Professional Documents
Culture Documents
1. Nursing's con- "man's need for self-care action and the pro-vision and
cern management of it on a continuous basis in order to sus-
tain life and health, recover from disease or injury, and
cope with their effects"
10. Self-care implies that when they are able, individuals care for them-
selves.
11. Nursing According to Orem, this has as its special concern man's
need for self-care action and the provision and mainte-
nance of it on a continuous basis in order to sustain life
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and health, recover from disease and injury, and cope
with their effects.
16. Dependent care person other than the individual who provides the care
agent (such as a parent)
18. Self-care requi- the actions and measures used to provide self-care
sites
22. Health Deviation needs resulting from illness, injury and disease or its
treatment. These include actions such as seeking health
care assistance and taking prescribed medications
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23. Self-care deficit is the central focus of Orem's Grand Theory of Nursing
theory
27. Self-Care Deficit explains why nursing is needed and describes and ex-
Theory plains how people can be helped through nursing
28. Self-Care Deficit results when the self-care agency (patient) can't meet
Theory her/his self-care needs or administer self-care
32. Wholly compen- patient' self care agency is so limited that s/he depends
satory on others for well-being
33. Partly compen- a patient can meet some self-care requisites but needs a
satory nurse to help meet others
34. Supportive-ed- a patient can meet self-care requisites but needs help in
ucative decision-making, behavior control, or knowledge acquisi-
tion
35.
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theory of which describes why and how people care for them-
self-care selves.
36. theory of depen- which explains how family members and/or friends pro-
dent-care vide dependent-care for a person who is socially depen-
dent
37. theory of which describes and explains why people can be helped
self-care deficit through nursin
38. theory of nursing which describes and explains relationships that must be
systems brought about and maintained for nursing to be produced
40. Dependent care refers to the care that is provided to a person who, be-
cause of age or related factors, is unable to perform the
self-care needed to maintain life, healthful functioning,
continuing personal development, and well-being.
44. Health Deviation These self-care requisites exist for persons who are ill
Self-Care Requi- or injured, who have specific forms of pathological condi-
sites tions or disorders, including defects and disabilities, and
who are under medical diagnosis and treatment.
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50. Dependent-care is a relationship that exists when the dependent care
deficit provider's agency is not adequate to meet the therapeutic
self-care demand of the person receiving dependent care
52. Nursing agency also incorporates the capabilities of nurses to assist per-
sons who provide dependent care to regulate the devel-
opment or exercise of their dependent-care agency
53. Nursing design a professional function performed both before and after
nursing diagnosis and prescription, allows nurses, on the
basis of reflective practical judgments about existent con-
ditions, to synthesize concrete situational elements into
orderly relations to structure operational unit
54. Nursing design the purpose of this is to provide guides for achieving need-
ed and foreseen results in the production of nursing to-
ward the achievement of nursing goals; these units taken
together constitute the pattern that guides the production
of nursing
55. Nursing systems are series and sequences of deliberate practical actions
of nurses performed at times in coordination with the
actions of their patients to know and meet components
of patients' therapeutic self-care demands and to protect
and regulate the exercise or development of patients'
self-care agency
57. Basic condition- condition or affect the value of the therapeutic self-care
ing factors demand and/or the self-care agency of an individual at
particular times and under specific circumstances.
60. Human agency the power to act deliberately, is exercised in the form of
care for self and others in identifying needs and making
needed inputs. (according to Orem)
64. Nursing systems may be produced for individuals, for persons who consti-
tute a dependent-care unit, for groups whose members
have therapeutic self-care demands with similar compo-
nents or who have similar limitations for engagement in
self-care or dependent care, and for families or other
multi-person units.
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65. Theory of The central idea of this theory is that the requirements of
Self-Care Deficit persons for nursing are associated with the subjectivity of
mature and maturing persons to health-related or health
care- related action limitations. These limitations render
them completely or partially unable to know existent and
emerging requisites for regulatory care for themselves or
their dependents
66. Self-care deficit a term that expresses the relationship between the action
capabilities of individuals and their demands for care.
Self-care deficit is an abstract concept that, when ex-
pressed in terms of action limitations, provides guides for
the selection of methods for helping and understanding
patient roles in self-care.
