A community health nurse is working with a variety of clients and decides to use a systems theory approach to help them to meet their health care needs. When using systems theory, on which of the following should the nurse focus?

a. The client's interaction with his or her environment
b. The hierarchy of the client's human needs
c. The client's attitudes toward health behaviours
d. The response of the client to the process of growth and development


A

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A According to systems theory, a system is made up of parts that depend on one another, are interrelated, share a common purpose, and together form a whole. A client's interaction with the environment is an example of an open system. The nurse understands that factors that change the environment also can have an impact on the system.
B Maslow's hierarchy of human needs is an interdisciplinary theory useful in planning individualized care.
C Determining a client's attitudes toward health behaviours follows a health and wellness theoretical model.
D Focusing on the response of a client to the process of growth and development is consistent with developmental theories.

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