Chapter 1-2 Flashcards
Cognator
Thinker
_______ involves physiologic processes such as chemical, neurologic, and endocrine that help cope with changing environment (ie. Adrenaline when scared)
Regulator
Three levels of adaptation?
integrated, compensatory, compromised
Level of adaptation wherein structures and functions meet human needs.
Integrated
Level of adaptation where cognator (thinker) and regulator (physio) have been activated due to a challenge. An attempt to integrate life processes; taking action.
Compensatory (compensation)
Responses can be adaptive or ineffective. They are considered appropriate or ____ ____.
inappropriate affect.
When cognator (thinker/feeler) uses conscious awareness and choice to create human and environmental integration.
Adaptation. Uses all processes to adapt to change or challenge.
Roy’s theory is a ____ range theory?
Middle
internal and external; Physical and social; human affected by, and in turn, affect the world around and within. Considered Stimuli
environment
focal, contextual and residual.
stimuli
Stimuli when an object or event is most present in consciousness.
focal
Adds to the focal stimuli; environmental factors that change how one adapts. Can be identified as affecting the situation.
Examples: humidity added to a hot day makes heat less tolerable.
It can be validated by observing machines or even a person’s reaction (such as fear response).
contextual
Stimuli with effects that are unclear. The person may not be aware of the effect of residual. Not Validated. Cannot be observed. Possible unconscious.
Examples: A person is terrified of thunder…they forgot about the time they were lost in the woods during a thunderstorm.
Residual
Health care profession that focuses on the life processes and patterns of people with a commitment to promote health and full life-potential for individuals, families and groups.
Nursing
WHen compared to a grand theory, this one is narrower and derived from earlier works and grand theories.
middle range theory
Who’s theory promotes environmental conditions to act on the person?
Nightingale
Who’s theory is based on self-care (help people meet their own and dependent others’ self-care needs)
Orem
This theorist developed a model which helps people maintain or regain their well-being by using cultural presevation.
Leininger
Promotes adaptation for individuals in the four adaptive modes; contributing to health, quality of life and dying with dignity..
Roy
Five Essential elements of nursing
- “Person”
Description of individual or group receiving care - environment
- Definition of health
- goal of nursing
- Delineation (portraying precisely) of approaches to reach the goal of nursing (what model you use).
Stimuli and adaptation level serve as input to human adaptive systems. Processing input through control processes results in an output called _________ responses.
Behavioral
Actions or reactions under circumstances (changes, challenges, etc), which may be internal or external
behavior (output)
Behaviors/outputs that are adaptive, ineffective and maladaptive are ______ mechanisms.
coping mechanisms
T or F: The concern in behavior is whether the behavior is adaptive or ineffective.
True
T or F Observing the behavior is the key in assessment and intervention for nurses.
True
behaviors that promote integrity of the system in terms of adaptation.
adaptive response
Does not promote the integrity nor contribute to goals of adaptation. Could lead to death in some situations.
Ineffective response
Events that provoke a response; influencing factors presumed to have an affect.
stimuli
Can be internal or external
Level of adaptation wherein integrated and compensatory systems are now inadequate and now adaptation becomes a problem.
Compromised
Innate or acquired ways of responding to change in environment (challenge)
Coping Process/Control
Young girls acquired cutting to deal with emotions.
Innate is a common natural reaction such as adrenaline.
This subsytem responds automatically through physio systems (neural, chemical and endocrine).
Regulator Subsystem
This subsystem responds through four cognitive channels
cognator subsystem
What are the four cognitive emotive channels?
- perceptual and info processing
- learning
- judgment
- emotion
Four Adaptation modes are:
Hint: PSIR
- Physiologic Mode
- Self Concept Mode
- Interdependence Mode
- Role Function
Process leads to an integrated whole. When a person has met the goal of being an integrated whole and adapts.
health
There are 9 components of the physiological mode. What are the two subgroups?
5 basic needs:
1. oxygen 2. nutrition 3. rest 4. activity 5. protection
4 complex processes:
- Food and Electrolytes
- Acid/base
- Neuro
- Endocrine
What are the 5 basic needs in the physiologic mode? ONRAP
5 basic needs:
1. oxygen 2. nutrition 3. rest 4. activity 5. protection
elimination included in book. rest and activity are one.
What are the 4 complex processes of the physiologic mode? FEABNE
4 complex processes:
- Fluid and Electrolytes
- Acid/base
- Neuro
- Endocrine
Self concept mode has 2 components. What are they?
Hint: Need is psychic and spiritual.
Physical Self - body sensations (how do you feel? cold/hot) and image (how do you think you look?)
Personal Self - Self consistency, Self-ideal, Spiritual-Self (moral, ethic)…Who do I want to be?
What is the role Function mode? Hint: need is social integrity.
The role that an individual occupies in society. Primary, secondary tertiary. Think of lifespan, roles we play/society expectations.
What is the name of the mode that is related to relationships of individuals and groups and focuses on interactions related to the giving and receiving of support, love, respect? Need is relational integrity.
Interdependence mode.
The goal of nursing in the RAM is to promote ______ ; thereby, contributing to health, quality of life or dying with dignity.
adaptation
