A community health nurse is using the health belief model (HBM) as a basis for providing client care. Which of the following best describe the problems associated with using the HBM? (Select all that apply.)
a. It ignores the need to reduce health system barriers to action.
b. It is extremely difficult to change the client's belief system.
c. It is the nurse's responsibility to persuade clients to engage in the appropriate behavior.
d. Clients do not have the knowledge to correctly analyze the seriousness of the disease or their susceptibility to it.
e. Clients expect health professionals to take preventive actions for them.
f.
The choice and the burden for acting are entirely with the client.
ANS: A, F
A major problem with this model is that the burden for taking action is totally with the client. The model requires health professionals to assume responsibility for modifying the client's perceptions so they recognize the need to act. Although the line between persuading and educating is a fine one, nurses are responsible for education. Persuasion may border on coercion. Further, the model assumes that all responsibility is personal, ignoring barriers in the health care system, which may make it difficult for an individual to take appropriate action.
You might also like to view...
Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
1. The non-biologic one from the heterosexual cohabitating family. 2. The divorced one from the binuclear family. 3. The divorced one when the single-parent mother has custody. 4. The stepfather from the blended or reconstituted family.
Which older adult is most likely to need preretirement counseling to avoid significant concerns in retirement?
a. African American female who is a certified public accountant b. Mexican American woman who receives cash for cleaning services c. Middle-aged male adult who has a history of type 1 diabetes mellitus d. Older male clerk who works for the department of homeland security
11% of 88 = _____
a. 9.68 b. 96.8 c. 0.968 d. 9
A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?
A) Monitor the client for complaints of pain or sour taste. B) Monitor the client for concentrated urine and restlessness. C) Closely monitor the client for confusion and dizziness. D) Report symptoms of tardive dyskinesia to the primary health care provider.