Identify the deficit
According to Orems theory, Based on Aice's current presentation, what should the psychiatric nurse prioritize assessing before figuring out how much assistance he needs?
A. Whether Aice understands his schizophrenia diagnosis.
B. Which diabetes-management tasks Aice can currently complete safely and independently.
C. Whether Aice has been consistently taking his psychiatric medications.
B
Aice is able to independently check his blood sugar, but his disorganized thinking is affecting his ability to safely prepare and administer insulin independently. The RPN provides the assistance he needs while encouraging him and educating him to participate in his care.
Which of Orem's nursing systems applies to this situation?
A. Partly compensatory
B. Supportive-educative
C. Wholly compensatory
A) Partly compensatory
Aice understands why he needs insulin and can explain how to administer it. However, his disorganized thinking makes it difficult for him to follow the steps correctly.
Based on Orem's theory, what best explains Aice's self-care deficit?
A. Aice has enough knowledge to manage his diabetes, so he doesn't have a self-care deficit.
B. Aice needs psychiatric nursing assistance because patients with schizophrenia are not able to manage medical treatments 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