A client has been working hard in rehabilitation following a traumatic brain injury. She has a weak support system in that her family lives a far distance away and her coworkers are not involved
On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program?
1. Situational influences
2. Perceived benefits of action
3. Perceived barriers to action
4. Interpersonal influences
Correct Answer: 4
Rationale 1: Situational influences are direct and indirect influences on health-promoting behaviors and include perceptions of available options, demand characteristics, and the aesthetic features of the environment.
Rationale 2: Perceived benefits of action affect the person's plan to participate in health-promoting behaviors and may facilitate continued practice.
Rationale 3: Perceived barriers to action may be real or imagined and may affect health-promoting behaviors by decreasing the individual's commitment to a plan of action.
Rationale 4: Interpersonal influences are a person's perceptions concerning the behaviors, beliefs, or attitudes of others. Family, peers, and health professionals are sources of interpersonal influences that can affect a person's health-promoting behaviors. Because this particular client does not have a close support system, the nurse will look to other possibilities (i.e., the other health professionals involved in the client's care such as other nurses, therapists, and physicians).
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