Calista Roy - Adaptation Model

Question 1

A set of units so related or connected as to form a unity or whole and characterized by inputs, outputs, and control and feedback processes

Answer 1

System

Question 2

A constantly changing point, made up of focal, contextual and residual stimuli, which represent the person’s own standard of the range of stimuli to which one can respond with ordinary adaptive responses

Answer 2

Adaptation Model

Question 3

What are the 3 Levels of Adaptation

Answer 3

Integrated Process
Compensatory Process
Compromised Process

Question 4

The various modes and subsystems meet the needs of the environment. These are usually stable processes (e.g., breathing, spiritual realization, successful relationship)

Answer 4

Integrated Process

Question 5

The cognator and regulator are challenged by the environment’s needs but are working to meet the needs (e.g., grief, starting with a new job, compensatory breathing)

Answer 5

Compensatory Process

Question 6

The modes and subsystems are not adequately meeting the environmental challenge (e.g., hypoxia, unresolved loss, abusive relationships)

Answer 6

Compromised Process

Question 7

What are the 3 Stimulis

Answer 7

Focal Stimulus
Contextual Stimuli
Residual Stimuli

Question 8

the degree of change or stimulus most immediately confronting the person and the one to which the person must make an adaptive response, that is, the factor that precipitates behavior

Answer 8

Focal Stimulus

Question 9

all other stimuli present that contribute to the behavior caused or precipitated by the focal stimuli

Answer 9

Contextual Stimuli

Question 10

factors that may be affecting behavior but whose efforts are not validated

Answer 10

Residual Stimuli

Question 11

What are the 2 Subsystems

Answer 11

Regulator
Cognator

Question 12

subsystem coping mechanism which responds automatically through neural- chemical-endocrine processes.

Answer 12

Regulator

Question 13

subsystem coping mechanism which responds to complex processes of perception and information processing, judgment, and emotion.

Answer 13

Cognator

Question 14

What are the 2 Reponses

Answer 14

Adaptive
Ineffective

Question 15

responses that promote integrity of the person in terms of goals of survival, growth, reproduction, and mastery

Answer 15

Adaptive Responses

Question 16

responses that do not contribute to adaptive goals, that is, survival, growth, reproduction, and mastery

Answer 16

Ineffective Responses

Question 17

What are the 4 Adaptive Modes

Answer 17

Physiological
Self-Concept
Role Performance
Interdependence

Question 18

involve the body’s basic needs and ways of dealing with adaptation in regard to fluid and electrolytes; exercise and rest; elimination; nutrition; circulation and oxygen; and regulation, which includes the senses, temperature and endocrine regulation

Answer 18

Physiological Mode

Question 19

the composite of beliefs and feelings that one holds about oneself at a given time. It is formed from perceptions, particularly of other’s reactions, and directs one’s behavior. (physical self and personal self)

Answer 19

Self-Concept Mode

Question 20

role function is the performance of duties based on given positions in society

Answer 20

Role-Performance Mode

Question 21

involves one’s relations with significant others and support systems. In this mode one maintains psychic integrity by meeting needs for nurturance and affection

Answer 21

Interdependence Mode

Question 22

A nurse’s role in the Adaptation Mode is to

Answer 22

manipulate stimuli by removing, decreasing, increasing, or altering stimuli so that the patient

Question 23

What is the Six-Step Nursing Process (A A M S I E)

Answer 23

1. Assess the behaviors manifested from the four adaptive modes.
2. Assess the stimuli, categorize them as focal, contextual, or residual.
3. Make a statement or nursing
   diagnosis of the person’s adaptive state.
4. Set a goal to promote adaptation.
5. Implement interventions aimed at managing the stimuli.
6. Evaluate whether the adaptive goal has been met.