CRRN REVIEW QUESTIONS WITH
COMPLETE SOLUTIONS
Banduras-sans--1977,sself-
efficacy,sframeworkstosguidesthesassessmentsofsthesindividual'ssabilitystospromoteshealthsa
ndsreducesrisk
Impairments-sans--
Aslosssorsabnormalitysofsaspsychological,sphysiological,sorsanatomicalsstructuresandsfunctio
n.sImpairmentsoccurssatsthesorganslevel.
Handicaps-sans--
Asdisadvantagesforsasgivenspersonsresultingsfromsimpairmentsorsdisabilitysthatslimitssorsprev
entssfulfillmentsofsasrolesthatsissnormalsforsthatsperson.sHandicapsoccurssasthessocietalslevel.
Kobasas-sans--1979,stheorysofshardinesssbasedsonsresearchsonsstressfulslifesevents
Rotler,sSeeman,sandsLiverants-sans--
1962,sdescribedscontingencysrelationshipsbetweensbehaviorsandswellnesssoutcomessandsi
nternalsandsexternalslocussofscontrol
Levines-sans--
1966,smodelswithskeysconceptssofsprinciplessofsenergy,sstructuralsintegrity,spersonalsintegri
ty,sandssocialsintegrity
functionalslimitations-sans--refersstostheslosssofsthesabilitystosperformsself-
carestaskssandsissthesresultsofsansimpairment
Disabilitys-sans--
Asrestrictionsorslacks(resultingsfromsandsimpairment)sofsabilitystosperformsansactivitysinsthesm
annersorswithinsthesrangesconsideredsnormalsforsashumansbeing.sDisabilitysoccurssatstheslev
elsofsthesindividual.
Thesrehabsnurse'ssrolesinspromotingswellnesssinspediatricspopulationssincludes:s-sans--
Identifyingsunsuccessfulscompletionsofstasks,smakingsasreferralstosasChildsLifesSpecialist,sa
ndsprovidingsdevelopmentallysappropriatesinterventions.
Orem'ssselfscarestheorys-sans--
Identifiessthesmultipleslevelssofsaspatient'sscapabilitiessandsvaluingspatientscontrolsandsinput
,sselfscaresissessentialsforshealthsandswell-
being.sOremsfocusessonsthesindividual'ssselfscaresneeds/demandssandshissorshersabilitystos
meetsthosesneedss(seesaw).
,AnteriorsCordsSyndromes-sans--
Varyingsdegreessofsmotorsfunctionsandssensitivitystospain,swhilesposteriorscolumnsfunctions
sofsproprioception,spressuresandsvibrationsarespreserved.
Brown-Sequardssyndromes-sans--Verticalsinjurystosone-
halfsofsthesspinalscord,scausingslosssofsmotorscontrolsonsthessidesofsthesinjurysandslosssofsse
nsationsonsthesoppositesside.
WhatsissthesAssessmentsInstrumentsforsProblemsFocusedsCopings(APC)?s-sans--
ThesAPCsissasself-
reportsinstrumentsthatsfocusessonsasperson'ssownsassessmentsofscompetencesinscopingswit
hsADL's,spersonalsproblems,sandslevelsofssatisfactionswithsADL's.
StatesthesPLISSITsModelsforssexualscounseling.s-sans--
Permission,sLimitedsInformation,sSpecificsSuggestions,sIntensivesTherapy
suggestedsinterventionssforsclientswithsbowelsdysfunctionsproblemssrelatedstossexualsrelati
onshipss-sans--
completesbowelsregimensbeforessexualsactivity,savoidspositionssthatsplacespressuresonsthes
bowels,scoversostomy,stapestosthessidesorsremovesandsusesostomyscapsoversthesstoma
Statesthesclassificationsofsdrugssthatscanscontributestossexualsdysfunction.s-sans--
Antidepressants,santihypertensives,santicholinergics,santiconvulsants,shistamines2sblocki
ngsagents,slipidsloweringsagents,sDigoxin,sandsopiods.
ImogenesKings-sans--
Individualssaresinsconstantsinteractionswithstheirsenvironmentsandsonesanother.
LocussofsControlsTheorys-sans--
Peopleswhosbelievestheysaresinscontrolsofstheirshealthsaresmoreslikelystoschangestheirsbehav
iorsthansthoseswhosbelievesoutsidesforcessaresinscontrol.
FlorencesNightingales-sans--
Encouragedsthesusesofsone'ssownspowers,sbelievedsnursesshelpsclientssobtainsthesbestscon
ditionspossiblessosnaturescanscure.
AnnesCaseys-sans--ChildrensandsFamilies,sage-
specificsnursingstheorysthatsisshelpfulswhenspracticingsrehabilitationsacrossstheslifespan
LydiasHalls-sans--
Cares(handssonsbodilyscare),sCores(usingsthesselfsinsrelationshipstosthespatient),sandsCures(
applyingsmedicalsknowledge),sprimaryscaresnursingsmodel.
WhatsthreesstagessofspreventionsaresinsNeuman'ssmodel?s-sans--
Primarysprevention,ssecondarysprevention,sandstertiarysprevention;shelpssclientssmaximize
stheirsdefenses.
,ImogenesKing'ssmodelsissaboutsgoalsattainment.sThesgoalsofsnursingsissto:s-sans--
Helpsindividualsstosmaintainstheirshealthssostheyscansfunctionsinstheirsroles.
