Care Manager Certification Practice Exam

A nurse bases their care on the theory that interventions should be instituted for patients demonstrating ineffective adaptive responses. Whose work is this based on?

1. Imogene M. King

2. Madeline Leininger

3. Sister Callista Roy

4. Jean Watson

The correct answer is: Sister Callista Roy

The correct answer is based on the work of Sister Callista Roy, who developed the Adaptation Model of nursing. This model emphasizes the importance of adaptation in the nursing process. According to Roy, individuals must adapt to changes in their environment to maintain health and well-being. When patients demonstrate ineffective adaptive responses, it reflects that they are struggling to cope with these changes, thereby leading to a greater need for nursing intervention. In practice, nurses using Roy's framework assess patients for adaptive (and maladaptive) responses and design care plans aimed at helping patients achieve better adaptation to their health conditions. This approach underscores the role of the nurse as a facilitator and supporter in helping patients restore or enhance their ability to cope with challenges. Understanding this model clarifies why assessment of adaptive responses is central to nursing care and why interventions are necessary for promoting healthier adaptive mechanisms.