A nurse was becoming frustrated. It had been 2 weeks, and although the client had verbalized that the best time of day to take a 15-minute walk was early in the morning, the client had not begun to exercise
Which of the following principles of the Transtheoretical Model had the nurse forgotten? (Select all that apply.)
a.
A decision to act always occurs before action begins.
b.
Behavior change is difficult and takes time.
c.
Continuing to stress to the client how important exercise is will help the client decide to exercise.
d.
Discussing with the client why he or she is not yet exercising may help the client recognize his or her own resistance.
e.
The nurse should offer some reward if the person exercises for at least a week.
f.
Verbalizing compassion for how difficult it is to change is a crucial intervention.
ANS: A, B
The Transtheoretical Model is based on the assumption that behavior change takes place over time, progressing through a sequence of stages. The fact that the person had stated the best time to exercise demonstrates the client has moved through precontemplation and contemplation and is preparing to act. The nurse is being rather optimistic in thinking change will occur within 2 weeks. Although being compassionate is helpful, it is not a crucial step in the beginning of the process. Personal resistance to change is probably obvious and does not need further discussion as the patient has moved beyond the stage of analyzing pros and cons to the change.
You might also like to view...
The nurse educator is planning various seminars for the staff nurses regarding care of the patient in physical restraints. Which essential nursing interventions will the educator include in the staff seminar? Select all that apply
1. Turn patient every 4 hours. 2. Toilet the patient as needed. 3. Assign one-to-one observation. 4. Assess skin integrity every hour. 5. Assess circulation, sensation, and movement every 6 hours.
A nurse states the purpose of a research study as, "This study will compare the effect of warm and cold applications on the resolution of intravenous (IV) infiltrations in hospitalized older-adult patients in the early postoperative period."
In this statement, what constitutes the independent variable(s)? a. Postoperative older adult patients b. Early postoperative period c. Warm and cold applications d. Resolution of IV infiltrations
In caring for the patient's spiritual needs, the nurse asks 20 questions to assess the patient's relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?
a. The spiritual well-being scale b. The FICA assessment tool c. Belief tool d. Hope scale
When transferring a patient,
A. instruct the patient to lock her hands behind your neck. B. use a transfer belt whenever possible. C. place your hands under the patient's shoulders. D. keep your feet close together.