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TFN MIDDLE RANGE > Middle Range > Flashcards

Middle Range Flashcards

1
Q

Middle Range Theory if the purpose of the work is to?

A

Describe, explain, predict concrete and specific phenomena

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2
Q

What are the steps in making the Middle Range Theory?

A

Create the conceptual model
Derive the middle range theory
Identify empirical indicators
Identify empirically testable hypotheses

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3
Q

What are the four kinds middle range theories?

A

Descriptive
Explanatory
Predictive
Prescriptive

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4
Q

Middle range theory is supported strongly by?

A

empirical data

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5
Q

According to Ramona T. Mercer, Maternal Role Attainment Theory is a framework to provide appropriate health care interventions for __________ in order for them to successfully adopt a strong ________

A

nontraditional mothers
maternal identity

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6
Q

What are the major components of a mothering role?

A
  1. Attachment to the infant
  2. Gaining competence in mothering behaviors
  3. Expressing gratification in maternal-infant interactions
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7
Q

Ramona T. Mercer borrowed its theory from?

A

Transition Theory

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8
Q

Mercer stated that a woman who becomes a mother should do the following?

A

Recognizing the permanency of the required change
seek out information
seek role models
test herself for competency

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9
Q

What are the four stages of Acquisition in the Maternal Attainment theory?

A

Anticipatory STAGE
formal STAGE
informal STAGE
personal STAGE

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10
Q

The __________ also occurs and increases with infant development and maternal role identity

A

Father’s role identity

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11
Q

The ________ of mother, father (or significant other) and infant is an important concept added to the larger model

A

interaction

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12
Q

This stage begins during pregnancy and includes SOCIAL and PSYCHOLOGICAL ADJUSTMENTS to pregnancy

A

Anticipatory Stage

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13
Q

In anticipatory stage, expectations of the ________ are explored

A

maternal role

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14
Q

What happens in the first two weeks after giving birth?

A

acquaintance, practice, and physical restoration

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15
Q

This stage begins with the birth of the infant and includes recovery from birth

A

Formal Stage

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16
Q

In this stage the woman learns from others in the role or from professionals and replicates their behavior

A

Formal Stage

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17
Q

This stage begins as the woman structures MATERNAL ROLE to fit herself based on the past experiences and future goals

A

Informal Stage

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18
Q

What happens after 2 weeks to 4 months after giving birth?

A

Approaching normalization

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19
Q

In informal stage, woman learns ________ and develops her own unique style of mothering

A

infant cues

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20
Q

What happens after 4 months and beyond of giving birth?

A

integration of maternal identity

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21
Q

This stage begins as the woman integrates 1.______ into her 2. ______, internalizes the role, and views herself as a 3. _________

A
  1. mothering
  2. self-system
  3. competent mother
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22
Q

What is the last stage of maternal attainment?

A

Personal stage

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23
Q

What happens before or during giving birth?

A

commitment and preparation pregnancy

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24
Q

is an interactional and developmental process occurring overtime in which the mother becomes attached to her infant, acquires competence in caretaking tasks involved in the role, and express pleasure and gratification in the role.

A

Maternal role attainment

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25
Q

is defined as having an internalized view of the set as a mother

A

Maternal Identity

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26
Q

is the woman’s perception of her performance during labor and birth

A

Perception of birth experience

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27
Q

is the individual’s perception of how others view oneself and self acceptance of the perceptions

A

Self-esteem

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28
Q

1.it is the overall perception of self
2. this may include?

A
  1. Self-concept
  2. self-satisfaction, acceptance, esteem, congruence or discrepancy between self and ideal self
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29
Q

are maternal attitudes or beliefs about child rearing

A

Child-rearing attitude

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30
Q

It refers to mother’s and father’s perception of their prior health, current health, health outlook, resistance-susceptibility to illness, health worry concern, sickness orientation and rejection of the sick role

A

health status

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31
Q

It is a trait in which there is a specific proness to perceive stressful situations as dangerous or threatening, and as a situation-specific state

A

Anxiety

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32
Q

refers to the individuals view of the activities and relationships between the family and its subsystems and broader social units

A

family functioning

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33
Q

contributes to the process of maternal role attainment in a way that cannot be duplication by any other person

the interaction helps diffuse the tension and facilitate maternal role attainment

A

Father or intimate partner

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34
Q

is the perception of the mate including intended and actual values, goals, agreements between the two

A

Mother-father relationship

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35
Q

The ________ of the infant develops within the EMOTIONAL FIELD of the parent’s relationship

A

maternal attachment

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36
Q

According to Ramona T. Mercer’s Maternal Role Attachment theory, nursing is a dynamic profession with three foci, what are these?

