A community health nurse is testing the theory of locus of control (LOC). Which client demonstrates the internal control concept of this theory?
1. A client who takes an active role in all health decisions
2. A client who allows the primary care provider to make all the decisions
3. A client who does not make any decisions without his or her spouse's input
4. A client who relies on information from the local hospital for his or her health needs
Correct Answer: 1
Rationale 1: Locus of control (LOC) is a concept from social learning theory. People who exercise internal control are more likely than others to take the initiative on their own health care and to be more knowledgeable about their health. They are also more likely to adhere to prescribed health care regimens such as taking medication, making and keeping appointments with physicians, maintaining diets, and giving up smoking.
Rationale 2: People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.
Rationale 3: People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.
Rationale 4: People who believe their health is largely controlled by outside forces (chance or others) are referred to as externals.
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