Module 4.1 - Discussion Applying Nursing Theory Instructions: Select one (1) of the following scenarios related to a specific nursing.  Think about what you would do in the scenario presented and post your ideas. Post two (2) discussion questions based on the readings along with your answers.  TheoristScenarioFlorence Nightengale Using Nightengale’s concepts of ventilation , light , noise , and cleanliness , analyze the setting in which you are practicing nursing (working as an employee or student). Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice. OR Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient? Betty Neuman Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression. Use the Neuman System Model as a conceptual framework to respond to the following: Describe the family as a system. How does the dominant Anglo culture impact on the family’s stability as a system? What stressors (actual and potential) threaten the family? What additional assessment data are needed related to Martina’s medical diagnoses? What additional assessment data are needed related to the family’s health status? How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels? OR Using the Neuman System Model, organize a patient care conference in your workplace to deal with a patient situation that has been difficult to manage. Involve caregivers from nursing and at least one other disicpline to discuss each of the following: What factors comprise the patient's normal and flexible lines of defense and lines of resistance? What stressors are causing the problems with this patitent? What is the patient's reaction to the stressor? What is each discipline's perspective on the problem or isssues that are involved? How is the situation influenced by the patient's family system? By the patient's environment? What would be the ideal coutocme in this situation from each discipline's perspective? From the patient's perspective? What goals would be appropariat.

1. Module 4.1 - Discussion
Applying Nursing Theory
Instructions:
Select one (1) of the following scenarios related to a specific
nursing. Think about what you would do in the scenario
presented and post your ideas.
Post two (2) discussion questions based on the readings along
with your answers.
TheoristScenarioFlorence
Nightengale
Using Nightengale’s concepts of
ventilation
,
light
,
noise
, and
cleanliness
, analyze the setting in which you are practicing nursing
(working as an employee or student).

2. Using Nightengale’s theory, evaluate the nursing interventions
you have identified for an individual patient in your facility or
practice.
OR
Your hospital patient is an 82 year-old woman. She does not
have immediate family and has been living alone in her own
home. Her hospitalization was unanticipated; it followed a visit
to the emergency room for a burn on her lower leg. The patient
has been hospitalized for 14 days. She pleads with you to allow
her friend to bring her dog, a 16-year-old Scotty Terrier, to the
hospital. She tells you that none of the other nurses have
listened to her when she asked them about such a visit. Based
on Nightingale’s model, and 13 cannon,
what actions would you take for this patient?
Betty Neuman
Martina is a middle-aged Hispanic woman who brings her
family to a local free clinic to obtain medical care. She works
part time in a restaurant for minimum wage. She lives in a small
apartment with her daughter and four preschool children; her
daughter speaks only very broken English. Martina’s medical
diagnoses are hypertension, arthritis, and depression.
Use the Neuman System Model as a
conceptual framework
to respond to the following:

3. Describe the family as a system.
How does the dominant Anglo culture impact on the family’s
stability as a system?
What stressors (actual and potential) threaten the family?
What additional assessment data are needed related to Martina’s
medical diagnoses?
What additional assessment data are needed related to the
family’s health status?
How will cultural differences influence planning for prevention
as intervention at primary, secondary, and tertiary levels?
OR
Using the Neuman System Model, organize a patient care
conference in your workplace to deal with a patient situation
that has been difficult to manage. Involve caregivers from
nursing and at least one other disicpline to discuss each of the
following:
What factors comprise the patient's normal and flexible lines of
defense and lines of resistance?
What stressors are causing the problems with this patitent?
What is the patient's reaction to the stressor? What is each

4. discipline's perspective on the problem or isssues that are
involved?
How is the situation influenced by the patient's family system?
By the patient's environment?
What would be the ideal coutocme in this situation from each
discipline's perspective? From the patient's perspective?
What goals would be appropariate to neogotiate with the
patient?
What primary, secondary, and tertiary prevention-as-
interventions would support attainment of these goals?
Imogene King
Think about and write your personal definitions of environment,
health, nursing, and person. (Do these sound familiar to you?).
Compare your definitions with King’s definitions. How are they
similar? How are they different? Are they more alike than
different? If they are more alike, develop a plan to use King’s
framework and theory more extensively in your paper (and
practice).
OR
Does the philosophy of one of the agencies in which you have
practiced encourage the involvement of the patients in their

5. care? If so, does mutual goal setting occur? If not, what changes
would you suggest to promote more active involvement of the
patients in their own care?
Analyze an interaction you have had with a patient. Were you
able to achieve a transaction as King describes it? If so, think
about what you did differently with this person? If not, think
about the interaction and try to identify why the transaction was
not achieved?
Hildegard Peplau
During the therapeutic relationship, patients may distort their
perceptions of others. Therefore they may relate to the nurse not
on the basis of the nurse’s realistic attributes, but wholly or
chiefly on the basis of interpersonal relationships existing in
their environment. With the patient and nurse roles you have
described above, discuss how these distorted perceptions may
affect the patient’s care and the nurse-patient relationship.
OR
Considering the nurse-patient relationship created in question
#1 above, discuss the phases and the changing roles that would
be considered when working with this patient. Consider
experiences in which you would 0r/and would not be able to
accomplish the appropriate goals for each phase of the nurse-
patient relationship.

6. Madeleine Leininger
Discuss the usefulness of the Culture Care: Diversity and
Universality Theory in the 21st Century to discover nursing
knowledge and to provide culturally congruent care. Take into
consideration the current trends of consumers of healthcare,
cultural diversity factors, and changes in medical and nursing
school curricula. Listed below are some examples of trends and
changes you may want to consider in your discussion:
The importance of transcultural nursing knowledge in an
increasingly diverse world
An increase of lay support groups to provide information and
sharing of experiences and support for patients and/or families
experiencing chronic, terminal, or life-threatening illnesses or
treatment modalities from diverse and similar (common)
cultures.
Use of cultural values, beliefs, health practices, and research
knowledge in undergraduate, alternative medicine, herbs,
vitamins, minerals, and other over-the-counter medications,
which demand a transcultural knowledge base.