

    What is a key component of the spiritual domain in nursing?

    <p>Building a personal relationship with God and others</p> Signup and view all the answers

    What is the main goal of therapeutic communication in nursing?

    <p>To listen to the whole person and provide empathic understanding</p> Signup and view all the answers

    Which of the following does NOT correctly describe the practice of touch in nursing measures?

    <p>Only using touch in critical medical procedures</p> Signup and view all the answers

    What aspect of wellness is primarily concerned with a person's ability to learn and use information?

    <p>Intellectual Wellness</p> Signup and view all the answers

    Which of the following best defines physical wellness?

    <p>Effective functioning in daily work demands</p> Signup and view all the answers

    What characterizes a person with intellectual wellness?

    <p>They are informed rather than ignorant</p> Signup and view all the answers

    Which of the following illnesses is mentioned as manageable through proper diet and physical activity?

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

    Which patient wellness outcome is specifically focused on biobehavioral aspects?

    <p>Biobehavioral wellness</p> Signup and view all the answers

    What is a key risk associated with unmanaged diabetes?

    <p>High risk for heart disease</p> Signup and view all the answers

    How is a person with physical health described in relation to illnesses?

    <p>They have no illnesses affecting their physiological systems</p> Signup and view all the answers

    What is important for those with manageable health conditions according to the content?

    <p>To manage conditions effectively</p> Signup and view all the answers

    Which statement accurately reflects one of the theoretical propositions about holistic comfort?

    <p>Comfort is generally state specific.</p> Signup and view all the answers

    What does Kolcaba's extensive literature review primarily focus on?

    <p>The definition and understanding of comfort.</p> Signup and view all the answers

    How is 'total comfort' conceptualized in the context of Kolcaba's theories?

    <p>It is greater than the sum of its parts.</p> Signup and view all the answers

    What was the nursing goal during the early 20th century according to the historical context provided?

    <p>To prioritize comfort as central to patient care.</p> Signup and view all the answers

    Which of the following interventions is explicitly mentioned as effective in enhancing comfort?

    <p>Holistic nursing interventions with established effectiveness.</p> Signup and view all the answers

    What is implied about the emotional state of women during postpartum recovery based on the described context?

    <p>Joy is a common experience, but not universal during postpartum recovery.</p> Signup and view all the answers

    Which nursing role did Kolcaba take on shortly after earning her MS degree?

    <p>Instructor and consultant.</p> Signup and view all the answers

    Which of the following disciplines did NOT contribute to the understanding of comfort mentioned in Kolcaba's work?

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

    Study Notes

    Theoretical Foundations (NCMA110)

    • Eakes, Burke, and Hainsworth: Theory of Chronic Sorrow:

      • Chronic sorrow is pervasive grief related to persistent loss.
      • Feelings are cyclical, with predictable triggers.
      • Individuals have internal and external coping strategies (effective or ineffective).
      • Loss creates a disparity between ideal and reality, leading to sadness and grief.
      • Health care interventions can help those experiencing chronic sorrow.
      • Key concepts: chronic sorrow, loss, trigger events, management methods (internal/external), and effective/ineffective management.

    • Kolcaba: Theory of Comfort:

      • Comfort is a basic human need.
      • Comfort interventions address physical, psychospiritual, sociocultural, and environmental needs.
      • Intervening variables influence comfort perception (e.g., past experiences, emotional state).
      • Comfort has three types: relief, ease, and transcendence, occurring in four contexts.
      • Increased comfort positively impacts health-seeking behaviors.
      • Key concepts: health care needs, comfort interventions, intervening variables, comfort state, health-seeking behaviors, best practices, and best policies.

    • Beck: Postpartum Depression Theory:

      • Postpartum mood disorders include depression, blues, psychosis, obsessive-compulsive disorder, and panic disorder.
      • Postpartum depression is a major depressive disorder beginning within a year post-birth.
      • Factors like prenatal depression, child care stress, and life stress are significant predictors.
      • The theory describes "loss of control" through four stages.
      • Key concepts: postpartum mood disorders, loss of control, prenatal depression, child care stress, life stress, social support, and other factors.

    • Swanson: Theory of Caring:

      • Caring is a fundamental aspect of nursing practice, fostering the well-being of others.
      • Key concepts include knowing, being with, doing for, enabling, and maintaining belief.

    • Ruland and Moore: Peaceful End-of-Life Theory:

      • The theory is based on Donabedian's structure, process, and outcome model.
      • Key concepts include being free from pain, experiencing comfort, dignity and respect, peace, and closeness to significant others.

    • Agravante: Transformative Leadership Theory:

      • This is a psycho-spiritual model for nursing leadership.
      • Key concepts: servant-leader spirituality, self-mastery, and special expertise.
      • This theory emphasizes leadership in nursing as it addresses educational and psychospiritual aspects.

    • Divinagracia: Theory of Composure Behaviors:

      • Focuses on the effects of composure behaviors of advanced practice nurses on patient recovery.
      • Key behaviors include competence, presence/prayer, open-mindedness, stimulation, understanding, respect, relaxation, and empathy.
      • Composure behaviors contribute to patient well-being, physiological & biobehavioral.

    • Locsin: Technological Competency as Caring in Nursing:

      • Examines technology's role in facilitating caring in nursing practice, emphasizing technological competency as essential to caring.
      • Concepts: technological competency, caring in nursing, and harmonious coexistence of technologies and caring.

    • Kuan: Retirement and Role Discontinuities:

      • Focuses on adapting to retirement and aging processes, addressing the challenges of role transition.
      • Key concepts include role, physiological age, change of life, role discontinuity, coping approaches, retiree, and determinants of positive perceptions in retirement.

    • Abaquin: Prepare Me Theory:

      • Addresses the needs of terminally ill cancer patients, focusing on quality of life.
      • Key concepts: holistic nursing interventions, quality of life, terminally ill patients.

    • Laurente: Theory of Nursing Practice and Career:

      • Emphasizes family as an entry point for improving patient health.
      • Key focus on effective communication between the nurse and patient/family.

    • Bandura: Social Cognitive Theory:

      • Learning occurs in a social context through observing others.
      • Key concepts: observational learning, modeling, and self-efficacy.

    • Kohlberg: Moral Development:

      • Stages of moral reasoning from preconventional through postconventional morality.

    • Erikson: Stages of Psychosocial Development:

      • Stages of psychosocial development across the lifespan, focusing on social & psychological development.

    • Maslow: Hierarchy of Human Needs:

      • Physiological, safety, love/belonging, esteem, self-actualization needs ordered hierarchically.

    • Sullivan: Interpersonal Theory:

      • Personality development heavily influenced by interpersonal relationships across different life stages.

    • Von Bertalanffy: General Systems Theory:

      • Views systems as wholes, emphasizing interconnectedness of parts and dynamic interactions.

    • Lewin: Change Theory:

      • Focuses on unfreezing, change, and refreezing stages of organizational change.

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    Description

    This quiz covers key concepts from the Theories of Chronic Sorrow and Comfort by Eakes, Burke, Hainsworth, and Kolcaba. It explores the complexities of grief, coping strategies, and the essential role of comfort in human needs. Engage with the material to deepen your understanding of these foundational theories in healthcare.

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