A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned Behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits?
There's no way to predict how a client will do on a medical regimen.
There is a high chance of better outcomes with more education.
There is a higher chance of complications due to poor adherence to the plan.
The outcomes will be about the same.
The Correct Answer is C
Choice A reason: There's no way to predict how a client will do on a medical regimen.
This statement is incorrect because the Theory of Reasoned Action/Planned Behavior (TRA/TPB) provides a framework for predicting and understanding behaviors, including adherence to medical regimens. According to this theory, behavioral intentions, influenced by attitudes, subjective norms, and perceived behavioral control, can predict actual behavior. Therefore, it is possible to predict how a client might adhere to a medical regimen based on these factors.
Choice B reason: There is a high chance of better outcomes with more education.
While education is important, it alone may not be sufficient to ensure better outcomes. The TRA/TPB suggests that intentions to perform a behavior are influenced by attitudes towards the behavior, subjective norms, and perceived behavioral control. Without addressing these factors, simply providing more education may not lead to improved adherence or outcomes.
Choice C reason: There is a higher chance of complications due to poor adherence to the plan.
This statement aligns with the TRA/TPB, which posits that poor adherence to a medical regimen can lead to negative health outcomes. In the context of diabetes management, poor adherence to dietary and exercise plans can result in uncontrolled blood glucose levels, leading to complications such as cardiovascular disease, neuropathy, and retinopathy. The client's reported lack of motivation and non-adherence to the meal plan and exercise regimen increases the risk of such complications.
Choice D reason: The outcomes will be about the same.
This statement is incorrect because it overlooks the impact of adherence on health outcomes. According to the TRA/TPB, adherence to recommended behaviors is crucial for achieving positive health outcomes. In diabetes management, adherence to dietary and exercise plans is essential for controlling blood glucose levels and preventing complications. Therefore, outcomes are unlikely to remain the same if the client does not adhere to the recommended regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Read to the Child at Least Four Times per Week
Reading to a child regularly is one of the most effective ways to support both socio-emotional development and language skills. It helps build vocabulary, comprehension, and communication skills while also fostering a strong emotional bond between the caregiver and the child. Reading stories can introduce children to different emotions and social situations, helping them understand and manage their own feelings.
Choice B: Allow Regular Naps for the Child to Foster Proper Brain Growth
While regular naps are important for a child's overall development and brain growth, they do not specifically target socio-emotional development and language skills. Napping helps with physical growth and cognitive function, but it does not provide the interactive and communicative benefits that activities like reading do.
Choice C: Enable Playtime for the Infant Child Once per Month
Playtime is crucial for a child's development, but once per month is not sufficient. Regular, frequent playtime is necessary to support socio-emotional development and language skills. Play allows children to explore their environment, interact with others, and develop important social and communication skills. Therefore, playtime should be encouraged daily rather than monthly.
Choice D: Watch a Favorite TV Program with the Child on a Consistent Basis
Watching TV can be a passive activity and does not provide the same level of interaction and engagement as reading or playing together. While some educational programs can be beneficial, they should not replace active, interactive activities that directly support socio-emotional development and language skills. Engaging in conversations and interactive play is more effective for these developmental areas.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A Reason:
a) Assess the community: This is the first step in addressing community health needs. It involves gathering data about the community's health status, resources, and needs. This can be done through surveys, interviews, focus groups, and public forums. The assessment helps to identify the health problems and needs of the community, which is essential for planning effective interventions.
Choice B Reason:
b) Analyze the findings and identify the needs: After collecting data, the next step is to analyze it to identify the community's health needs. This involves looking at the data to find patterns and trends that indicate health problems. By identifying these needs, the nurse can prioritize which issues to address first. This step is crucial for developing a targeted and effective health plan.
Choice C Reason:
c) Decide on educational theories to use: This step is not directly related to the initial assessment and planning process. Deciding on educational theories is more relevant when planning specific health education interventions. While important, it is not a primary step in assessing and addressing community health needs.
Choice D Reason:
d) Use measurable indicators to evaluate the plan: Using measurable indicators is essential for evaluating the effectiveness of the health plan. These indicators help to track progress and determine whether the interventions are achieving the desired outcomes. This step ensures that the health plan is effective and allows for adjustments to be made if necessary.
Choice E Reason:
e) Collaborate with the residents of the community on what interventions will work for that community and prioritize them: Collaboration with the community is vital for the success of any health intervention. By involving community members in the planning process, the nurse can ensure that the interventions are culturally appropriate and accepted by the community. This collaboration also helps to prioritize the interventions based on the community's needs and preferences.
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