69. theory of depen- "explains how the self-care system is modified when it
dent care is directed toward a person who is socially dependent
and needs assistance in meeting his or her self-care
requisites"
72. Nursing A service geared towards helping the self and others
Q Is required when self-care demands exceed a patient's
self-care ability (agency)
Q Promotes the patient as a self-care agent
Q Comprised of several components
75. Humans/Per- "men, women, and children cared for either singly or as
sons social units" and are the "material object" of nurses and
others who provide direct care.
76. environment According to Orem this has physical, chemical, and bio-
logical features. It includes the family, culture, and com-
munity.
79. Imogene King •She developed a general systems framework and a the-
ory of goal attainment where the framework refers to the
three interacting systems - individual or personal, group
or interpersonal, and society or social.
•
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80. Imogene King she emphasizes that both the nurse and the client bring
important knowledge and information to the relationship
and that they work together to achieve goals.
82. Imogene King According to her, nursing's focus is on the care of the
patient, and its goal is the health care of patients and
groups of patients.
84. Imogene King who said this "a process of human interactions between
nurse and client whereby each perceives the other and
the situation, and through communication, they set goals,
explore means, and agree on means to achieve goals."
86. Imogene King •"The nursing domain involves human beings, families
and communities as a framework within which nurses
make transactions in multiple environments with health
as goal."(who said this)
88.
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PERSONAL SYS- • These are fundamental concepts in understanding a
TEM human being. (what system?)
91. Interpersonal Displays how the relationship between the nurse and
system patient is important for the achievement and development
of goals.
95. Social System • are groups of people within a community or society who
share common goals, interests, and values.
96. Social System It provides a framework for social interaction and relation-
ships and establishes rules of behavior and courses of
action
99. Human be- Ï ave three fundamental needs, which include the follow-
H
ings/persons ing:
¤ Health information
¤ Care that seeks to prevent illness
¤ Care when they are unable to help themselves
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105. Internal Environ- type of environment according to King that transforms
ment energy to enable humans to adjust to continuous external
changes.
106. External Envi- This type of environment involves formal and informal
ronment organizations and is a source of stress and continuous
changes.
112. Human be- are social beings who are rational and sentient. Humans
ings/Persons communicate their thoughts, actions, customs, and be-
liefs through language.
114. Concepts
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According to King, these give meaning to our sense
perceptions and permit generalizations about persons,
objects, and things"
115. concepts According to King, these are "abstract ideas that give
meaning to our sense perceptions, permit generaliza-
tions, and tend to be stored in our memory for recall and
use at a later time in new and different situations"
119. King's conceptu- this is "based on an overall assumption that the focus of
al system and nursing is human beings interacting with their environ-
Theory of Goal ment, leading to a state of health for individuals, which is
Attainment an ability to function in social roles"
120. Imogene King Individuals are spiritual beings (who said this?)
121. Imogene King Individuals have the ability through their language and
other symbols to record their history and preserve their
culture (who said this)
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122. Imogene King Individuals are unique and holistic, of intrinsic worth, and
capable of rational thinking and decision making in most
situations (who said this)
123. Imogene King Individuals differ in their needs, wants, and goals (who
said this?)
124. Health According to King, this is a dynamic state in the life cycle,
while illness interferes with that process.
126. Imogene King she believed that "an understanding of the ways that
human beings interact with their environment to maintain
health was essential for nurses"
127. Open systems imply that interactions occur constantly between the sys-
tem and the system's environment.
128. Imogene King adjustments to life and health are influenced by [an] in-
dividual's interaction with environment . . . Each human
being perceives the world as a total person in making
transactions with individuals and things in the environ-
ment" (who said this)
129. King's Theory of focuses on the interpersonal system and the interactions
Goal Attainment that take place between individuals, specifically in the
( nurse-patient relationship. In the nursing process, each
member of the dyad perceives the other, makes judg-
ments, and takes actions. Together, these activities cul-
minate in reaction. Interactions result and, if perceptu-
al congruence exists and disturbances are conquered,
transactions will occur.
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131. Martha Rogers she addresses the importance of the environment as an
integral part of the patient.