A
  1. health promotion and prevention of illness
  2. providing care for those who need professional assistance to achieve their optimal level of health and functioning
  3. research to enhance knowledge base for providing excellent nursing care
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37
Q

Person is also referred as?

A

self or core self

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38
Q

The _______ evolves from a cultural context and determines how situations are defined and shaped.

A

core self

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39
Q

What are the important factors in attainment of maternal role?

A

self-esteem and confidence

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40
Q

Is both influential and is influenced by both of them

A

mother

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41
Q

FAMILY HEALTH STATUS is affected negatively by?

A

antepartum stress

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42
Q

The ecological interacting environment in which maternal role attainment develops

A

environment

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43
Q

Based on Mercer’s Maternal Role attainment theory, it states that the devlopment of the roles lf the person cannot be considered apart from the environment, rather, there is 1. ________ between developing person and the changing properties of the 2. _________

A
  1. mutual accommodation
  2. immediate settings
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44
Q

Who is the theorist who developed the Uncertainty of Illness Theory?

A

Merle H. Mishel

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45
Q

Merle H. Mishel created the scale for testing?

A

Perceived Ambiguity in Illness or Mishel Uncertainty in Illness Scale

46
Q

Differentiate original vs. reconceptualized uncertainty in illness theory

A

Original- applicable to acute illnesses
Reconceptualized- applicable with chronic illness

47
Q

What are the major concepts of uncertainty in illness theory (original)?

A

1.antecedents and uncertainty
2. appraisal of uncertainty
3. coping with uncertainty

48
Q

What are the concepts under the antecedent and uncertainty?

A

stimuli frame
cognitive capacity
structure provider

49
Q

inference or illusion, valuing uncertainty as a danger or opportunity

A

appraisal of uncertainty

50
Q

mobilizing strategies and control situations when uncertainty is regarded as ______

A

danger

51
Q

______ strategies when uncertain is regarded as opportunity

A

building

52
Q

What are the major concepts under reconceptualized uncertainty in Illness Theory?

A

Self-Organization
Formation of a New Life Perspective

53
Q

Prior life experience, physiological status, social resources, health care provided

A

Formation of New Life Perspective

54
Q

How many items are there in Ambiguity in Illness Scale?

A

33 items

55
Q

The Mishel Uncertainty in Illness Scale has been revised for specific population such as?

A

community dwelling adults (23 items)
cancer survivors (22 items)
children and adolescent (22 items)
parents of hospitalized children (31 items)
5 item short form for adults

56
Q

What year is the Uncertainty in Illness published and revised?

A

1988 -published
1990- revised

57
Q

What concepts are under the stimuli frame?

A

S-ymptom pattern
E-vent familiarity
E-vent congruence

58
Q

What concepts are under the structure provider?

A

education
social support
credible authority

59
Q

What is the Theory of Pamela Reed?

A

Self-Transcendence Theory

60
Q

She has developed a middle range theory on Self-Transcendence

A

Pamela Reed

61
Q

A human development theory which is particularly relevant to persons who are experiencing significant life events such as 2. _______

A
  1. Self Transcendence
  2. end-of-life
62
Q

Pamela Reed used 1.___________ for adult social-cognitive and translersonal development to reformulate this mid range theory by applying 2. __________ conceptual system that describes the unitary human beings

A
  1. life span developmental psychology
  2. Principles of Martha E. Roger
63
Q

What are he three sources of Self-Transcendence Theory?

A
  1. Physical growth and mental development ended at adolescence
  2. Early work of nursing theorist Martha E. Rogers three principles of homeodynamics
    a. disequilibrium between person and environment as an important trigger of development
  3. transforming old perspective and behaviors, and integrating new views and activities
64
Q

The three principles of homeodynamics were congruent with the key principles of the ?

A

evolving Life Span Developmental Theory

65
Q

What are the three main concepts of Self-Transcendence Theory?

A
  1. Vulnerability
  2. Self-Transcendence
  3. Well-being
66
Q

refers to the awareness of mortality, which results from processes lf aging an dother phases across an individual’s life span

A

Vulnerability

67
Q

Awareness of one’s personal mortality

A

Vulnerability

68
Q

shows changes in the observed boundaries, which extends an individual beyond their immediate and defined points of view of self and environment

A

Self-Transcendence

69
Q

refers to the ________ that extends the person beyond the immediate and constricted views of self and the worlds

A

fluctuation of perceived boundaries

(SELF TRANSCENDENCE)

70
Q

The fluctuation of perceived boundaries are?

