Theoretical Foundations (NCMA110)

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Questions and Answers

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

What type of theory is the Tidal Model categorized as?

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

What is an important aspect of Competency 18?

<p>Helping individuals recognize the influence of their environment (C)</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 (D)</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 (B)</p> Signup and view all the answers

Which domains does the Tidal Model represent the individual through?

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

How does the Tidal Model view mental wellbeing?

<p>Dependent on individual life experience and perceptions (A)</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 (A)</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 (A)</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 (A)</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 (A)</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 (A)</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 (A)</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 (D)</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. (A)</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 (D)</p> Signup and view all the answers

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

<p>1977 (A)</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 (B)</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 (B)</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 (A)</p> Signup and view all the answers

What role does open-mindedness play in nursing practice?

<p>Considering patients' opinions and preferences (B)</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 (D)</p> Signup and view all the answers

How does stimulation serve as a nursing measure?

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

What outcome is likely when patients feel actively listened to?

<p>Increased satisfaction with caregivers (A)</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 (D)</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 (D)</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 (D)</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 (A)</p> Signup and view all the answers

Which of the following best defines physical wellness?

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

What characterizes a person with intellectual wellness?

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

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

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

Which patient wellness outcome is specifically focused on biobehavioral aspects?

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

What is a key risk associated with unmanaged diabetes?

<p>High risk for heart disease (A)</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 (D)</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 (D)</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. (D)</p> Signup and view all the answers

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

<p>The definition and understanding of comfort. (B)</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. (B)</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. (D)</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. (A)</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. (B)</p> Signup and view all the answers

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

<p>Instructor and consultant. (D)</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 (A)</p> Signup and view all the answers

Flashcards

Tidal Model

A mental health recovery model used to guide interdisciplinary care, focusing on individual journeys of discovery and change.

Competency 11: Identifying Positive Change

This competency helps the patient recognize what kind of change could potentially lead them away from a specific problem.

Competency 12: Immediate Steps

This competency aids the patient in recognizing immediate actions required to achieve their desired goal.

Competency 13: Awareness of Dedicated Time

Through this competency, the practitioner helps the patient become aware that their needs and concerns are being addressed and given dedicated attention.

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Competency 14: Valuing Patient Input

This competency involves acknowledging and valuing the time the patient invests in the assessment and care process.

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Competency 15: Identifying Strengths and Weaknesses

This competency focuses on helping the patient recognize personal strengths and weaknesses.

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Competency 16: Fostering Self-Belief

This competency aims to encourage the patient to believe in themselves and their ability to overcome their challenges.

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Competency 17: Awareness of Subtle Changes

This competency guides the patient to become aware of even the subtlest changes happening within themselves, whether in thoughts, feelings, or behavior.

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Chronic Sorrow

A type of grief experienced by individuals with chronic health conditions, their caregivers, and the bereaved. It's characterized by persistent, recurring feelings of sadness and loss.

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Olshansky's Observation

The initial observation of chronic sorrow was made by Olshansky while studying parents of children with intellectual disabilities. These parents exhibited recurring sadness and loss.

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Lazarus and Folkman's Model

Lazarus and Folkman's model, which focuses on how individuals cope with stress and adapt to challenging situations, serves as the theoretical base for understanding chronic sorrow.

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Support Group for Women with MS

A support group for women with multiple sclerosis sparked Georgene Gaskill Eakes's interest in chronic sorrow.

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Ethnographic Study of Women with MS

Eakes's study, using a symbolic interaction approach, aimed to understand the lived experiences of women with multiple sclerosis.

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Eakes's Near-Death Experience

Eakes's near-death experience in a car accident increased her awareness of the need for better understanding and support for individuals facing mortality and grief.

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Recurring Nature of Chronic Sorrow

Chronic sorrow is a recurrent, pervasive feeling of sadness and loss, often experienced by individuals with chronic health conditions.

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Lack of Understanding of Chronic Sorrow

Health care professionals and individuals often lack adequate knowledge and understanding regarding how to deal with chronic sorrow.

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What is the Tidal Model?

The Tidal Model is a philosophical approach to mental health recovery that emphasizes helping individuals reclaim their personal story of mental distress by focusing on their unique experiences, language, metaphors, and stories. It empowers individuals to express their lived experiences and take control of their lives.

