A nurse assesses a patient for frequently occurring barriers to implementing behavior changes according to the health belief model. Which question by the nurse will yield the most useful information?
a. "Do you think you know enough to change your diet?"
b. "How much time do you have each week to exercise?"
c. "What other information can I give you about this topic?"
d. "Why haven't you started these healthy behaviors yet?"
B
In using the health belief model, the nurse assesses for perceived barriers to action. Lack of time might well be a barrier for this patient.
The question "Do you think you know enough to change your diet?" is concerned with lack of knowledge, which is not one of the most frequent barriers to behavior change.
Lack of knowledge is not one of the most frequently occurring barriers to behavioral change.
"Why" questions are probing and tend to make patients defensive. Furthermore, the patient may not be able to answer this question because he or she may not be aware of the reasons behind the behavior.
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