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DIMENSION NUR2058: Nurse Theory Models Exam 2 Study Guide|Rasmussen college

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DIMENSION NUR2058: Nurse Theory Models Exam 2 Study Guide|Rasmussen college • Roy Adaptation Model—Sister Callista Roy ▪ Goal: To allow the client to reach his or her highest level of functioning thru adaptation o Client: system w/ input & output o Health: a continuum w/ the ability to adapt successfully to illness o Environment: internal & external stimuli that affect behavior • Focal: Most attention; cause pain/ problems • Contextual: general physical, social, psychological environment • Residual: From client’s past experiences—changes views of pain (religion, experiences, norms, etc.) o Nursing: multistep process that helps the client adapt and reach the highest level of functioning • Orem Self-Care Model—Dorothea Orem ▪ Self-Care deficit= unhealthy ▪ Goal: To help clients direct and carry out activities that maintain or improve their health o Client: biological, physiological, social-being w/ the ability for self-care o Self-Care: The practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being o Health: able to live life to the fullest thru self-care o Environment: medium thru which the client moves o Nursing: assistance in self-care activities to help the client achieve health • King Intervention Model of Goal Attainment—Imogene King ▪ Interventions. This model has a large influence on the nursing process o Client: exchanges energy and info w/ the environment to meet needs o Health: dynamic process to achieve the highest level of functioning o Environment: external physical world, personal, interpersonal, and social systems o Nursing: dynamic process that identifies and meets the client’s health care needs • Watson Model of Human Caring—Jean Watson ▪ Philosophical Approach ▪ Balances the impersonal aspects of nursing care (technological and scientific aspects) with the personal and interpersonal elements of care ▪ Openly recognizes the client’s and family’s spiritual beliefs as essential elements of health o Client: has needs, grows, and develops to reach a state of inner harmony o Health: dynamic state of growth and development leading to full potential as a human ▪ Illness is the inability to integrate life experiences and the failure to achieve full potential or inner harmony o Environment: factors that the client must overcome to achieve health o Nursing: science of caring that helps clients reach their greatest potential • Johnson Behavioral System Model—Dorothy Johnson ▪ Goal: to promote the highest level of functioning and development in the client at all times ▪ System theory and behavioral theory: client’s behavior is the key to preventing illness and restoring health when illness occurs o Client: an integrates whole composed of several parts—7 different subsystems ▪ Security: inclusion/ attachment ▪ Dependency: help others ▪ Taking in: food ▪ Eliminative behavior: ▪ Sexual Behavior: gratitude & procreation ▪ Self-protection: protect from internal and external harm ▪ Achievement: Mastery and control o Health: a behavior system able to achieve a balanced state o Environment: elements that affect client’s behavior o Nursing: activities that manipulate the environment and help clients achieve healthy state • Neuman Health-Care Systems Model—Betty Neuman ▪ Don’t want the negative to get to the core!!! o Client: an open system that constantly interacts with internal and external environment o Health: stable internal functioning of a high state of wellness o Environment: stressors that produce change o Nursing: identifies boundary disruption and helps clients restore stability ....

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