Author Question: The nurse is interviewing a client who has experienced a 15-pound weight gain during the last year. ... (Read 74 times)

Davideckstein7 · **on:** Jun 25, 2018

The nurse is interviewing a client who has experienced a 15-pound weight gain during the last year. The nurse obtains a 24-hour dietary recall, as well as determining the client's exercise habits and feelings regarding plans to take off the excess weight.

Which type of approach is the nurse using to enhance the client's health?
1. Psychosocial perspective.
2. Illness perspective.
3. Physiologic perspective.
4. Wellness perspective.

Question 2

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.

Animal_Goddess · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
When using a wellness perspective, the nurse focuses on the client's personal strengths and abilities to enhance health. An illness perspective does not include the positive attributes that the client possesses to address the problem. A physiologic perspective could also be considered an illness perspective. A psychosocial perspective would not take into account the physiologic alteration necessary for a successful weight loss program.

Answer to Question 2

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.