A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant
At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?
a. Mishel's uncertainty of illness
b. Orem's self-care deficit model
c. Nightingale's canons of nursing
d. Levine's conservation model
ANS: A
Correct: In Mishel's uncertainty of illness theory, the core position is that uncertainty in illness must be addressed. When uncertainties are not addressed, clients' negative perceptions will escalate and they will suffer. Nursing responsibility based on this theory consists of reframing the client's perceived loss of control, or uncertainty, and helping the client develop new skills of assimilation and accommodation.
Incorrect:
b. In Orem's self-care deficit model, nursing facilitates client self-care by measuring the client's deficit relative to self-care needs.
c. Nightingale's canons of nursing is an environmental adaptation theory.
d. Levine's conservation model identifies four conservation principles of client resources (energy, structural integrity, personal integrity, and social integrity).
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