Exam 1: Betty Neuman’s Theory – Flashcards
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What are the two main themes (concepts) of Neuman's Theory?
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-Stress -Reaction to Stress
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What are the 4 components of Neuman's Theory?
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1. Client and 5 Variables 2. Health 3. Nursing and Levels of Intervention 4. Environment and Stressors
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What is a Client?
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A system comprised of 5 interacting variables
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What are the 5 variables that make up a client?
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1. Physiological 2. Psychological 3. Spiritual 4. Sociocultural 5. Developmental
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Physiological
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body structure and function
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Psychological
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mental processes and relationships
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Spiritual
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spiritual beliefs/ influences, essence of life
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Sociocultural
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combined social and cultural functions
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Developmental
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life age related processes and activities
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What are the basic structural components of a client for survival?
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1. Normal Temp. Range 2. Genetic Structure 3. Response Pattern 4. Organ Strength 5. Weakness 6. Ego Structure 7. Knows or Commonalities
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What is Health?
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Optimal system stability or state of wellness at a given time. (Dynamic and on a continuum.
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System needs are fully met when there's...
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~wellness ~stability ~negentrophy
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System needs are not fully met when there's...
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~illness/ death ~instability ~entrophy
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What is Nursing?
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The major concern is to help patient to attain, maintain and retain system stability
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What are the levels of prevention?
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-Primary -Secondary -Tertiary
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Primary Prevention
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(Retain) -Risk Prevention -Occurs before system reacts to the stressor ~Focus on strengthening the flexible line of defense ~Includes health promotion and maintenance of wellness
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Secondary Prevention
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(Attain) -Facilitate return to wellness -Occurs after system reacts to stressor -Focus on strengthening the internal line of defense -Includes all activities to help a person reconstitute
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Tertiary Prevention
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(Maintain) -Regain or return to wellness state -Occur after the system has been reconstituted -Focus on maintaining wellness or protect client by supporting existing strength (lines of resistance/defense) -Includes rehab and health promotion
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What is environment?
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All internal and external factors or influences that surround the client or client system
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Effects of stressors depends on what?
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-Strength -# -Clients ability to protect against it
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Internal Environment Stressors (one type)
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Intrapersonal: Events within the client that threaten the system stability.
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External Environment Stressors (two types)
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Interpersonal: Events that are outside the client but in close proximity that threatens the system stability. Extrapersonal: Events that are outside the clients but at a distance that threatens the system stability.
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What are the Lines of Resistance?
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-Processes which become activated when the normal lines of defense are invaded by environmental stressors. Help maintain stable state in system. Death may occur if ineffective.
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What are the Lines of Defense? (two types)
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Normal Lines of Defense -processes and structures that maintain system stability -activated when a stressor invades the flexible line of defense. Flexible Lines of Defense -processes and structures that are first in line to protect the client system -used to help maintain normal state and improve state of wellness -dynamic and may be altered by inadequate nutrition, lack of sleep, hormones and degree of comfort -Thought of as buffer or cushion -Accordion like