The nurse decided to use a learning model based on Skinner with a ...

[crazycityslicker]

The nurse decided to use a learning model based on Skinner with a client with diabetes to improve compliance with dietary and blood glucose assessment requirements. Which would be the best way to implement this program?
 
  A) Give rewards for a lower blood sugar level and a food diary that reflects moderate dietary compliance.
  B) Eliminate the reward and punish the client when she fails to comply with dietary guidelines.
  C) Demonstrate positive reinforcement by decreasing dietary guidelines and blood sugar parameters.
  D) Institute a strict timeline to accomplish goals.

Question 2

The nurse decides to use the health belief model for a wellness walking program for older adults. The walk is to begin each day at 8 PM. Each day a different participant is to start a chain of phone calls to other participants to remind all to attend.
 
  The nurse informs the clients in the clinic that walking will improve their overall health and well-being. Two older adults show up the first night and none the second. Which information should the nurse gather to explain the failure of the program? (Select all that apply.)
  A) The severity of the physical challenge related to the client population
  B) What stands in the way of taking action toward the goal of health promotion
  C) The presence or absence of cues needed for the program to achieve success
  D) The presence or absence of a strong team leader among the participants
  E) The need to increase persuasion when implementing the program

[juwms]

Answer to Question 1

Ans: A
Feedback:
According to Skinner (1953), health behaviors are seen as incremental steps toward a final goal. In the learning model, the nurse establishes and reinforces a goal and rewards the client for partial accomplishment, if necessary. Incremental increases are then made as the pattern of behavior is shaped toward a specific goal. Reinforcement is used to motivate the client to either continue or discontinue a behavior. Giving rewards for a lower blood sugar level and a food diary that reflects moderate dietary compliance is the best example of implementing a learning model of behavior change. Punishment and enforcing a strict timeline do not provide positive reinforcement and thus are not good examples of the learning model. Lowering the requirements of the goal is also not a good example of this model, as the goal should not change.

Answer to Question 2

Ans: A, B, C
Feedback:
The health belief model, developed by Hochbaum (1956) and Rosenstock (1974), specifies that individual, family, or community health-related behavior depends on (1) the severity of the potential illness or physical challenge, (2) the level of conceivable susceptibility, (3) the benefits of taking preventive action, and (4) what stands in the way of taking action toward the goal of health promotion. This model uses cues as an important way to remind people of healthy behaviors and to promote these actions. A strong team leader and persuasion are not integral parts of the health belief model.

[crazycityslicker]

Thank you

[juwms]

No problemo