The nurse held a smoking cessation class prior to the upcoming Great American Smokeout, hoping to motivate many individuals to stop smoking by promoting self-efficacy
Which statement made by a participant indicates the highest level of positive self-efficacy according to the Health Belief Model?
1. "I think this time will be different."
2. "I am going to do the best that I can, so that I won't get lung cancer."
3. "I am afraid of getting lung cancer like my father."
4. "I know that this time I will quit smoking permanently."
Correct Answer: 4
Based on the Health Belief Model, self-efficacy refers to the level of confidence an individual has about the ability to perform the activity. The client's statement that he/she intends to make a permanent change shows the highest-level determination and motivation. Stating that this attempt at quitting smoking will be different shows a low level of commitment to the action. Stating fear of getting lung cancer and referring to a family member with the disease represents internal cues to action, based on the Health Belief Model.
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