across the Lifespan TEST BANK FINAL EXAM / NR 605 ACTUAL
FINAL EXAM COMPLETE REAL QUESTIONS AND WELL ELABORATED
ANSWERS (CORRECT VERIFIED ANSWERS) LATEST UPDATES
|GUARANTEED PASS. (BRAND NEW!!) NR605 FINAL
Health Belief Model
-used to explain and predict health behaviors
-a person's belief about a perceived threat of illness combined with belief in
the effectiveness of the recommended action predict the person's
willingness to change
-constructs:
• perceived seriousness
• perceived susceptibility
• perceived benefits of treatment
• perceived barriers to treatment
• cues to action
• self-efficacy
, Transtheoretical Model of Change
assumes that behavior changes take place over time and that people move through
stages of decision-making to make changes to behavior
-stages:
• precontemplation
• contemplation
• preparation
• action
• maintenance
strategies to support resource development and stabilization:
-case management
-provision of safety
-stress management
-management of physiological arousal
-exercise
-cognitive or dialectical behavioral therapy
-role play
,Nancy is a 64-year-old who is wondering if losing weight might benefit her
self-esteem and self-confidence. Based on the transtheoretical model of
change, which of the following actions by the PMHNP would be
appropriate for Nancy if she is in the contemplation stage of change? Ask
Nancy to create a list of reasons that she wants to lose weight.
Refer Nancy to her primary provider to obtain medical clearance for an exercise
program.
Explore Nancy's anxiety and emotional responses related to be
Ask Nancy to create a list of reasons that she wants to lose weight.
Rationale: Creating a list of reasons to lose weight would be appropriate for
the contemplation phase. Obtaining medical clearance for exercise is a part of
the preparation phase of the Transtheoretical Model of Change.
Exploring emotional responses to being overweight would be appropriate for
the precontemplation phase. Addressing rewards for reinforcement of
behaviors would occur in the action phase.
, Treatment Hierarchy Framework
therapeutic aims at the base of the model must be addressed before the client
can move up the triangle
Top: Stabilization
Internal resources
External resources
Bottom: Foundational needs
Processing
involves helping clients explore the meaning of adverse life events
-adapting memory, cognition, behavior, affect, and beliefs surrounding traumatic
events
• achieve positive change