A client comes into the community clinic for a wellness check-up. During the interview the nurse collects the following information:
Reason for visit: "Just wanted to get a quick check-up. I know I'm not sick and will not get anything serious. And even if I do, what can be done? You people will tell me to take some pills, change my diet, get more exercise ... the list goes on and on and why? If I'm meant to live long I will and if I'm meant to die early, then I will do that too."
Which health belief model should the nurse consider as the guiding principle for this client?
1. Internal locus of control
2. Neuman systems model
3. Rosenstock's health belief model
4. Pender's health promotion model
Correct Answer: 3
The health belief model (HBM), developed by Rosenstock provides a framework for understanding why people do not adopt disease prevention strategies or participate in screening tests for the early detection of disease. As the model evolved, individual responses to symptoms and compliance with medical treatments were examined. Initially the model was used to explain why people do not take action to prevent disease/injury. While mostly associated with disease/injury prevention, the model may also be used to explain why people do or do not participate in health promotion behaviors. People who believe that they have a major influence on their own health status are internally controlled; that is, they have an internal locus of control. The Neuman Systems Model is wellness oriented and views health promotion as an intervention component of primary prevention. Pender's health promotion model focuses on health-promoting behaviors rather than health-protecting or preventive behaviors.
You might also like to view...
An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate?
a. Urinary tract infections are unavoidable in the elderly because of a weakened immune system. b. Decreasing fluid intake will decrease the amount of urine with bacteria produced. c. Making sure to cleanse the perineal area from back to front after voiding will reduce the chance of infection. d. Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection.
A newborn with a diagnosis of Tetrology of Fallot is demonstrating heart failure. The doctor orders a prostaglandin E1 drip. The nurse knows this is used to:
1. Maintain blood flow to the lungs. 2. Open the patent foramen ovale. 3. Increase blood flow to the extremities. 4. Decrease resistance of blood flow through the heart.
The healthcare organization has a long history of a dissonant culture. How can nurse leaders in the facility promote change to a healing culture? Select all that apply
1. Hire staff with strong clinical skills and then provide education on values consistent with those of a healing culture. 2. Hire staff with similar cultural backgrounds to reduce differences. 3. Foster retention of administrators and staff with diverse backgrounds but with similar, consistent thinking habits and ideas. 4. Assessing the mission statement of the organization for its stated values. 5. Appraise whether stated values are cherished and demonstrated.
The nurse has a multiple client assignment on the surgical unit. When beginning the shift, the nurse needs to determine which postoperative client should be seen first. Which one of the fol-lowing clients should the nurse see first?
a. The client is reported as having a BP of 90/50. b. The client received medication for pain 10 minutes ago. c. The client needs to be out of bed and ambulating. d. The client requires instructions for wound care.