A

Pandimensional

71
Q

The fluctuation of perceived boundaries that is towards others and the environment

A

outward

72
Q

The fluctuation of perceived boundaries that is toward greater awareness of one’s own beliefs, values, and dreams

A

inward

73
Q

The fluctuation of perceived boundaries that is towards integration of past and future that enhances the relative present

A

temporal

74
Q

is associated with general health and feeling of wholeness

A

well-being

75
Q

Give the application of self-transcendence

A

well-being and mental health across lifespan
spirituality at end of life
moral distress
ethical concerns of frontline caregivers and terminally ill individuals

76
Q

What is the theory of Katharyn Kolcaba?

A

Theory of Comfort

77
Q

Patient comfort exists in three forms, what are these?

A

relief
ease
transcendence

78
Q

Patient comfort can have four contexts, what are these?

A

physical
psychospiritual
environmental
sociocultural

79
Q

the state of patient who has had a specific need met

A

relief

80
Q

the state of calm and contentment

A

ease

81
Q

the state in which one rises above one’s problems or pain

A

transcendence

82
Q

pertains to bodily sensation

A

physical

83
Q

refers to internal awareness of self, including esteem, concept, sexuality, and meaning in one’s life; ones relationship to a higher being

A

psychospiritual

84
Q

pertaining to the external surroundings, conditions, and influences

A

environmental

85
Q

pertains to interpersonal, family, and societal relationships

A

social

86
Q

is an antidote to the stressors inherent in health care situations today, and when comfort is enhanced, patients and families are strengthened for the tasks ahead.

A

comfort

87
Q

is based on a value system oriented to the recipients of care

A

institutional integrity

88
Q

To improve the quality of life and achieve peaceful end of life of terminally ill patients, related to the nursing interventions and specific results for this group of patients

A

Peaceful End of Life Theory

89
Q

Who is the student: Cornelia or Shirley?

A

Cornelia

90
Q

What are the 5 outcome indicators of Peaceful end of life theory?

A
  1. not being in pain
  2. experience of comfort
  3. experience of dignity and respect
  4. being at peace
  5. closeness to significant others
91
Q

is considered as an unpleasant sensory or emotional experience associated with actual or potential tissue damage

A

pain

92
Q

relief from discomfort

A

experience of comfort

93
Q

this concept incorporates the idea of personal worth

A

experience of dignity and respect

94
Q

individuals should be treated as _______ and persons with diminished autonomy are entitled to _____

A
  1. autonomous agents
  2. protection
95
Q

involves the feeling of calmness, harmony, and contentment

A

being at peace

96
Q

a connection, physical or emotional to the caring individuals important to and involved in patient care

A

closeness to significant others

97
Q

Who developed the theory of Caring?

A

Kristen M. Swanson

98
Q

is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility

A

caring

99
Q

is striving to understand the meaning of an event in the life of the other, avoiding assumptions

A

knowing

100
Q

means being emotionally present to the other

A

being with

101
Q

means to do for others what one would for self if at all possible

A

doing for

102
Q

is facilitating the other’s passage through life transitions and unfamiliar events by focusing on the event, informing, explaining, supporting, validating feelings, generating alternatives, thinking things through, and giving feedback

A

enabling

103
Q

is sustaining faith in the other’s capacity to get through an event or transition and face a future with meaning

A

maintaining belief

104
Q

Kristen Swanson defined _____ as an informed caring fir the well-being of others

A

nursing

105
Q

are unique beings who are in the midst of becoming and whose wholeness is made manifest in 2-4 ______

A

person

  1. thoughts
  2. feelings
  3. behaviors
106
Q

to live the subjective meaning filled experience of wholeness (Kristen M. Swanson)

A

health

107
Q

involves sense of integration and becoming wherein all facets of being are free to be expressed

A

wholeness

108
Q

According to the Theory of comfort, environment is ?

A

situational

109
Q

any context that influences or is influenced by the designated client

A

environment

110
Q

What are the facets of being that makes us humans?

A

spirituality
thoughts
feelings
intelligence
creativity
relatedness
femininity and masculinity
sexuality

111
Q

Person is _________ yearning to be connected with others and spiritual beings

A

dynamic
growing
self-reflecting

112
Q

nursing discipline is informed by _______ from nursing and related disciplines

A

empirical indicators

TFN MIDDLE RANGE (2 decks)

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