Potter: Fundamentals of Nursing, 8 Edition
Potter: Fundamentals of Nursing, 8 Edition
th
Edition
Chapter 06: Health and Wellness
Answer e! " Clini#al Appli#ation $uestions and %ationales
1. Internal and external variables influence Mrs. Hillmans health beliefs and practices.
Internal variables that impact Mrs. Hillman are: emotional factor of stress related to
not having a job, single parenthood, and illness; and intellectual background of not
recogniing the health haards of smoking or need for health care for herself. !xternal
variables that impact Mrs. Hillman are: socioeconomic factor of not having a job and
limited financial help from childrens father; famil" practices of health care ma" be
related to obtaining health care for her children but not for herself.
2. #he primar" prevention$intervention activities that are important for Mrs. Hillman
and her famil" are: immuniations for the children; health" diet and exercise for Mrs.
Hillman and the children; influena vaccines for all; health education on smoking
cessation for Mrs. Hillman.
3. #he transtheoretical model of change helps nurses support individuals through
behavior change. %ehavior change occurs in a series of steps. #o determine in &hich
stage &ithin the model Mrs. Hillman is, ask if she is interested in information about
smoking cessation. If she sa"s that she is not interested, she is in the precontemplation
stage 'i.e., she doesnt intend to make a change (stop smoking) &ithin the next *
months+. If she sa"s "es, she is in the contemplation stage 'i.e., she is considering a
change (to stop smoking) &ithin the next * months+.
,op"right - ./01, .//2, .//3 b" Mosb", an imprint of !lsevier Inc.