CRRN 1: Rehab Nursing Models and
Theories
Definition of rehab nursing correct answersDiagnosis and treatment of human responses of individuals
and groups to actual or potential health problems relative to altered functional ability and lifestyle (per
ARN 2000)
WHO disablement model correct answersDistinguishes between disablement, impairment, and handicap
Impairment correct answersAny loss of normal structure or function at the organ level.
Disability correct answersAn impairment that renders an individual unable to perform ADLs without
intervention of another person or equipment
Handicap correct answersAny social or personal shortcoming resulting from an impairment or disability
Individual versus social models of disability correct answersIndividual model emphasizes linear
biomedical model in which pathology leads to anatomical, physiological, or psychological impairment.
Social models see disability as caused by societal mindsets, not the impairment itself.
Nagi scheme correct answersIndividual model of disability that defines disability as limited capability to
perform expected roles and tasks, caused by an impairment.
WHO ICIDH correct answersAn individual model of disability that distinguishes between the initial
impairment, disability and possible subsequent handicap leaving the person disadvantaged.
Independent Living model correct answersA U.S. social model of disability
ICF model correct answersRecently developed model by WHO that is integrated -- has aspects of
individual and social models. Disability is any impairment of body structure or function or inability to do
, daily activities and/or personal/environmental dynamics. Functioning and disability + contextual factors.
May include stress, genetic conditions, and pregnancy as disabilities.
Kolcaba nursing model correct answersComfort theory. Holistic nursing produces comfort. Patients are
taught self-advocacy. Comfort measuring tools are used.
Kolcaba's 3 forms of comfort correct answersRelief: Needs are met
Ease: How patient feels
Transcendence: Ability to overcome circumstances
Kolcaba's 4 situations of comfort correct answersPhysical, psychospiritual, environmental, sociocultural
Orem's theory correct answersSelf-care deficit theory. Nurse's role is to restore patient to self-care.
Often can achieve more with less intervention by nurse.
Orem's stages toward goals of care correct answersTotal compensation
Partial compensation
Nursing support and education
Roy's model correct answersAdaptation model. Nurse's main job is to help patient adapt in functional
areas of self concept, dependence on others, societal roles, physiologic changes
2 nursing models that have to do with patient adaptability correct answersOrem and Roy
3 nursing models that emphasize interaction of patient with others correct answersKing, Neuman,
Rogers
King's model correct answersOpen Systems Framework and Theory of Goal Attainment. Patient is at
center and interacts with interpersonal group and societal systems. Nurse's role is to help patient
achieve mutually agreed on goals in all of the roles.
Theories
Definition of rehab nursing correct answersDiagnosis and treatment of human responses of individuals
and groups to actual or potential health problems relative to altered functional ability and lifestyle (per
ARN 2000)
WHO disablement model correct answersDistinguishes between disablement, impairment, and handicap
Impairment correct answersAny loss of normal structure or function at the organ level.
Disability correct answersAn impairment that renders an individual unable to perform ADLs without
intervention of another person or equipment
Handicap correct answersAny social or personal shortcoming resulting from an impairment or disability
Individual versus social models of disability correct answersIndividual model emphasizes linear
biomedical model in which pathology leads to anatomical, physiological, or psychological impairment.
Social models see disability as caused by societal mindsets, not the impairment itself.
Nagi scheme correct answersIndividual model of disability that defines disability as limited capability to
perform expected roles and tasks, caused by an impairment.
WHO ICIDH correct answersAn individual model of disability that distinguishes between the initial
impairment, disability and possible subsequent handicap leaving the person disadvantaged.
Independent Living model correct answersA U.S. social model of disability
ICF model correct answersRecently developed model by WHO that is integrated -- has aspects of
individual and social models. Disability is any impairment of body structure or function or inability to do
, daily activities and/or personal/environmental dynamics. Functioning and disability + contextual factors.
May include stress, genetic conditions, and pregnancy as disabilities.
Kolcaba nursing model correct answersComfort theory. Holistic nursing produces comfort. Patients are
taught self-advocacy. Comfort measuring tools are used.
Kolcaba's 3 forms of comfort correct answersRelief: Needs are met
Ease: How patient feels
Transcendence: Ability to overcome circumstances
Kolcaba's 4 situations of comfort correct answersPhysical, psychospiritual, environmental, sociocultural
Orem's theory correct answersSelf-care deficit theory. Nurse's role is to restore patient to self-care.
Often can achieve more with less intervention by nurse.
Orem's stages toward goals of care correct answersTotal compensation
Partial compensation
Nursing support and education
Roy's model correct answersAdaptation model. Nurse's main job is to help patient adapt in functional
areas of self concept, dependence on others, societal roles, physiologic changes
2 nursing models that have to do with patient adaptability correct answersOrem and Roy
3 nursing models that emphasize interaction of patient with others correct answersKing, Neuman,
Rogers
King's model correct answersOpen Systems Framework and Theory of Goal Attainment. Patient is at
center and interacts with interpersonal group and societal systems. Nurse's role is to help patient
achieve mutually agreed on goals in all of the roles.
