Exam (elaborations)
RPNCE PART 1 (NURSING THEORIES)
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RPNCE PART 1 (NURSING THEORIES)
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RPNCE PART 1 (NURSING THEORIES)What is the transpersonal caring model and who created it - Answers- created by Jean
Watson
Conscious intention to care by using ones "authentic presence" for healing
Emphasis on nurse-client relationship
Compassion, competence, confidence, conscious, commitment, comportment
Care>cure, dignity>tasks
What is the adaptation model and who created it - Answers- created by sister callista
roy
Promote person's adaptation to environmental stressors
Focus on how people cope/respond to stressors
Health=process of responding positively to environmental stressor
4 main concepts: person, health, environment, nursing goals
What is interpersonal nursing theory and who created it - Answers- Nurse-client
relationship. Nurse has a healing role
Interpersonal nursing theory was created by Peplau
Peplau is the founder of MH nursing
Orientation phase - Answers- peplaus interpersonal theory
Directed by the nurse
Involves engaging the client in treatment
Defining the problem and determining what treatment is needed
Develop trust
Contract for intervention (rules/expectations)
Formulate nursing diagnosis
Identify pt's strengths/limits
Identification stage - Answers- Peplaus interpersonal theory
Developing nursing care plan based on clients situation and goals
Working phase - Answers- peplau's interpersonal theory
Client uses the relationship to examine specific problems and learn new ways of
approaching them.
Promoting client's insight and perceptions of reality
Termination phase - Answers- Peplaus interpersonal theory
Lasts from the time the problems are actually resolved to the close of the relationship.
Client may experience anger or raise old problems that have already been resolved
Depending on others stage - Answers- peplau
Infant
Learning ways to communicate with primary caregiver for meeting comfort needs
, Delaying satisfaction stage - Answers- Some delay in self-gratification to please others
Peplau
Toddler
Self identification - Answers- Acquisition of appropriate roles and behaviours through
perception of others expectations of self
Peplau
Early childhood
Participation skills - Answers- late childhood
Peplau
Competition, compromise, cooperation sills acquisition, sense of one's place in the
world
Mild anxiety - Answers- peplau
Positive state of heightened awareness and sharpened senses, allowing the person to
learn new behaviors and solve problems. The person can take in all available stimuli
(perceptual field).
Increased concentration and alertness, increased resps
Moderate anxiety - Answers- peplau
Involves a decreased perceptual field (focus on immediate task only); the person can
learn a new behavior or solve problems only with assistance. Another person can
redirect the person to the task.
Restlessness, narrowing perception, heart palpitations, limited attention span, pacing
hall
Severe anxiety - Answers- involves feelings of dread and terror. The person cannot be
redirected to a task; he or she focuses only on scattered details and has physiologic
symptoms of tachycardia, diaphoresis, and chest pain.
Panic attack - Answers- peplau
Can involve loss of rational thought, delusions, hallucinations, and complete physical
immobility and muteness. The person may bolt and run aimlessly, often exposing
himself or herself to injury.
Possible psychosis, dilated pupils
Prolonged panic can be life threatening and cause emotional exhaustion
Environmental nursing theory - Answers- florence nightingale
Fresh air, clean living environment, pure water, sunlight and drainage
Emphasizes importance of environment in restoring health
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