132. Martha Rogers she believed that human and his environment are a single
unit and therefore, must be studied together.
133. Martha Rogers • She also felt that human beings and their environment
evolve, change, and move ahead together and after the
change occurs, both humans and their environment can-
not return to their former stage.
134. Science of Uni- Nursing is viewed as both a science and an art that is
tary Human Be- humanistic and humanitarian in the theory because it
ings provides a means to view the unitary human person as
an intrinsic part of the universe (what theory)
135. Science of Uni- • Nursing is concerned with people and the outcomes
tary Human Be- of the mutual human-environmental field interaction with
ings their environment. (what theory)
137. Science of nurs- • the knowledge specific to the field of nursing that comes
ing from scientific research.
138. Art of nursing - involves using the science of nursing creatively to help
better the lives of the patient.
139. Martha Rogers "Man is a unified whole possessing his own integrity and
manifesting characteristics more than and different from
the sum of his parts" (energy field) who said this
140. Martha Rogers "Man and environment are continuously exchanging mat-
ter and energy with one another" (openness) who said
this?
141. Martha Rogers "The life process evolves irreversibly and unidirectional
along the space-time continuum" (helicy) who said this?
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142. Martha Rogers "Pattern and organization identify man and reflect his in-
novative wholeness" (pattern and organization) who said
this?
143. Martha Rogers "Man is characterized by the capacity for abstraction and
imagery, language and thought, sensation, and emotion"
(sentient, thinking being) who said this?
144. energy field "Man is a unified whole possessing his own integrity and
manifesting characteristics more than and different from
the sum of his parts"
147. Energy field The continuously flowing energy fields are the basic units
of both living and non-living things
152. Openness (Open • The human field and the environmental field are open
System) system which are constantly in mutual process.
153. Openness (Open • There is no boundary or barrier that can inhibit the flow
System) of energy between human and environment.
157. pan dimensional • Human beings are this type of being and have more than
three dimensions.
158. Homeodynamics -Refers to the balance between the dynamic life process
and environment.
164. Unitary Human is an open system which continuously interacts with en-
Being (Person) vironment.
168. Environmental
fields
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these fields are infinite, and change is continuously in-
novative, unpredictable, and characterized by increasing
diversity.
171. Martha Rogers • The focus of nursing is the care of people within their life
process and the lived experience.
• Nursing exists for the care of people and the life process
of humans.
• Aims to assist people in achieving their maximum health
potential.
who said this?
174. Universe of open the concept of this holds that energy fields are infinite,
systems open, and integral with one another.
177. pan dimensional this term provides for an infinite domain without limit. It
best expresses the idea of a unitary whole
178. Unitary human an open system in continuous process with the open
beings system that is the environment (integrality-the process)
179. Human beings according to Rogers these "are not disembodied entities,
nor are more than and different from the sum of his parts."
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180. passive health rogers uses this term "to symbolize wellness and the
absence of disease and major illness"
181. wellness Rogers, later use this term because this "is a much better
term...because the term health is ambiguous."
182. health rogers uses this terms as a value term defined by the
culture of the individual
183. Martha Rogers She believes that in terms of health and treatment, a
patient should never be removed from his or her surround-
ings. Human's coexistence with its surroundings and it
played a significant role in the process toward greater
health.
184. Health and ill- according to rogers these two are manifestations of pat-
ness terns and are considered "to denote behaviors that are of
high value and low value"
192. Resonancy
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embodies wave frequency and energy field pattern evo-
lution
203. Neuman Sys- · Unique system based perspective that provides a unify-
tems Model ing focus for approaching a wide range of nursing con-
cerns
204.
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Neuman Sys- Based on stress and the reaction /potential reaction to
tems Model stress with a philosophical basis in wholeness, wellness,
client perception and motivation, energy and environmen-
tal reaction
206. Betty Neuman The central philosophy of her nursing theory consists of
energy resources that are surrounded by three things:
several lines of resistance, which represent the internal
factors helping the patient fight against a stressor; the
normal line of defense, which represents the patient's
equilibrium; and the flexible line of defense, which repre-
sents the dynamic nature that can rapidly change over a
short time.
