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CHAPTER 17 Sister Callista Roy 323

CRITICAL THINKING ACTIVITIES

1. Karen, a recent graduate from a nursing program 2. Although it would be easy to assume that Mr.
based on the Roy Adaptation Model, is performing Shadeed’s nursing care needs stem from anxiety
her morning assessments. She enters Mr. Shadeed’s during the preoperative period, this assumption
room. Mr. Shadeed is awaiting preoperative prepa- may or may not be true. Assessment of stimuli in
ration for a laparotomy to explore an unknown each of the four adaptive modes will enable Karen
mass. Mr. Shadeed is very irritable this morning. to assess focal, contextual, and residual stimuli
He says that he is thirsty. Karen continues her and come to the correct diagnosis. Identify the
assessment of Mr. Shadeed. What additional data additional assessment data that Karen will need to
will she need from each of the four adaptive modes collect for each of the following adaptive modes.
before implementing nursing interventions? What • Physiological adaptive mode
are the focal stimuli, contextual stimuli, and resid- • Self-concept adaptive mode
ual stimuli? What are possible interventions? What • Role function adaptive mode
process can Karen use to select the best nursing • Interdependence adaptive mode
intervention?

POINTS FOR FURTHER STUDY
n Nursing Science Quarterly, 24(4) (issue dedicated n Roy, C. (2007). Update from the future: Thinking
to honoring Roy and her work). of theorist Sr. Callista Roy. Nursing Science Quar-
n Phillips, K. D. (2010). Roy’s adaptation model in terly, 20(2), 113–116.
nursing practice. In M. R. Alligood, (Ed.), Nursing n Sr. Callista Roy. Portraits of excellence: The nurse
theory: Utilization & application (4th ed., pp. 309– theorists video/DVD series, vol 1. Athens, (OH):
335). Maryland Heights, MO: Mosby-Elsevier. Fitne, Inc.
n Roy, C., & Jones, D. (Eds.). (2007). Nursing knowl- n Sr. Callista Roy. Adaptation: Excellence in action
edge development and clinical practice. New York: video/DVD. Athens, (OH): Fitne, Inc.
Springer.

REFERENCES

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