Which of the following is included in Orem's theory?

DSSSB Public Health Nurse - 2015

Nursing Foundation

Easy

Appeared in: DSSSB Public Health Nurse - 2015

Explanation

Dorothea Orem's model is formally known as the Self-Care Deficit Nursing Theory (SCDNT).
The central and most important theme of this theory is 'Self-Care,' which refers to the activities individuals perform on their own behalf to maintain life, health, and well-being.
The theory posits that a 'self-care deficit' occurs when an individual's ability to perform self-care (their self-care agency) is not adequate to meet their self-care demands.
Nursing becomes necessary when this deficit exists, and the nurse's role is to assist the person in regaining their ability to perform self-care.

Option A: This is a specific example of a 'universal self-care requisite' within Orem's theory, not the overarching concept of the theory itself. The theory's main focus is the broader concept of Self-Care.
Option C: This concept is a key component of Abraham Maslow's Hierarchy of Needs, which addresses psychological needs. It is not part of Orem's theory.
Option D: This term is too general. While self-care activities address physical needs, Orem's theory provides a specific and structured framework for how individuals meet these needs, which is not captured by this broad term.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Core concepts of Dorothea Orem's Self-Care Deficit Nursing Theory as background academic context rather than a clinical decision trigger.
Orem's theory is highly practical and guides nurses in assessing a patient's ability to perform activities of daily living (ADLs) and determining the level of nursing support needed.
It is widely used in rehabilitation, chronic illness management, and home health care to promote patient independence and autonomy.
What if? If a patient after a stroke can feed themselves but cannot prepare a meal, the nurse, using Orem's theory, would apply a 'Partially Compensatory' system, assisting only with meal preparation while encouraging the patient to perform the self-care task of eating.

How to Approach the Question

First, identify the core subject of the question, which is 'Orem's theory'.
This is a factual recall question about a major nursing theory. Access your knowledge about prominent nursing theorists.
Evaluate each option against the core principles of Orem's model.
Recognize that 'Self Care' is the central, defining concept of Orem's work.
Differentiate this from specific examples (like 'intake of air') and concepts from other theories (like Maslow's 'love and belongingness').
Select the option that represents the main theme of the theory, not just a part of it or a concept from another theory.

Concept Tested & Keywords

Concept Tested: Core concepts of Dorothea Orem's Self-Care Deficit Nursing Theory.
Stem keywords: Orem's theory
Lead-in keywords: included in
Negative lead-in flag: false

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E6 Nursing Fundamentals Taylor pp. 1055-1057, 37-39

E6 Psychology Applied Sreevani 6e Sem1 p. 211-213