A nurse teaching a smoking cessation class includes the following statements in the presentation:
"Everyone here tonight has the ability to control the urge to smoke. You are all rational people who understand that smoking is the cause of many significant health problems, and that it is a voluntary event that you are going to learn to do without. Regardless of your motivation, you will get help here to understand your triggers to smoke, and how to control them." Which theory or model is the nurse using to promote smoking cessation?
1. The Self-Efficacy Model.
2. The Theory of Reasoned Action.
3. The Health Promotion Model.
4. The Health Belief Model.
Correct Answer: 2
The Theory of Reasoned Action/Planned Behavior is a prediction theory based on the assumptions that behavior is under volitional control and that people are rational beings. The theory also suggests that individuals are more likely to participate in healthy behaviors if they believe the benefit outweighs the cost of the behavior. Self-efficacy refers to how confident individuals are in their own ability to perform a behavior, and is part of the Health Belief Model, not its own theory. The Health Promotion Model depicts people as multidimensional in interactions with their environments, and focuses on variables that impact behavior. Variables that impact behavior include personal factors such as age, strength, and agility; cognitive factors such as an individual's perceived benefit of a health-promoting action; and intrapersonal influences such as the influence of family members, friends, or a health care provider. The Health Belief Model relates to cues to action. The cues to action in this model refer to internal and external stimuli that motivate a person to participate in health-promoting behavior. An example of a cue to action is a female getting yearly mammograms due to a family member having breast cancer.
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