207. basic structure or central core, comprises those basic survival factors
common to the species. These factors include the system
variables, genetic features, and strengths and weakness-
es of the system parts.
208. human being i In the Neuman Model, this looked upon as an open sys-
tems in contact with his environment.
210. flexible line of ÏIt is perceived as serving as a protective buffer for pre-
defense venting stressors from breaking through the usual well-
ness state as represented by the normal line of defense.
212. Normal Line of It can change over time in response to coping or respond-
Defense ing to the environment (neuman)
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213. Lines of Resis- The last boundary that protects the basic structure
tance
214. Lines of Resis- • Protects the basic structure and becomes activated
tance when environmental stressors invade the normal line of
defense. (Example: when a certain bacterium enters our
systems, there is an increase in leukocyte count to com-
bat infection.
216. Sociocultural - refers to system functions that relate to social and cul-
variable tural expectations
221. Betty Neuman Nursing aims to promote optional wellness to its client
through retention, attainment or maintenance of the sta-
bility of client's system (who said this?)
223. Clients are viewed as wholes whose parts are in dynamic inter-
action. (according to Neuman)
224. wholistic
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Neuman changed the spelling of the term holistic to
______ in the second edition to enhance understanding
of the term as referring to the whole person
227. Input and Output For the client as a system, input and output are the matter,
energy, and information that are exchanged between the
client and the environment (a major concept under open
system) (Neuman)
228. feedback System output in the form of matter, energy, and infor-
mation serves as ________ for future input for corrective
action to change, enhance, or stabilize the system
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233. developmental refers to age-related processes and activities.
variable
235. Lines of Resis- A series of broken rings surrounding the basic core struc-
tance ture .These rings represent resource factors that help the
client defend against a stressor
236. Lines of Resis- serve as protection factors that are activated by stressors
tance pen
238. normal line of de- It represents the adaptational level of health developed
fense over the course of MAJOR CONCEPTS & DEFINI-
TIONS—cont'd time and serves as the standard by which
to measure wellness deviation
239. flexible line of The model's outer broken ring is called the ___________.
defense It is perceived as serving as a protective buffer for prevent-
ing stressors from breaking through the usual wellness
state as represented by the normal line of defense
240. flexible line of Neuman describes ________ as the client system's first
defense protective mechanism.
242. Illness
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exists at the opposite end of the continuum from wellness
and represents a state of instability and energy depletion
(neuman)
243. Wellness exists when all system subparts interact in harmony with
the whole system and all system needs are being met
(neuman)
248. degree of reac- represents system instability that occurs when stressors
tion invade the normal line of defense
249. Interventions are purposeful actions to help the client retain, attain, or
maintain system stability. They can occur before or after
protective lines of defense and resistance are penetrated.
Neuman supports beginning intervention when a stressor
is suspected or identified and are based on possible or ac-
tual degree of reaction, resources, goals, and anticipated
outcomes.
253. Tertiary preven- occurs after the active treatment or secondary prevention
tion stage. It focuses on readjustment toward optimal client
system stability. The goal is to maintain optimal wellness
by preventing recurrence of reaction or regression. leads
back in a circular fashion toward primary prevention
257. created environ- is dynamic in nature and mobilizes all system variables to
ment create an insulating effect that helps the client cope with
the threat of environmental stressors by changi
260. Focal Stimuli -The focal stimulus is "the internal or external stimulus
most immediately confronting the human system"
261.
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Contextual stim- "are all other stimuli present in the situation that contribute
uli to the effect of the focal stimulus" Are all the environmen-
tal factors that present to the person from within or without
but which are not the center of the per son's attention
and/or energy.
262. Residual stimuli "are environmental factors within or without the human
system with effects in the current situation that are un-
clear"
263. Coping process- "are innate or acquired ways of interact ing with the
es changing environment" (roy)
265. Acquired coping "are developed through strategies such as learning. The
mechanisms experiences encountered throughout life contribute to
customary responses to particular stimuli"
267. Regulator Sub- is "a major coping process involving the neural, chemical,
system and endocrine systems"
268. Cognator Sub- is "a major coping process involving four cognitive-emo-
system tive channels: perceptual and informa tion processing,
learning, judgment, and emotion
270. Physiologi- -is associated with the physical and chemical processes
cal-Physical involved in the function and activities of living organisms"
Mode
271. Self-Con- is one of the three psychosocial modes; "it focuses specif-
cept-Group ically on the psychological and spiritual aspects of the
Identity Mode- human system"
272. Role Function -"is one of two social modes and focuses on the roles the
Mode person occupies in society. A role, as the functioning unit
of society, is defined as a set of expectations about how a
person occupying one position behaves toward a person
occupying another position.
