During an assessment interview, the nurse understands that the client

During an assessment interview, the nurse understands that the client has decided not to take the physician’s advice about an elective surgical procedure. The client shares that this is “just not part of what I have in mind for my life’s goals.”

This would fall into which of Gordon’s functional health patterns?
1. Cognitive/perceptual pattern
2. Coping/stress-tolerance pattern
3. Health-perception/health-management pattern
4. Value/belief pattern

ANSWER

Correct Answer: 4
Rationale: The value/belief pattern describes the patterns of values, beliefs (including spiritual), and goals that guide the client’s choices or decisions. The client in this situation has decided against a surgical procedure because it doesn’t coincide with the client’s beliefs and goals. Cognitive perceptual patterns describe sensory-perceptual and cognitive patterns. Coping/stress-tolerance patterns describe the client’s general coping pattern and the effectiveness of the patterns in terms of stress tolerance. Health-perception/health-management pattern describes the client’s perceived pattern of health and well-being and how health is managed.