A nurse practitioner caring for a diabetic patient thinks the patient could gain better control of the diabetes if the patient lost weight
After assessing the patient's perception of weight loss, role, stresses, and support systems, the nurse and patient establish the goal of losing 5 pounds in a month. The nurse could be basing care on the conceptual model of
a.
Johnson.
b.
King.
c.
Orem.
d.
Roy.
ANS: B
A
Johnson's model describes the person as a behavioral system that is an organized and integrated whole of seven distinct behavioral subsystems. According to Johnson, nursing is an activity that helps the person achieve and maintain an optimal state of health through the manipulation and regulation of the environment.
B
King focused on goal attainment for and by the patient. King's interacting systems form a framework to view whole persons in their family and social contexts.
C
Orem's model focuses on the patient's self-care capacities and the process of designing nursing actions to meet the patient's self-care needs. The nurse prescribes and regulates the nursing system on the basis of the patient's self-care deficit, which is the extent to which the patient is incapable of providing effective self-care.
D
Roy focused on the individual as a biopsychosocial adaptive system and described nursing as a humanistic discipline that emphasizes the person's adaptive abilities.
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