275. Nursing Its Goal is the promotion of adaptation for individuals and
groups in each of the four adaptive modes thus contribut-
ing to health, quality of life, and dying with dignity (roy)
278. Environment
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All conditions, circumstances, and influences surrounding
and affecting the development and behavior of persons
or groups with particular consideration of the mutuality of
persons and earth resources that includes focal, contex-
tual, and residual stimuli. (what metaparadigm by roy)
281. Adaptation level " represents the condition of the life processes described
on three levels as integrated, compensatory, and compro-
mised"
282. Adaptation prob- are "broad areas of concern related to adaptation. These
lems describe the difficulties related to the indicators of positive
adaptation"
284. Contextual stim- "are all other stimuli present in the situation that contribute
uli to the effect of the focal stimulus" (Roy & Andrews, 1999,
p. 31), that is, and " are all the environmental factors that
present to the person from within or without but which are
not the center of the person's attention and/or energy"
285. Residual stimuli "are environmental factors within or without the human
system with effects in the current situation that are unclear
(type of stimuli by roy)
286. Coping process- "are innate or acquired ways of interacting with the chang-
es ing environment ( by roy)
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287. Adaptive re- are those "that promote integrity in terms of the goals of
sponses human systems" (by roy)
288. Ineffective re- are those "that do not contribute to integrity in terms of the
sponses goals of the human system" (by roy)
289. Integrated life refers to the "adaptation level at which the structures and
process functions of a life process are working as a whole to meet
human need (by roy)
290. physiological in- The basic need of the physiological mode is __________
tegrity (by roy)
291. physical mode is "the manner in which the collective human adaptive
system manifests adaptation relative to basic operating
resources, participants, physical facilities, and fiscal re-
sources" (by roy)
292. operating in- The basic need of the physical mode is ______ (by roy)
tegrity
295. physical self and self-concept has two components according to roy
personal self
296. physical self which involves sensation and body image (by roy)
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298. group identity "reflects how people in groups perceive themselves
mode based on environmental feedback. The ______ [is com-
posed] of interpersonal relationships, group self-image,
social milieu, and culture"
299. social integrity The basic need underlying the role function mode has
been identified as____________ —the need to know who
one is in relation to others so that one can act"
300. instrumental and Persons perform primary, secondary, and tertiary roles.
expressive These roles are carried out with these two behaviors. (by
roy)
302. Expressive be- are "the feelings, attitudes, likes or dislikes that a person
haviors has about a role or about the performance of a role"
304. Secondary roles are those that a person assumes to complete the task
associated with a developmental stage and primary role
(
305. Tertiary roles are related primarily to secondary roles and represent
ways in which individuals meet their role associated oblig-
ations . . . Tertiary roles are normally temporary in nature,
freely chosen by the individual, and may include activities
such as clubs or hobbies
309. Human adaptive are complex and multifaceted and respond to a myriad
systems of environmental stimuli to achieve adaptation. With their
ability to adapt to environmental stimuli, humans have the
capacity to create changes in the environment (by roy)
310. Humanism asserts that the person and human experiences are es-
sential to knowing and valuing, and that they share in
creative power. (by roy)
311. Veritivity affirms the belief in the purpose, value, and meaning
of all human life. These scientific and philosophical as-
sumptions have been refined for use of the model in the
twenty-first century (by roy)
314. Environment is the input into the person as an adaptive system involv-
ing both internal and external factors (by roy)
316.
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Johnson's Be- is a nursing care model that advocates the fostering of
havioral System efficient and effective behavioral functioning in the patient
Model to prevent illness
317. Johnson's Be- ÏGoal of the model is to maintain and restore balance in
havioral System the patient by helping him achieve a more optimal level of
Model functioning.
