Ida Jean Orlando

Question 1

Born on August 12, 1926. She received a diploma in nursing from New York Medical College in 1947.

Answer 1

Ida Jean Orlando

Question 2

She received a B.S. in public health nursing from St. John’s University in Brooklyn in New York. Later

Answer 2

Ida Jean Orlando

Question 3

Investigator of “Integration of Mental Health Concepts in Basic Curriculum”

Answer 3

Ida Jean Orlando

Question 4

She reported her findings in her book entitled The Dynamic Nurse Patient Relationship: Function, Process, and Principles of Professional Nursing Practice,

Answer 4

Ida Jean Orlando

Question 5

Her theory has substantial merit for its application to practice, research, education, and administration

Answer 5

Ida Jean Orlando

Question 6

Orlando was the first nurse to develop her theory from actual nurse-patient situations.

Answer 6

The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory

Question 7

It reflects her belief that practice should be based on needs of the patient and that communication with the patient is essential to understanding needs and providing effective nursing care.

Answer 7

The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory

Question 8

Evidence of relieving the patient’s distress (needs) is determined by positive changes in his behavior, and that nursing actions are geared towards improvement in the patient’s behavior.

Answer 8

The Nursing Process Theory/Dynamic Nurse-Patient Relationship Theory

Question 9

A well-defined function of the profession should be clearly stated to prevent conflicts. Nursing activity is professional only when it deliberately achieves the purpose of helping the patient.

Answer 9

Professional function of nursing

Question 10

Any observable verbal or nonverbal behavior of the patient must be considered as an expression of need for help. Verbal behavior encompasses the patient’s use of language. Nonverbal behavior includes physiological manifestations, motor activity, and vocal tone.

Answer 10

Behavior of the patient

Question 11

A need for help arises when a patient:

Answer 11

Behavior of the patient

Question 12

In this case, a sense of helplessness occurs and the patient’s behavior reflects this distress. It may stem from physical limitations caused by incomplete development and temporary or permanent disability.

Answer 12

Behavior of the patient
a. experiences a need that he cannot resolve

Question 13

It can also be caused by adverse reaction to the setting, which comes in as a result of incorrect or inadequate understanding of the experience.

Answer 13

Behavior of the patient
a. experiences a need that he cannot resolve

Question 14

This may be due to ambivalence, embarrassment related to the need, lack of trust in the nurse, and inability to state the need precisely

Answer 14

Behavior of the patient
b. is unable to communicate his needs effectively

Question 15

At times, the behavior may not effectively communicate the need. This ineffective behavior prevents the nurse from carrying out her concerns for the patient’s care. Resolution of this ineffective patient behavior deserves high priority.

Answer 15

Behavior of the patient
b. is unable to communicate his needs effectively

Question 16

This marks the beginning of the nursing process. The nurse should not assume that her reaction to the patient is correct; she must clearly communicate with the patient about her reaction to obtain verification or validity.

Answer 16

Immediate reaction of the nurse

Question 17

This reaction is comprised of three sequential parts:
a.
b.
c.

Answer 17

Orlando
a. the nurse perceives the behavior
b. the perception leads to automatic thought
c. the thought produces an automatic feeling

Question 18

This concept, thus, includes the nurse’s perceptions, thoughts, and feelings. Perception, thought, and feeling occur automatically & almost simultaneously. Therefore, the nurse must learn to identify each part of her reaction as this will help her analyze her reaction and response to the situation. Thus, the process becomes “logical & disciplined” rather than intuitive.

Answer 18

Immediate reaction of the nurse

Question 19

includes identifying the needs of the patient, response of the nurse, and nursing action. The nurse can only proceed in doing her actions when she has correctly validated her thoughts about the patient’s behavior. The nursing action can be carried out in two ways:

Answer 19

Nursing process

Question 20

Those actions decided upon for reasons other than the patient’s immediate need. It most likely fails to meet the needs of the patient, and is primarily concerned with carrying out physician’s orders, routine patient care, and general principles for health.

Answer 20

Nursing process
a. automatic

Question 21

those actions that ascertain and meet the needs of the patient.

Answer 21

Nursing Process
b. deliberative

Question 22

The following are criteria for deliberative actions:
b.1.
b.2.
b.3.

Answer 22

b.1. results from correct identification of patient needs by validation
b.2. the nurse explores the meaning of the action with the patient
b.3. the nurse validates the action’s effectiveness

Question 23

5.

Answer 23

5. Improvement

Question 24

Humans are the focus of nursing practice

Answer 24

Orlando Person

Question 25

Persons behave verbally or nonverbally

Answer 25

Orlando Person

Question 26

People are sometimes able to meet their own needs and that nurses should be concerned only with those who are unable to meet their needs
independently.

Answer 26

Orlando Person

Question 27

Freedom from mental or physical discomfort and feelings of adequacy and well being contribute to health

Answer 27

Orlando Health

Question 28

Repeated experiences of having been helped culminate over periods of time in greater degrees of improvement

Answer 28

Orlando Health

Question 29

A nursing situation occurs when there is a nurse-patient contact and that both the nurse and the patient perceive, think, feel, and act in the immediate situation

Answer 29

Orlando Environment

Question 30

The function of professional nursing is conceptualized as finding out and meeting the patient’s immediate need for help

Answer 30

Orlando Nursing

Question 31

Providing direct assistance to individuals in whatever setting for the purpose of avoiding, relieving, diminishing, or curing the person’s sense of helplessness

Answer 31

Orlando Nursing