Hildegard Peplau and Ida Jean Orlando Nursing Theories Review

Comprehensive practice flashcards covering Hildegard Peplau's Interpersonal Relations Theory and Ida Jean Orlando's Nursing Process Discipline Theory.

What type of nursing theory is Hildegard Peplau's theory fundamentally classified as?

An interpersonal process and psychodynamic nursing model.

How does Hildegard Peplau explicitly define "Psychodynamic Nursing"?

Being able to understand one's own behavior to help others identify felt difficulties.

What is the correct sequential order of the four phases of the nurse-patient relationship according to Peplau?

Orientation Phase, Identification Phase, Exploitation Phase, and Resolution Phase.

According to Peplau, what triggers a patient to seek professional nursing assistance initially?

An internal imbalance caused by a "felt need" or situational stressor/anxiety.

What is the Orientation Phase in Peplau's nurse-patient relationship model?

The initial phase where the client experiences a "felt need," seeks assistance, and works with the nurse to recognize and define the problem.

What occurs during the Identification Phase of Peplau's model?

The client begins to respond selectively to persons meeting their needs, developing a sense of belonging, trust, and a working therapeutic alliance with the nurse.

How is the Exploitation Phase defined in Peplau's model?

The phase where the patient takes full advantage of all available healthcare services, moving dynamically from dependence toward independence and self-care.

What is the primary psychological task and definition of the Resolution Phase in Peplau's model?

To meet the patient's needs, free psychological ties, and dissolve old therapeutic relationships as the patient achieves full independence and returns to community life.

How does Peplau define the Stranger Role of the nurse?

The initial entry role where the nurse treats the patient with unconditional respect, courtesy, and emotional acceptance, exactly as any visitor, without prejudging or labeling them.

What is the primary function of the nurse acting in the Resource Person Role?

To provide specific medical data, answer direct questions, interpret clinical findings, and explain the physiological rationale behind care plans.

How is the Leadership Role characterized in Peplau's theory?

A democratic, cooperative process where the nurse guides the patient toward therapeutic goals through mutual decision-making and active participation rather than dominance.

What defines the Surrogate Role in Peplau's framework, and what is its associated risk?

It occurs when the patient projects feelings from past relationships (e.g., viewing the nurse as a mother or strict authority) onto the nurse; if unmanaged, it can lead to unhealthy emotional dependencies.

What is the purpose of the Counselor Role in Peplau's model?

To help the patient process the emotional meaning of current health experiences and anxieties through therapeutic communication to foster psychological adaptation and growth.

What does the Technical Expert Role focus on in Peplau's nursing theory?

The nurse's manual dexterity, physical proficiency, and safe operation of medical devices, interventions, and clinical machinery.

What is the official designation of Ida Jean Orlando's nursing theory?

Nursing Process Discipline Theory (or Deliberative Nursing Process Theory).

According to Orlando, what is the specific primary responsibility of the professional nurse?

To discover and meet the patient's immediate, personal need for help to relieve distress.

What are the three core interlocking components that make up the nursing situation according to Orlando?

The Behavior of the Patient, The Reaction of the Nurse, and The Nursing Actions.

How does Orlando define "The Patient's Behavior"?

Any verbal or non-verbal expression of distress (such as sighs, crying, pacing, or explicit statements) that indicates an unmet need for help.

What is the correct three-part internal sequence of "The Nurse's Reaction" in Orlando's theory?

Perception $\rightarrow$ Thought $\rightarrow$ Feeling.

What is an Automatic Nursing Action according to Orlando?

An action carried out for reasons other than the patient's immediate, validated need for help, such as blindly following hospital routines, policy, or orders without checking the patient.

What defines a Deliberative Nursing Action in Orlando's framework?

An action decided upon after directly exploring and validating with the patient that it addresses their immediate, explicit need for help.

What cognitive process defines the Validation step in Orlando's model?

Explicitly asking or checking directly with the patient to verify whether the nurse's interpretation of their behavior, thoughts, or feelings matches what they are experiencing.

How is "Improvement" defined and measured in Orlando's paradigm?

As the observable, measurable reduction or resolution of the patient's behavioral expressions of distress following an intervention.

What is the key focus of Orlando's theory regarding the timing of nursing care?

It focuses intensely on the immediate, present, "here-and-now" interaction between the nurse and the patient.