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NRN 202 Stuart Stres
CCAC NRN 202 Stuart Stress Adaptaion Model
Question | Answer |
---|---|
What does the Stuart Stress Adaptation Model include? | biological, psychological, sociocultural, environmental, and legal-ethical aspects |
What is the first assumption of the Stuart Model? | Nature is ordered as a social heirarchy from the simplest to the most complex. |
What is the second assumption? | Nursing care is provided within a biological, psychological, sociocultural, environmental, and legal-ethical context. |
What is the third assumption? | Health/illness and adaptation/maladaptation are tow distinct continuums. |
What is the basis of the health/illness continuum? | Medical |
Where does the adaptation/maladaptation come from? | Nursing world view |
What is the fourth assumption? | The model includes the primary, secondary, and tertiary levels of prevention by describing four discrete stages of psychiatric treatments |
What are the four stages of psychiatric treatment? | crisis, acute, maintenance, and health promotion |
What is the fifth assumption? | It is based on the use of the nursing process and the standards of care and professional performance for psychiatric nurses |
What are the 6 indicators of mental health? | positive attitude toward self, growth, development, and self-actualization, integration, autonomy, reality perception, environmental mastery |
Explain positive attitude toward self | person have objectivity about self, realistic aspirations, sense of identity, wholeness, belongingness, security, and meaningfulness |
What is integration? | balance between what is expressed and what is repressed, between outer and inner conflicts |
What does autnomy involve? | self-determination |
What is reality perception? | The ability of the individual to test assumptions about the world by empirical thought |
What percentage of all people age 18 or older have had a psychiatric or substance abuse disorder in their lifetime? | 50% |
Give an example of biological predisposing factors | genetic background, nutritional status, biological sensitivities, general health, exposure to toxins |
Give an example of psychological predisposing factors | intelligence, verbal skills, morale, personality, past experiences, self-concept, motivation, psychological defenses, locus of control, sense of controling one's own fate |
Give an example of sociocultural predisposing factors | age, gender, education, income, occupation, social position, cultural background , religious upbringing and beliefs, political affiliations, socialization experiences, and level of social integration or relatedness |
What are precipitating stressors? | stimuli that are challenging,threatening or demanding to the individual. |
Which has a greater effect on a person's moods and health: small daily hassles or strains or major misfortunes? | small daily hassles or strains |
What is the nursing goal for Crisis stage? | stabilization of the patient |
What does the nursing assessment focus on with a person in the Acute stage? | the patient's symptoms and maladaptive coping responses |
What is teh nursing expected outcome of care in the Maintenance stage? | improved patient functioning |
What are nursing interventions directed toward in the Health Promotion stage? | inspiring and validating the patient |