ADAPTATION MODES 

 Tertiary Roles 
 are categories of behavior to adapt to stimuli  - related primarily to secondary roles and
 Can be used to determine a persons adaptation represent ways in which individuals meet their
level  role associated obligations 
 can be used to identify adaptive or ineffective - temporary in nature, freely chosen by the
response by observing a persons behavior in relation individual 
to the adaptive modes 
4. INTERDEPENDENCE MODE 
1. PHYSIOLOGICAL   focuses on close relationships which results to giving
 the way of a person as a physical being to a stimuli and receiving of love, respect, value, nurturing,
from the environment.  knowledge, skills, commitments, material
 Goal: Physiological Integrity  possessions, time & talents
 4 Physiologic Needs:  occurs between the person and the most significant
oxygenation, nutrition, activity, and rest & other or between the person and the support
protection  system 
 4 Complex process:   Goal: Affectional Adequate 
Senses, fluids, electrolytes & acid base
balance, neurologic function, endocrine GOAL OF NURSING IN RAM 
function   Promote adaptation in each of the four adaptive
modes 
2. SELF-CONCEPT- GROUP IDENTITY MODE
 focuses especially on the psychological & spiritual Points to Remember 
aspects of the human system   adaptive or ineffective responses result from the 4
Self-Concept  modes of coping mechanism 
- defined as the composite of beliefs & feelings about  Adaptive responses support the integrity of the
oneself at a given time and is formed from internal person and the goals of adaptation 
perception of others reaction   Ineffective responses neither promotes integrity nor
 Physical Self - body sensation and body image  contribute to the goals of adaptation 
 Personal Self - self consistency, self-idea,
moral ethical spiritual self Nursing Process 
Group Identity    a nursing solving approach for gathering data,
 reflects how people in groups perceive themselves identifying the capacities and needs of the human
based on environmental feedback  adaptive system l, selecting and implementing
 comprised of interpersonal relationships, group self- approaches for nursing care, and evaluation of the
image & culture  outcome of card provided 
 Goal: Psychological Integrity 
6 Steps in the Nursing Process 
3. ROLE-FUNCTION MODE  1. ASSESSMENT OF BEHAVIOR
 a role is a set of expectations about how a person - data gathered about the behavior of the person
occupying ones position behaves towards a person as an adoptive system in each of the adaptive
occupying another position.  modes 
 Goal: Social Integrity • Observable behaviors: Vital Signs 
 roles are carried out with both instrumental • Non-observable behavior: feelings
behaviors (the actual physical performance of a experienced by the person  
behavior) and expressive behaviors (are the feelings, 2. ASSESSMENT OF STIMULI 
attitudes, likes or dislikes that a person has about a - a stimulus is defined as any change in the
role or about the performance of a role  internal and external environment that includes
 Primary Roles  a response in the adaptive system. It is classified
- determines the majority of behaviors engaged as focal, contextual or residual. 
in by the person during a particular period of life - In this level of assessment, the nurse analyzes
(age, sex, developmental stage)  the subjective behaviors and look more deeply
 Secondary Roles for possible causes of a particular set of
- are those that a person assumes to complete behaviors. 
the task associated with a developmental stage 3. NURSING DIAGNOSIS 
and primary roles (husband & wife) - formulation of the statement that interpret data
about the adaptation on status of the person,
 including the behavior and the most relevant
stimuli. 
4. GOAL SETTINGS 
- establishment of clear statements of the
behavioral outcomes for nursing care which is
realistic and attainable. This is done together
with the client 
5. INTERVENTION 
- determination of how best to assist the person
in attaining the established goals 
6. EVALUATION 
- judging the effectiveness of the nursing
intervention in relation to the behavior after it
was performed in comparison with the goal
established. 

Not all beautiful is always good, but all good is always

beautiful 
There is a room for improvement and that is the biggest
room in the house