IDA JEAN ORLANDO

Question 1

Born in 1926

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Ida Jean Orlando

Question 2

Nursing diploma: New York Medical College

Answer 2

Ida Jean Orlando

Question 3

Associate Professor: Yale School of Nursing

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Ida Jean Orlando

Question 4

Wrote “The Dynamic Nurse-Patient Relationship

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Ida Jean Orlando

Question 5

believed that the nurse helps patient meet a perceived need that the patient cannot meet for themselves

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The Nursing Process Theory

Question 6

observed that the nurse provides direct assistance to meet an immediate need for help in order to avoid/alleviate distress.

Answer 6

Ida Jean Orlando

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A systematic, rational method of planning and providing individualized nursing care

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NURSING PROCESS

Question 8

to develop a “theory effective nursing practice”

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NURSING PROCESS GOAL

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Reciprocal relationship, Patient participation, MD Orders, Shared by Nurse and Patient

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NURSING PROCESS

Question 10

indicated that nursing actions can be automatic or deliberate

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Ida Jean Orlando

Question 11

It is important to validate the need and evaluating care based on observable outcomes

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NURSING PROCESS

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3 ELEMENTS COMPOSING NURSING SITUATION

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1. Client’s behavior
2. Nurse reaction
3. Nurse action

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sense of helplessness

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PATIENT’S BEHAVIOR

Question 14

exploration of patient’s behavior

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NURSE REACTION

Question 15

deliberative approach

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NURSE ACTION

Question 16

need for help resolved

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PATIENT’S REACTION

Question 17

“How nurses process their observations of patient behavior and also about how they react to patients on the basis of inferences from patient’s behavior, including what they say”

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THEORY OF THE DELIBERATIVE NURSING PROCESS

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End of Life Issues
Emergency Situations
Long-term Care

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SITUATIONS WHERE ORLANDO’S THEORY HAS BEEN USED IN

Question 19

Must assess the patient needs

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End of Life Issues

Question 20

Including comfort both physically and emotionally

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End of Life Issues

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Closure for the family and patient, facing fears, and closing resolved issues

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End of Life Issues

Question 22

Solve the immediate problem, meet immediate needs while planning for future needs

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Emergency Situations

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Listen to both verbal and nonverbal communication

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Emergency Situations

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Each patient is an individual with individual needs and values

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Long-term Care

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Don’t assume how a patient will react to different situations

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Long-term Care

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Level of need will change as disease process progresses

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Long-term Care

Question 27

When patients cannot cope with their needs without help, they become distressed with feelings of helplessness

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ASSUMPTIONS

Question 28

Patients are unique and individual in their response

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ASSUMPTIONS

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Patients need help in communicating needs

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ASSUMPTIONS

Question 30

Nursing, In its professional character does add to the distress of the patient

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ASSUMPTIONS

Question 31

Human beings are able to be secretive or explicit about their needs, perceptions, thoughts and feelings

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ASSUMPTIONS

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Patient’s entry into nursing care is through medicine

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ASSUMPTIONS

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Nurse should establish a helpful relationship with client

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ASSUMPTIONS

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Any observation should be shared with the client to help meet the needs

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ASSUMPTIONS

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Nurses are concerned with needs that patients cannot meet on their own

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ASSUMPTIONS

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person, health, environment, nursing

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CONCEPTS

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a developmental being with needs

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PERSON

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Patients who are under medical care and who cannot deal with their needs or who cannot carry out medical treatment alone

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PERSON

Question 39

not definitely directly defined

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ENVIRONMENT

Question 40

sense of adequacy or well being

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HEALTH

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Fulfilled needs

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HEALTH

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Sense of comfort

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HEALTH

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dynamic nurse-patient relationship

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NURSING

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Responsive to individuals who suffer or anticipate a sense of helplessness

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NURSING

Question 45

the nurse completes a holistic assessment of the patient’s needs.

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ASSESSMENT

Question 46

The diagnosis can then be confirmed using links to defining characteristics, related factors, and risk factors found in the patient’s assessment

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DIAGNOSIS

Question 47

This stage addresses each of the problems identified in the diagnosis. Each problem is given a specific goal or outcome, and each goal or outcome is given nursing interventions to help achieve the goal. By the end of this stage, the nurse will have a nursing care plan

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PLANNING

Question 48

the nurse begins using the nursing care plan

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IMLPLEMENTATION

Question 49

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

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EVALUATION