Modeling and Role Modeling Theory – 5 questions

Who came up with the Modeling and Role-Modeling Theory?
Helen C. Erickson, Evelyn M. Tomlin, Mary Ann Swain. (Erickson, Tomlin, Swain)

What is the Modeling Role-Modeling Theory of Nursing?
This is a grand theory encompassing mid-range theories based on philosophical beliefs and assumptions about people, environments, health and nursing.
It is an interpersonal and interactive theory of nursing that requires the nurse to assess (model), plan (role-model), and intervene (5 aims of intervention) on the basis of the client’s perspective of the world.

What are the Philosophical Assumptions?
Human consists of cognitive, biophysical, social, and psychological subsystems

What is the Philosophical Assumption for Humans?
They exist in a continual state of change.
Example: need for satisfaction, adaptation, and growth sequential development.

What is the Philosophical Assumption for Health?
a perception of well being. Good health successful Bad health failure

What is the Philosophical Assumption for Nurses?
Facilitate and interactive interpersonal relationship with the client.

What are the concepts of MRM?
-How people are alike
-How they differ from each
-What nurses do

What are the Similarities Among People?
-Holism
-Affiliated Individuation
-Attachment and Loss

What is the idea behind Holism?
that “HUMAN BEINGS” have multiple interacting subsystems including:
-genetic make up
-spiritual drive

What is Affiliated Individuation?
All people have instinctual drive to be accepted and dependent on support systems throughout life
AND also maintaining a sense of independence and freedom.

What is Attachment and Loss?
People have an innate drive to attach to objects that repeatedly meet their needs

People grieve the loss of any of these objects.

What are the Differences Among People?
Inherent Endowment
Model of the World
Adaptation

What is Inherent Endowment?
Genetic as well as prenatal and perinatal influences that affect health

What is Model of the World?
A person’s perspective of his or her own environment, based on past experiences, knowledge, state of life, etc.

What is Adaptation?
The way a person responds to stressors that is health and growth directed.

What’s Modeling process?
gaining an understanding of the client’s world from the client’s perspective

What’s the Role-Modeling process?
using that understanding of the client’s world from Modeling to plan interventions that meet the client’s perceived need and will assist the client to achieve holistic health

What is Role-Modeling based on?
the client’s worldview

What are the 5 Aims of Intervention?
Build Trust
Promote positive orientation
Promote perceived client control
Affirm and promote Client’s strengths
Set mutual health directed goals

What are the 3 Self Cares processes?
Knowledge, Resources, and Actions

The nurse receives report on 4 clients. Which client should the nurse see first? 1. Client admitted 12 hours ago with acute asthma exacerbation who needs a dose of IV methylprednisolone [21%] 2. Client admitted 2 days ago with congestive …

1. When formulating a definition of “health,” the nurse should consider that health, within its current definition, is: 1. The absence of disease 2. A function of the physiological state 3. The ability to pursue activities of daily living 4. …

A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse explain is the main reason for drinking alcohol in people with a long history of alcohol abuse? 1 They are …

A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion …

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