318. 1Affiliative Sub- The Behavioral System is composed of seven (7) behav-
system, De- ioral subsystems:
pendency Sub-
system, Inges-
tive Subsystem,
Eliminative Sub-
system, Sexual
Subsystem, Ag-
gressive Sub-
system, Achieve-
ment Subsystem
319. Dorothy E. John- "All of us, scientists and practicing professionals, must
son turn our attention to practice and ask questions of that
practice. We must be inquisitive and inquiring, seeking the
fullest and truest possible understanding of the theoretical
and practical problems we encounter." (who said this?)
320. Dorothy E. John- she believed that medicine and nursing are two distinct
son specialties with two different focal points; medicine's focus
is on the biological system while nursing's focus is on the
behavioral system.
322. Dorothy E. John- "Nursing is an external regulatory force that acts to pre-
son serve the organization and integration of the patient's
behavior at an optimal level under those conditions in
which the behavior constitutes a threat to physical or
social health or in which illness is found." (who said this)
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323. Johnson's Be- · The goal of this is to reducing stressful stimuli, and
havioral System second, by supporting natural and adaptive processes
model
325. Behavioral Sys- ÏThese ways of behaving form an organized and integrat-
tem ed functional unit that determines and limits the interac-
tion between the person and his or her environment and
establishes the relationship of the person to the objects,
events, and situations within his or her environment.
326. Attachment-Affil- ÏIs identified as the first response system to develop in the
iative Subsystem individual
Ï The optimal functioning of the affiliative subsystem allows
"social inclusion, intimacy, and the formation and mainte-
nance of a strong social bond" (a subsystem of Johnson)
327. dependency sub- Ïpromotes helping behavior that calls for a nurturing re-
system sponse
329. Ingestive Sub- ÏThe ingestive subsystem "has to do with when, how,
system what, how much, and under what conditions we eat"
Ï "It serves the broad function of appetitive satisfaction"
This behavior is associated with social, psychological,
and biological considerations
Ï relates to the behaviors surrounding the intake of food
(wha t subsystem according to Johnson)
330. eliminative sub- addresses "when, how, and under what conditions we
system eliminate" (according to Johnson; a subsystem)
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331. Eliminative sub- Ï ,the social and psychological factors are viewed as
system influencing the biological aspects of this subsystem and
may be, at times, in conflict with this subsystem
Ï relates to behaviors surrounding the excretion of waste
products from the body
332. Sexual Subsys- Ïhas the dual functions of procreation and gratification.
tem Including, but not limited to, courting and mating, this
response system begins with the development of gender
role identity and includes the broad range of sex-role
behaviors (johnson subsystem)
337. Stressor - A stimulus from the internal or external world that results
in stress or instability.
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340. Person - Johnson viewed this as a behavioral system with pat-
terned, repetitive, and purposeful ways of behaving that
link the person with the environment
344. Dorothy E. John- - The goal of nursing care emphasizes balance, stability,
son order, and maintenance of the integrity of the patient (who
said this?)
348. subsystem According to Johnson, this is "a minisystem with its own
particular goal and function that can be maintained as
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long as its relationship to the other subsystems or the
environment is not disturbed"
349. Input and output these two are components of all seven subsystems, ac-
cording to Johnson
350. Attachment-Affil- is probably the most critical because it forms the basis
iative Subsystem for all social organization. On a general level, it provides
survival and security. Its consequences are social inclu-
sion, intimacy, and formation and maintenance of a strong
social bond (according to Johnson)
353. aggressive be- is not only learned, but has a primary intent to harm others
havior (According to Johnson)
355. Equilibrium "It implies that biological and psychological forces are in
balance with each other and with impinging social forces"
(Johnson, 1961b, p. 11). It is "not synonymous with a state
of health, since it may be found either in health or illness"
(according to Johnson)
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357. Regulation it implies that deviations will be detected and corrected (a
sustenal/ functional requirements)
360. stressors Internal or external stimuli that produce tension and result
in a degree of instability are called ______
(Johnson; one of the functional requirements)
363. protection, nur- The environment supplies sustenal imperatives such as?
turance, stimula- (3) (Johnson)
tion
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