Which of the following responses observed in a client recently diagnosed with lung cancer is most directly addressed by the Neuman System Model?
1. The client asks for a consult with the hospital clergy.
2. The client is observed crying after his family has left for the day.
3. The client asks for pictures of his children to be brought to him in the hospital.
4. The client is heard saying, "I trust my health team, and I'll do what they suggest."
ANS: 2
Examples of phenomena of nursing include caring, self-care, and client responses to stress. In the Neuman Systems Model (1995), phenomena include all client responses, environmental factors, and nursing actions. Crying is reflective of a client's response to stress to a second level need (Maslow's) and so is directly related to Neuman's model.
While consulting with clergy is reflective of a client need, it is higher on Maslow's hierarchy and so not the best option available.
While requesting family photos is reflective of a client need, it is higher on Maslow's hierarchy and so not the best option available.
The client stating that he/she will trust the health team is reflective of a client response, it is less reflective of a need and so not the best option available.
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