Orem Model

Question 1

What is the maslow’s hierachy of needs components

Answer 1

1. Physiological needs (water, food, shelter…)
2. Safety and security (health, employment, social ability…)
3. Love and belonging (friendship, family, intimacy…)
4. Self-esteem (confidence, respect, being unique…)
5. Self-actualization (morality, meaning, acceptance…)

Question 2

Diff between adaptive/non adaptive self care

Answer 2

Adaptive : good
Non adaptive: bad
Ex meditation vs smoking

Question 3

What is the nurse’s role according to orem

Answer 3

Maximize self-care ability

Question 4

Everyone is diff meaning what for self care

Answer 4

Everyone has individualized care

Question 5

What are the aspects of a “person”

Answer 5

Physical, social, physiological

Question 6

4 types of environment

Answer 6

Physical, chemical, biological, social

Question 7

Why is environment important to awknowledge

Answer 7

Think about how it affects self care

Question 8

What is health

Answer 8

State of physical, mental and social well being, meeting the self care requirements

Question 9

What to take into account for individualized care

Answer 9

Health history, universal needs, maturational needs, situational needs, health deviation needs, developmental stage

Question 10

Which erickson stage will it be for elders

Answer 10

Integrity vs despair

Question 11

What are situational needs

Answer 11

Requirements that arise after specific event that can adversely affect development (car accident, job loss…)

Question 12

Health deviation =

Answer 12

Illness

Question 13

For patients with illness how can they maximize self care

Answer 13

1. Understand diagnosis/treatment
2. know when to seek help
3. Know how to deal with harmful effects
4. Learn how to make lifestyle changes

Question 14

Significant vs abnormal data

Answer 14

Sig : age, spoken language…
Abnormal : rarely drinks, dark yellow urine, …

Question 15

How to make action demand statement

Answer 15

Collect abnormal/significant data, analyse it and determine what needs improvement, formulating “action demand statement “

Question 16

How to determine self care deficit

Answer 16

If self care demands are higher than self care abilities

Question 17

What needs to be taken into account for self care capability of patient

Answer 17

Knowledge, skill, motivation

Question 18

Once you determine why patient has self care deficit you can formulate a

Answer 18

Self care deficit statement

Question 19

Determining nursing orders (after stating nursing goal) :

Answer 19

Specify which actions you will perform to reach goal (ex: time for lessons, create teaching plan, ask pt to verbalize his knowledge)

Question 20

After setting goal you need to

Answer 20

Determine actions (nurse’s and pt’s), implement orders, evaluate

Question 21

Orem’s definition of nursing

Answer 21

1. Unique field of knowledge and action
2. Intervention to meet required need for self care and medical care of pt
3. Orem is a “needs”-based model