Author Question: A client is discharged following a heart attack. In using the Stages of Health Behavior Change as a ... (Read 33 times)

evelyn o bentley · **on:** Jul 23, 2018

A client is discharged following a heart attack. In using the Stages of Health Behavior Change as a guide, the nurse recognizes that the client is most likely to begin to accept information on diet changes and an exercise program during which stage?

1. Action
2. Preparation
3. Maintenance
4. Contemplation

Question 2

When assessing the external variables that influence a client's health beliefs and practices, the nurse must consider his:

1. Income status
2. Religious practices
3. Educational background
4. Reaction to the heart disease

chem1s3 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
During the contemplation stage, the client is considering a change within the next 6 months. The client may be ambivalent initially, but will more likely accept information as he or she develops more belief in the value of change.
During the action stage, the client is actively engaged in strategies to change behavior.
During the preparation stage, the client is making small changes in preparation for a change in the next month. At this point, the client believes advantages outweigh disadvantages in behavior change.
During the maintenance stage, the client has sustained change over time.

Answer to Question 2

ANS: 1
External variables influencing a person's health beliefs and practices include family practices, cultural background, and socioeconomic factors, such as income. Economic variables may affect a client's level of health by increasing the risk for disease and influencing how or at what point the client enters the health care system. A person's compliance with the treatment to maintain or improve health is also affected by economic status.
Religious practices are one way that people exercise spirituality. Spirituality is considered to be an internal variable.
Educational background is an internal variable that can influence the health beliefs and practices of a client.
An example of an internal variable that can influence health beliefs and practices of a client in-cludes emotional factors, such as the reaction to heart disease.