Author Question: A 34-year-old client is recovering from a below-the-knee amputation secondary to a motor vehicle ... (Read 86 times)

Chelseaamend · **on:** Jul 8, 2018

A 34-year-old client is recovering from a below-the-knee amputation secondary to a motor vehicle accident. The nurse meets with the client to update his care plan, and client states that he knows that he will walk again.

He asks for physical therapy schedules and timelines for prosthetics on the basis of his healing process. On the basis of knowledge of the theory of reasoned action, the client's behavior reflects:
A) An enhanced ability to meet his goals on the basis of his intention and behaviors
B) Goal setting that is unrealistic and irrational based on the client's diagnosis and behaviors
C) A depression that will complicate the healing process
D) Denial of the injury and part of the healing process

Question 2

The committee has established the need for a sick child clinic in an impoverished neighborhood.

The demographic data have been collected, and the committee is ready to meet with a group of local businesspeople who are willing to support the project financially. The plan is for the committee and group to combine to facilitate the establishment of the clinic. Using a transtheoretical model, which level of readiness has the committee achieved?
A) Contemplation
B) Preparation
C) Action
D) Relapse

aidanmbrowne · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A
Feedback:
The theory of reasoned action states that a person's given behavior is primarily determined by his or her intention to perform that behavior (Fishbein & Ajzen, 1975). This intention is determined by the person's attitude toward the behavior (beliefs about the outcomes of the behavior and the value of these outcomes) and the influence of the person's societal environment or subjective norm (beliefs about what others think the person should do). The ability to perform the behavior (a belief that it can be done) is the critical aspect of the change process. The other answers do not reflect the theory of reasoned action.

Answer to Question 2

Ans: B
Feedback:
The stages in a transtheoretical model are as follows: precontemplation (no screening programs scheduled and no intention to schedule screening); contemplation (no screening programs scheduled but intent to start a program soon); preparation (no definite screening program but have taken steps to develop a program); action (developed a screening program and intent to sustain the program); maintenance (have had the program for some time and intend to continue); relapse (had a program, do not have a program currently, but intend to have one soon). The committees in this case are in the preparation stage, as they have taken steps to start the clinic but have not actually started it yet.