Exam (elaborations)
N450 Final (1).
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Exam of 11 pages for the course N450 - Ch. 3 - Principles of Geriatrics at N450 - Ch. 3 - Principles of Geriatrics (N450 Final (1).)
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N450 FinalMental health - ANS-emotional & psychological well-being of an individual who has the capacity
to interact w/ others, deal w/ ordinary stress, and perceive one's surroundings realistically
Modeling - ANS-- *understanding the world from the client's perspective*
- the client's subjective experience
Role Modeling - ANS-- *individualized plan based on client's world view*
- based on the *client's perceived need*
- NOT on what the nurse understands
Modeling & Role Modeling
(Erikson, Tomlin, Swain) - ANS-- *relationship based*
- holistic, health oriented being who strives for *growth & development*
- interpersonal relationship that nurtures strengths to enable development
- Goal of nursing: state of perceived optimum health
Human Science and Human Care Theory
(Watson) - ANS-- *based on caring*
- focus: moral idea of human care relationships
- goal: help client gain self-knowledge, self-control, and self-health potential
- nursing: reciprocal transpersonal relationship between client and nurse in caring moments
guided by carative factors
Rogers Science of Unitary Human Beings - ANS-- *energy fields*
- nursing: patterning of the person and environment to achieve maximum health potential of the
person
Orem Self-Care Deficit Theory - ANS-- *when nursing is needed*
- nursing: overcome or prevent the development of a self-care deficit or *provide therapeutic
self-care for a patient unable to do so*
Roy Adaptation Model Theory - ANS-- assessment of environmental stimuli and assessing
those as adaptive or ineffective
- *ID stimuli that lead to the behaviors*
- *interventions that seek to alter or manage stimuli so adaptive responses can occur*
Systems Theory for Nursing - ANS-- MANY LEVELS: (eco system, family, etc.) all have an
impact on the family
- WHOLE IS GREATER THAN: all family members have impact on others
- CHANGE: change in 1 family member affects all members (positive & negative)
, - STABILITY/CHANGE: attempt to achieve balance between stability & change
- CIRCULAR CAUSALITY: closed loop (A>B>C>A>C>B) each individuals behavior has effect
on the other
Behaviorist Theory for Nursing
(Skinner, Pavlov) - ANS-- behavior is learned
- goal: change the behavior
- *utilize reinforcement to accomplish goal*
- *positive reinforcers*
Psychotherapy - ANS-Treatment of individuals with emotional problems, behavioral problems, or
mental illness primarily through verbal communication
T/F: The success of therapy depends upon the quality of the interaction with the patient -
ANS-True
Purpose of psychotherapy - ANS-help the individual change distressing thoughts, feelings, or
behaviors
Psychodynamic/Psychoanalytic
(Freud, Erickson, Mahler) - ANS-- focus on unconscious motivation and insight
- conflict between personality features = anxiety (unconscious conflicts)
- Goal: make unconscious conscious to promote growth
Psychodynamic/*Interpersonal*
(Sullivan, Peplau) - ANS-- basic drives are for safety/security
- Focus: assisting client to understand discomfort (anxiety) and look at other ways of coping
- Goal: analyze situation & develop ways of responding
- *The interpersonal relationship is key to wellness*
Behavioral Therapies
(Lazarus, Bandura, Wolpe) - ANS-- Focus: taking current behavior and developing interventions
for each goal
- Goal: *eliminating maladaptive behaviors & learning effective behavior*
Behavioral Interventions - ANS-- Know the behavior that needs change & break into smaller
parts
- Est. achievable goals
- Develop *appropriate rewards*
- Est. *appropriate time frames*
- Social reinforcers
Purpose of Cognitive Interventions - ANS-Aim to change or reframe an individual's cognitions
(THINKING) resulting in a *new view of self and environment*
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