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Nursing Now, Chapter 3:
1. Define Theory and model
a. Model: a hypothetical representation of something that exists in reality
b. Theory: a formulation or statement of a relationship that helps explain some
observable phenomenon
2. Why are theories important in nursing?
a. It explains apparent relationships between observed behaviors and their effects on a
client’s health
3. What are the 4 key concepts that nursing theories define?
a. Client, Health, Environment, Nursing
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i. Client: Client is the recipient of nursing care
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ii. Health: A continuum from a health state to an unhealthy state
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iii. Environment: Living conditions, relationships, religion, personality, air and
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water quality
iv. Nursing: The role of nursing in their relationships with clients that can affect
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the client’s health
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4. Know the General Systems Theory (open systems and closed systems)
a. A theory that focuses on a unit includes a bunch of components that act together as a
whole. When one part fails, it interrupts the whole unit.
5. Know the Orem Self-Care Model
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a. A model that states a patient is responsible for their own self-care. Aimed at helping
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carry out activities that help to maintain or improve health.
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i. Role: To help clients conduct self-care activities to reach the highest level of
human functioning.
6. Know the King Model
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a. Nurse and client jointly evaluate and identify health care needs and how to fulfill
them.
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b. A model that has a holistic approach and focuses on the whole person. Spiritual beliefs
are an essential element of health. Client should achieve inner state of harmony.
7. Know the Watson model of Human Caring
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a. It is to help the client reach the greatest potential
8. Know the Neuman Health-Care Systems Model (including stressor and levels of intervention)
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a. It focuses on the individual and his or her environment. Inside the environment are
stressors
i. Extrapersonal- Physical or sociological
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ii. Interpersonal- interactions with other beings
iii. Intrapersonal- occur within the client
b. Primary- prevent systems that could be caused by environmental stressors
c. Secondary- Treating symptoms that have already been produced
d. Tertiary- Restore the clients to an optimal state of balance by adapting to the stressors;
recovery
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, e. Identify stressors that will or already have disrupted the clients defensive boundary
9. Know what Middle Range Theories are
a. A set of concepts that lie between a minor working hypotheses found in everyday
nursing research and a well-developed nursing theory. Evidence based practice
depends on this type of research.
Nursing Now , Chapter 6:
1. Define: Values, morals, laws, and ethics. Ethical code, ethical dilemma, ethical accountability,
euthanasia, autonomy, beneficence, nonmaleficence, justice, fidelity, veracity, advance directive,
living will, durable power of attorney for health care, abandonment
a. Values: ideals or concepts that give meaning to an individual’s life
b. Morals: fundamental standards of right and wrong that an individual learns and
internalizes
c. Laws: rules of social conduct made by humans to protect society and are based on
fairness and justice. It is to promote peace and prevent citizens from infringing on the
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rights of others.
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d. Ethics: declarations of what is right or wrong and of what out to be. A set of values and
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beliefs
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e. Ethical Code: a written list of values and standards of conduct
f. Ethical Dilemma: A situation that one is required to choose between two rights
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g. Ethical Accountability: to be answerable to oneself or others for actions
h. Euthanasia: painless killing of a patient that is suffering from fatal disease
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i. Autonomy: the right of self-determination, independence, and freedom. A client’s right
to make health care decisions
j. Beneficence: primary goal of health care is to do good for clients while under your care.
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Holistic approach. It can be difficult to implement and determine what is good and who
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can make the best decision about what is good.
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k. Nonmaleficence: health care providers should do no harm to their clients, either
intentionally or unintentionally. This includes protecting patients from harm that cannot
protect themselves.
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l. Justice: the obligation to be fair to all people. Includes distributive justice- right to be
treated equally regardless of race, religion, etc.
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m. Fidelity: to be faithful to commitments made to oneself or others. In health care, it is the
professional’s faithfulness to agreements and responsibilities accepted as part of the
practice.
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n. Veracity: the principle of truthfulness. Can be difficult when telling the truth would harm
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client’s ability to recover.
o. Advance Directive: A provision for healthcare if patient is unable to do it. Two examples:
Living will, DPOAHC
p. Living Will: A formal written document that expresses the patient’s wishes when it
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comes to the extent of treatment in case of severe illness.
q. Durable Power of Attorney for Health Care: this is a durable power of attorney for
healthcare. Patients can designate a person to make decisions for them and if and when
they cannot do it for themselves.
r. Abandonment:
2. Know the process used in ethical decision making
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