Identify the Deficit
Based on Aice's current situation, what should the psychiatric nurse assess first to figure out how much assistance he needs?
A. Whether Aice understands his schizophrenia diagnosis.
B. Which parts of his diabetes care Aice can safely manage on his own.
C. Whether Aice has been consistently taking his psychiatric medications.
B - Which parts of his diabetes care Aice can safely manage on his own.
As Aice's psychiatric symptoms improve, he becomes more organized and is now able to safely manage his diabetes independently again.
However, he still needs some education and support to establish a consistent routine.
Which nursing system would now be most appropriate?
A. Wholly compensatory
B. Partly compensatory
C. Supportive-educative
C - Supportive-educative
Based on Aice's difficulty managing his diabetes, which type of self-care requisite would this fall under?
A. Universal self-care requisite
B. Developmental self-care requisite
C. Health-deviation self-care requisite
C - Health-deviation self-care requisite
During a home visit, Aice explains why he needs insulin and correctly describes how to administer it. However, his disorganized thinking has made it difficult for him to follow his usual routine, resulting in missed doses.
Based on Orem's theory, which statement best explains Aice's self-care deficit?
A. Aice understands his treatment, so he has the self-care agency needed to manage his diabetes independently.
B. Aice requires nursing assistance because people with schizophrenia are unable to manage taking their medication independently.
C. Aice's current ability to manage his diabetes does not fully meet his self-care needs, even though he understands his treatment.
C - Aice's current ability to manage his diabetes does not fully meet his self-care needs, even though he understands his treatment.
Aice can independently monitor his blood sugar. However, his disorganized thinking is affecting his ability to keep up with his diabetic medication
Community psychiatric nursing support is arranged to temporarily provide his prescribed medication, while Aice continues managing the aspects of his diabetes care he can safely complete.
Which of Orem's nursing systems best applies?
A. Wholly compensatory
B. Partly compensatory
C. Supportive-educative
B - Partly compensatory
During a home visit, Aice has difficulty concentrating and becomes frustrated because he keeps misplacing his diabetes supplies.
Which of Orem's methods of helping would best support Aice's independence?
A. Teaching, guiding and directing
B. Providing psychological support and an environment that supports development
C. Acting for another
B - Providing psychological support and an environment that supports development