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What is the Tidal Model's approach to nursing care?

The Tidal Model emphasizes that nurses should only provide care that is absolutely necessary to meet the individual's needs. This approach aims to prevent unnecessary interventions and promote independence.

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What are the three personal domains in the Tidal Model?

The Tidal Model represents individuals through three personal domains: Self, World, and Others. This highlights the interconnectedness of a person's internal world, their external environment, and relationships with others.

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What makes the Tidal Model unique?

The Tidal Model emphasizes the unique experiences, language, and stories of each individual. It recognizes that each person's mental health journey is unique and requires a personalized approach.

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What is Kolcaba's Theory of Comfort?

Kolcaba's Theory of Comfort focuses on the role of comfort in nursing care. It suggests that comfort is a fundamental aspect of nursing practice and should be prioritized in all patient interactions.

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What are the dimensions of comfort in Kolcaba's Theory?

Kolcaba's theory recognizes that comfort has multiple dimensions, encompassing physical, psychological, social, environmental, and spiritual aspects. It emphasizes the holistic nature of comfort and its impact on well-being.

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How do nurses promote comfort in Kolcaba's Theory?

Kolcaba's theory suggests that nurses play a vital role in promoting comfort for patients. They can provide comfort through various interventions, such as physical care, emotional support, and environmental modifications.

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Why is comfort important in nursing?

By prioritizing comfort, nurses can enhance the overall well-being of patients. Comfort can alleviate stress, reduce pain, and promote a sense of calmness and security.

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Comfort Is State Specific

The fundamental concept that comfort is dependent on the specific situation or circumstances.

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Comfort Changes Over Time

Comfort is fluid and affected by factors that change over time. This means comfort levels may rise or fall.

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Holistic Nursing Enhances Comfort

Any consistent and proven nursing approach can improve comfort levels with frequent use.

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Total Comfort Greater Than the Sum

The overall comfort experienced is greater than the combination of individual components.

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Kolcaba's Comfort Theory

Kolcaba's comfort theory emphasizes how nurses can achieve comfort for patients to improve well-being.

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Comfort in Early Nursing

The practice of comfort was central to nursing during the early 20th century, as it was believed to facilitate recovery.

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Original Definition of Comfort

The original definition of comfort was “to strengthen greatly,” suggesting a rationale for nurses to provide comfort as it would result in better patient outcomes and increased nurse satisfaction.

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Why Comfort Matters to Nurses

Comfort is a fundamental part of nursing practice, aiming for improved patient outcomes.

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Intellectual Wellness

The ability to effectively learn and use information to improve one's daily life.

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Patient Wellness Outcome

The perceived health of a person, measured in both physical and biobehavioral aspects.

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Physical Wellness

The ability to meet daily demands, use free time effectively, and possess good physical fitness and motor skills.

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Biobehavioral Wellness Outcome

A type of wellness outcome that encompasses physical, intellectual, emotional, and spiritual well-being.

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Physical Health

Illnesses that affect the organs and systems of the body, such as the heart or nervous system.

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Intellectual Health

Illnesses that affect the brain and its ability to learn and process information effectively.

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Emotional Wellness

The ability to manage emotions effectively and develop healthy coping mechanisms for life's challenges.

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Spiritual Wellness

A sense of connection to something larger than oneself, a sense of purpose and meaning in life.

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Presence in Nursing

Being present with a patient, offering therapeutic communication, attentive listening, and compassionate touch.

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Open-Mindedness in Nursing

A nursing measure involving receptiveness to new ideas, considering patient preferences, and adapting to their views.

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Active Listening

A nursing intervention that involves actively listening to understand the patient's feelings and reflecting their meaning back to them.

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Stimulation in Nursing

A form of nursing care that provides encouragement, hope, and guidance to patients, often involving explanations, supervision, compliments, and smiles.

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Spiritual Domain

This form of nursing measure emphasizes the development of the patient's inner self through their connection to a higher power or spiritual beliefs.

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Emotional Domain

A form of nursing measure that includes the patient's awareness of their emotions, ability to control them, and skill in coping with them.

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Intellectual Domain

This domain focuses on how patients understand their own health, recognize risk factors, and practice preventive measures.

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Presence and Prayer

This nursing practice is about providing spiritual support through prayer and faith, often through shared prayer with the patient.

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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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