Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
$2.99
Chapter 11, Health Promotion- Achieving Change
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | After teaching a class about the stages of change, the instructor determines that the class understands the information when they identify the following as the proper sequence of stages? | |
| A) | Unfreeze, plan, and integrate | |
| B) | Plan, organize, and coordinate | |
| C) | Plan, relearn, and integrate | |
| D) | Unfreeze, change, and refreeze | |
| Ans: | D | |
| Feedback: | ||
| According to Lewin, change occurs in the following stages: unfreezing the old behavior, implementing the change, and then refreezing the new change in place to integrate it into the system. Planning, relearning, integrating, and coordinating are not stages of change. | ||
| 2. | When implementing a program for teaching parenting to a group of teenagers, the community health nurse determines that the group is in the changing/moving stage of change when the group demonstrates which of the following? | |
| A) | Motivation for change | |
| B) | Integration of the change | |
| C) | Lack of resistance to the change | |
| D) | Beginning adoption of the change | |
| Ans: | D | |
| Feedback: | ||
| During the changing or moving stage, people experience a series of attitude transformations, ranging from early questioning to full acceptance and commitment to accomplishing the change. They examine, accept, and try the innovation and the nurse helps them see the value of the change, encourages them to try it, and assists them in adopting it. Motivation for the change is part of the unfreezing stage. Showing a lack of resistance to the change and integration of the change characterize the refreezing stage. | ||
| 3. | A client who needs to lose weight as part of an overall plan to become healthier has contracted with a nurse for behavior change. The client is working on increasing fruits and vegetables in his or her diet and currently consumes less than one fruit or vegetable per day. The nurse knows that the client is in the unfreezing stage of change when the client stated: | |
| A) | “I have been reading a lot about the healing powers of many fruits and vegetables. I never ate many fruits and vegetables as a child so I am not sure how to prepare them. Can you refer me to some sources of information?” | |
| B) | “I have started to try one serving of fruits and one serving of vegetables at each meal. I am starting to discover some of my favorites.” | |
| C) | “I still hate fruits and vegetables and I don’t think I will be successful at integrating them into my diet.” | |
| D) | “Today I ate a total of 10 servings of fruits and vegetables. I really do like them and I feel great!” | |
| Ans: | A | |
| Feedback: | ||
| In the first stage, a disequilibrium develops and the system is more vulnerable to change. People in this stage have a sense of dissatisfaction and have a void that they would like to fill. When the client stated, “I have been reading a lot about the healing powers of many fruits and vegetables…,” he or she was expressing disequilibrium. When the client stated, “I have started to try one serving of fruit and one serving at vegetables at each meal…,” he or she was indicating that he or she is changing. When the client stated, “I still hate fruits and vegetables…,” he or she was expressing opposition to change which is not a part of the change process. When the client stated, “Today I ate a total of 10 servings of fruits and vegetables…,” the client was expressing that the change has become established as an accepted and permanent part of the system. | ||
| 4. | A community health nurse is applying the normative–reductive strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption? | |
| A) | Information alone is not enough, and behaviors change through persuasion. | |
| B) | Compliance by the client system will occur through the use of power to effect change. | |
| C) | People are rational and will adopt a new practice because it is in their best interest. | |
| D) | The clients can assume a high degree of responsibility for their own help. | |
| Ans: | A | |
| Feedback: | ||
| Normative–reductive strategies not only give information but also directly influence people to change attitudes and behaviors through persuasion. Use of power or coercion is associated with the power–coercive change strategy. The Empiric–rational change strategy is based on the assumption that people are rational and, when presented with empiric information, will adopt new practices that appear to be in their best interest. The empiric–rational strategy is best used with clients who can assume a relatively high degree of responsibility for their own health. | ||
Original price was: $200.00.$150.00Current price is: $150.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $499.00.$49.00Current price is: $49.00.
Original price was: $100.00.$75.00Current price is: $75.00.