Chapt 3 Arn & Bogg Flashcards

(39 cards)

1
Q

The nursing process uses a method of systematic steps:

A

assessment before planning, planning before intervention, and evaluation.

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2
Q

What does think stand fo r

A
Total recall
habit 
inquiry 
new ideas
knowledge of self
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3
Q

What does the utilitarian/goal-based model say

A

actions should be made to achieve the highest level of wellfare for the majority

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4
Q

What does the duty baseed model say

A

the “rightness” of an action is determined by other factors in addition to its outcome

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5
Q

What does the human rights based model say

A

our actions need to be centered around the clients rights

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6
Q

What are the three ethical principles used for decision making

A

autonomy
beneficence
justice

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7
Q

What does autonomy state

A

you must provide clients with all the relevant and accurate information they need to make an “informed” decision on whether they agree to treatments.

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8
Q

What does beneficence state

A

Beneficence implies that a decision results in the greatest good or produces the least harm to the client.

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9
Q

What does justice state

A

it implies being fair

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10
Q

What are some example of scenarios that have justice dilemas

A

unnecessary treatment- are all treatments truly necessary
social worth- who gets the last melon, regardless of their history
Veracity- its not okay to lie, but if we have information that can cause emotional distress to a client, should it be withheld or avoided

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11
Q

What did nightinggale say are the five envirionmental factors she thought were improtant for recovering from illness

A
fressh air
pure water 
efficient drainage 
cleanliness 
light
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12
Q

What general concepts did nightingale she say that are still a part of nursing today

A
ventilation 
cleanliness-like washing hands 
quiet
warmth
diet
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13
Q

What is peplau’s theory about

A

the interpersonal relationship between the nurse and client

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14
Q

In peplau’s theory how does the interpersonal relationship between nurse and client evolve?

A

orientation- nurse assists the client in understanding the problem and the extent of help they need
identification- the client assumes a posture of dependence, and the nurse focuses on ensuring the client that she/he understands the interpersonal meaning of the their situation
Exploitation- client takes full value from what the nurse offers and the client starts using available services based on self interest
Resolution- goals are met and new ones created

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15
Q

What is the message behind peplaus model

A

to help clients nurses assume many roles to fulfill clients needs and that these interpersonal relationships are therapeutic

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16
Q

What does Hendersons definiton of nursing build off of

A

nightingales def

17
Q

Henderson conceptualized that

A
the nurses role as assisting sick or healthy by meeting 14 fundemental needs 
Breathing normally
Diet
Eliminating body waste
Maintaining a desirable position 
Sleeping 
Suitable clothing 
Maintaining normal body temp
Cleanliness
avoiding dangers
Communication with others
Worship
Working in a way to give a feeling of accomplishment
Playing 
satisfying curiosity
18
Q

What type of theory is peplaus and henderson

A

interactive theories

19
Q

What does rogers theory of the unitary human being claim

A

humans are dynamic energy fields that interact with environmental energy fields

20
Q

What are the characteristics of the unitary man

A

irreducible
manifest characteristics different from the sum of the parts
interacts continuously with the envirionment
behaves as a totality
participates creatively in change

21
Q

Nurses that apply rogers theory of the unitary human being do what

A

focus on the persons wholeness
promotes symphonic interaction between the human and environment
matches the human field with the rhythmicities of the environment to promote maximum health

22
Q

What is leiningers cultural care diversity and universality theory

A

caring is the essence of nursign and that the way caring is expressed is mostly culturally derived

23
Q

leininger proposed what three models for assisting people of diverse cultures

A

cultural care preservation and maintenance
cultural care accommodation
cultural care restructuring and re-patterning

24
Q

What model did leininger create to depict her theory

A

the sunrise model

25
What does the sunrise model state
health and care are influenced by elements of social structure like technology, religion, cultural values, educational factors, and social systems.
26
How does Roy define adaptation
the process and outcome where the person uses conscious awareness and choice to create human and environmental integration
27
Roys theory is considered what to the nursing profession
its infrastructure
28
What does Roys model focus on
The individual as an adaptive system, constantly reading inputs and outputs, that require modification to adapt
29
What do these steps help with
critical thinking
30
What is Roy's goal with her models
adaptation through her four adaptation models
31
What are the four modes of adaptation and explain
physiological mode- deals with the maintenance of the physical body self-concept adaptive mode- two components- physical self, which involves body image- personal self, which involves self-ideals role function mode- the need for duties to perform in society Interdependence mode- ones relationships that provide help and affection
32
What does Roy claim about her modes of adapation
individuals respond to needs in one of the four modes
33
What is orems theory
three concepts self care- activites, basic needs, activities for basic needs, and other people that contribute to well-being self care deficit- lack of ability to do other things or other people for help nursing systems-
34
What does self care in orems theory break into
self care- the activities the person does to promote well being for themselves self care agency- the ability to perform self care activities (themself and a dependent that provides care) self care req's- basic life needs, ability to adapt, seeking help when needed therapeutic
35
What are the five methods of helping in orems theory
``` acting or doing for guiding teaching supporting providing optimal environment ```
36
What are the three nursing systems that the five methods in orems theory can be used in
Wholly compensatory systems- for people who cant control or monitor environment Partly compensatory- for partly independent people Supportive-educative- people who need to learn how to perform self care activities and need help doing so
37
What type of theory is leininger and rogers
developmental
38
What type of theory is Roys
systems theory and grand theory
39
What are the three decision making models in ethics
utilitarian/goal based model duty based model human rights based model