Ida Jean Orlando

Question 1

Theory of Ida Jean Orlando

Answer 1

Theory of Deliverative Nursing Process (Nursing Process Discipline Theory)

Question 2

The major dimensions of Orlando’s Nursing Process Theory are as follows:

Answer 2

1. Professional nursing function: organizing principle
2. The patient’s presenting behavior: problematic situation
3. Immediate reaction: internal response
4. Deliberative nursing process: reflective inquiry
5. Improvement: resolution

Question 3

The nurse’’s unique function is finding out and meeting the patient’s immediate needs for help

Answer 3

Professional nursing function: organizing principle

Question 4

The patient’s sense of helplessness, stress, or need originated from physical limitations, adverse reaction to the setting, and experiences that prevent a patient from communicating his or her needs

Answer 4

Professional nursing function: organizing principle

Question 5

a requirement of the patient which, is fupplied, relieves or diminishes his immediate distress or improving his immediate sense of adequacy or well-being

Answer 5

Need

Question 6

It is the nurse’s responsibility to meet the patient’s immediate needs for help either by supplying it directly or by calling in the services of others.

Answer 6

Professional nursing function: organizing principle

Question 7

The central core of the nurse’s practice is to understand what is happening between the patient and the nurse that provides frameworkfor the help the nurse gives the patient

Answer 7

Professional nursing function: organizing principle

Question 8

Nursing thought in Professional nursing function: organizing principle

Answer 8

Does the patient have an immediate need for help?

Question 9

The nurse’s focus of inquiry is always on the patient’s immediate experience

Answer 9

Professional nursing function: organizing principle

Question 10

If the patient is in need and the need is fulfilled, the nursing function has been fulfilled

Answer 10

Professional nursing function: organizing principle

Question 11

To find out the immediate need for help, the nurse must first recognize the situation as problematic

Answer 11

The patient’s presenting behavior: problematic situation

Question 12

The presenting behavior of the patient, regardless of the form in which it appears, may be a plea for help

Answer 12

The patient’s presenting behavior: problematic situation

Question 13

Both the patient and the nurse participate in the exploratory process to identify the problem as well as the solution

Answer 13

The patient’s presenting behavior: problematic situation

Question 14

The nurse-patient situation is a dynamic whole; each is affected by the behavior of the other. The interaction is unique for each situation

Answer 14

The patient’s presenting behavior: problematic situation

Question 15

The patient’s behavior stimulates the nurse’s immediate reaction and becomes the starting point of the investigation

Answer 15

The patient’s presenting behavior: problematic situation

Question 16

The problematic situation in the form of the patient’s presenting behavior (e.g. requests, comments, complaints, questions, moaning, crying, wheezing, clinching fist, pallor, reddened face, difficulty of breathing, increased blood pressure), triggers an automatic immediate reaction in the nurse that is both cognitive and affective.

Answer 16

Immediate reaction: internal response

Question 17

The reaction comprises the nurse’s perceptions, thoughts about the perceptions, and the feelings evoked from the thoughts; they cannot be controlled. These items occur in an automatic, almost instantaneous sequence

Answer 17

Immediate reaction: internal response

Question 18

In any person’s process of action, four distinct items occur sequentially:

Answer 18

1. The person perceives with any one of his five sense organs an object or objects
2. The perceptions stimulate automatic thought
3. Each thought stimulates an automatic feeling
4. Then, the person acts

Question 19

The nurse’s immediate reaction is unique for each situation. What the nurse perceives, thinks, or feels his or her inviduality. The automatic thoughts come from the nurse’s interpretation or meaning attached to the perception. It may be or may not be correct from the natient’s point of view

Answer 19

Immediate reaction: internal response

Question 20

The deliberative nursing process views the nurse-patient situation as a dynamic whole

Answer 20

Deliberative nursing process: reflective inquiry

Question 21

The nurse’s behavior affects the patient, and the nurse is affected by the patient’s behavior. Understanding the patient’s behavior is a complex process in which obeservations and thoughts are used in a serial responsive way to get the “facts of the case.”

Answer 21

Deliberative nursing process: reflective inquiry

Question 22

When a situation becomes clear, it loses its problematic character and a new equilibrium is established

Answer 22

Improvement: Resolution

Question 23

When the patient’s immediate need for help have been determined and met, there is imrpovement

Answer 23

Improvement: Resolution

Question 24

A developmental being with needs

Answer 24

Person

Question 25

• A sense of adequacy or well-being
• Fulfilled needs
• sense of comfort

Answer 25

Health

Question 26

is a dynamic nurse-patient relationship

Answer 26

Nursing

Question 27

is responsive to individuals who suffer or anticipate a sense of helplessness

Answer 27

Nursing

Question 28

Nursing therapeutics are composed of

Answer 28

• direct function
• indirect function
• disciplined and professional activities
• automatic activities

Question 29

initiates a process of helping the patient express the specific meaning of his behavior in order to ascertain his distress and helps the patient explore the distress in order to ascertain the help he requires so that his distress may be relieved

Answer 29

Direct function

Question 30

calling for help of others, whatever help the patient may require for his need to be met

Answer 30

Indirect function

Question 31

automatic activities plus matching of verbal and nonverbal responses, validation of perceptions, matching of thoughts and feelins with action

Answer 31

Disciplined and professional activities

Question 32

perception by five senses, automatic thoughts, automatic feelins and automatic action

Answer 32

Automatic Activies

Question 33

explain that the role of nurse is to find out and meet patient’s immediate needs for help

Answer 33

Orlando’s Theory of Deliberative Nursing Process

Question 34

The Deliberative Nursing Process has five stage:

Answer 34

assessment, diagnosis, planning, implementation, and evaluation

Question 35

the nurse completes a holistic assessment about health problems. this is done without taking the reason for the enconter into consideration. the nurse uses a nursing framework to collect both subjective and objective data about the patient

Answer 35

assessment stage

Question 36

uses the nurse’s clinical judgement about health prolems

Answer 36

diagnosis stage

Question 37

addresses each of the problems identified in the diagnosis. Each problem is gicen a specific goal or outcome, and each goal or outcome is given nursing interventions to help achieve the goal

Answer 37

planning stage

Question 38

the nurse beings using the nursing care plan

Answer 38

implementation stage

Question 39

the nurse looks at the progress of the patient toward the goals set in the nusing care plan

Answer 39

evaluation stage

Question 40

is the investigation into the patient’s needs

Answer 40

nursing process discipline