A community health nurse is using the health belief model (HBM) as a b

A community health nurse is using the health belief model (HBM) as a basis for providing client care. Which of the following best describe the problems associated with using the HBM? (Select all that apply.)

a. It ignores the need to reduce health system barriers to action.
b. It is extremely difficult to change the client’s belief system.
c. It is the nurse’s responsibility to persuade clients to engage in the appropriate behavior.
d. Clients do not have the knowledge to correctly analyze the seriousness of the disease or their susceptibility to it.
e. Clients expect health professionals to take preventive actions for them.
f.
The choice and the burden for acting are entirely with the client.

ESSAYBID ANSWER

ANS: A, F
A major problem with this model is that the burden for taking action is totally with the client. The model requires health professionals to assume responsibility for modifying the client’s perceptions so they recognize the need to act. Although the line between persuading and educating is a fine one, nurses are responsible for education. Persuasion may border on coercion. Further, the model assumes that all responsibility is personal, ignoring barriers in the health care system, which may make it difficult for an individual to take appropriate action.