A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk
The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
a. change agent, according to Roy's adaptation model.
b. translator, according to Leininger's theory of cultural care diversity and universality.
c. case manager, according to Peplau's interpersonal relations model.
d. caregiver, according to Rogers' science of unitary human beings.
ANS: A
Correct: In Roy's adaptation model, when the client incurs an insult that renders him or her in need of environmental modification, the nurse will be the change agent in assisting the individual with this adaptation.
Incorrect:
b. The role of translator is not needed. Leininger's theory of cultural care diversity and universality focuses on the concepts of diversity, universality, worldview, and ethnohistory, none of which is relevant in this situation.
c. Peplau's interpersonal relations model explores the interpersonal relationship between the nurse and the client and identifies the client's feelings as a predictor of positive outcomes related to health and wellness. In this acute situation, the case manager conceptual model in not as pertinent as the change agent model.
d. Rogers' science of unitary human beings theory is one in which the nurse, as caregiver, promotes synchronicity between human beings and their environment; it is not relevant to this acute situation.
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