DorotheasOrems-sans--self-
carestheorysincludessthreesrelatedsparts,stheorysofsselfscare,stheorysofsselfscaresdeficit,stheo
rysofsnursingssystem
AssociationsofsRehabilitationsNursess(ARN)s-sans--
1974,sholisticsperspectivestosthescaresofsthespatientswithsdisabilitiessandschronicshealthsprob
lems
RehabilitationsActs-sans--
1973,sencouragedsemploymentsofspeopleswithsdisabilities,sprohibitedsunfairstreatmentsofsp
eopleswithsdisabilitiessinsactivitiesssupportedsbysfederalsfunds,sbansshousingsdiscrimination
sin spublicsaccommodations,sprohibitssunfairnesssin sfederallysfundedsschools
AmericansswithsDisabilitiessActs-sans--
1990,srequiresspublicsbuildingssandstransportationstosbesaccessible,sprohibitssdiscriminatio
nsagainstspeopleswithsdisabilitiessinsthesworkplace,sdescribessthestraitssofsaspersonswithsasdi
sability,sSs"Titles"sinsthesAct
DRG'ss-sans--
DiagnosticsRelatedsGroups,s1990'sshospitalsreimbursementschanged,s75%srule,s75%sofsin
patientspopulationsmustsmeetsatsleastsonesofs10smedicalsconditions,snowscalleds60%sruleswi
ths13smedicalsconditions
BalancedsBudgetsActsofs1997s-sans--
SNF'ssandsLTF's,sResourcesUtilizationsGroupss(RUG's),sPatientsProtectionsandsAffordables
CaresAct,sdecreasedsinpatientscensus,scasesmanagementsonsrise
WorldsHealthsOrganizations-sans--
1980,sdevelopedsinternationalsclassificationsofsimpairment,sdisability,sandshandicap,stransl
atedsintos13sdifferentslanguages
PPSs-sans--ProspectivesPaymentsSystem,srequiredsbysBalancedsBudgetsActsofs1997
PatientsProtectionsandsAffordablesCaresActs-sans--
bundledspaymentssforsselectsdiagnoses,sdemonstrationsprojectssbeingsplanned,snotsyetsim
plemented
GoalsofsRehabilitations-sans--restoring,smaintaining,sandspromotingsmaximalshealth
RehabilitationsTeamsModelss-sans--
medical,smultidisciplinary,sinterdisciplinary,sandstransdisciplinary
, Medicalsmodels-sans--
Physicianscentered,snotsconsistentswithsrehabilitationsphilosophysorsgoals,suncommon.
Multidisciplinarysmodels-sans--
Professionalssworksinsparallel,sclientsgoals,sveryslittlesoverlapsbetweensdisciplines,sverticals
communication,sleaderscontrolssteamsconferences,sdepartmentsmanagerssusuallysattendst
eamsconferences,seffectiveswhensunstablesteamsmemberss(i.e.,stheresaresdifferentsteamsm
emberssforsdifferentsclients).
Interdisciplinarysmodels-sans--Matrix-
like,slateralscommunication,swhensteamsmembershipsissstables(i.e.,sinpatientsrehabsunit),sgr
oupsdecisions,sgroupstrustsisscrucial,sconflictsresolutionsissansimportantsskillsusedsbysteam,st
eamsgoalssettingsimportant.
Transdisciplinarysmodels-sans--
Newersteamsmodel,sclientshassPCP,srequiressflexibilitysandsreceptivenesssofsteamsmember
ssbecausesindividualsrolessareslesssdistinct,sidealswhensclientsissstablesandsinsneedsofsLTC.
MemberssofsRehabsTeams-sans--
Clientsandsfamily,snurses,sphysiatrists,sothersMD's,sPT's,sOT's,sSLPT's,spsychologists,srecr
eationalstherapists,svocationalstherapists,sorthotists,schaplains,sinsurancescasesmanagerss
orsreps,semployers,steachers,saudiologists,snutritionists,sandshomeshealthsprofessionals.
TeamsFunctions-sans--
Necessaryscomponentssinclude,strust,sknowledge,ssharedsresponsibility,smutualsrespect,sc
ommunication,scooperationsandscoordination,soptimism,sandscommitmentsfromseachsmem
ber.
PPMs-sans--ProfessionalsPracticesModels,smiddlesrangestheories
MarthasRogerss-sans--
Nosdisconnectsbetweenspatientsandsuniverses(likedscolorspurple),schangesissfundamentalst
oslife,shumansscontinuestosgrowsandsneversrepeatspatterns(e.g.,saspersonsgoessonsvacations
atsthessamestimeseverysyearswithsthessamesconditions,saccordingstosRogers,sthesvacationsis
sasdifferentsexperiencesbuiltsonsprevioussvacations)
EthicalsModels1s-sans--
1.sCollect,sanalyze,sandsinterpretsdata.s2.sStatesthesdilemmasclearly.s3.sConsiderschoicessfo
rsaction.s4.sConsidersandsweighschoices.s5.sAnalyzesadvantagessandsdisadvantagessofseac
hschoice.s6.sMakesdecisionsfromschoices.
EthicalsModels2s-sans--
1.sAsks"issitslegal?"sIfsanswersissyes,sthensstop.sIfsno,sgosonstositemss2sands3.s2.sAsks"issitsbala
nced?"sThisswillshelpsanswersissuessofsfairnesssversussgivingsadvantagesstosonesorsmoresp
arties.s3.sAsks"Howswillsthesdecisionsmakesmesfeel?"sThisswillshelpsanswersissuessofsperson
alsstandardssofsmoralitys(e.g.,snursesinsasromanticsrelationshipswithsaspatient).