The nurse is reviewing data within a client’s medical record: Current

QUESTION

The nurse is reviewing data within a client’s medical record: Current Problem: Right hip pain

Explaining Factors: “It started when I rode the stationary bike at home. It’s that bike’s fault I have pain now and I’m not going to do any exercise anymore.”
Efforts take to relieve pain: “I take over-the-counter pills, but I figure if I’m supposed to get over this I will. Something will come up that will help with the pain.”
Based upon this information, which health belief model should the nurse identify that the client follows?
1. Internal locus of control
2. External local of control
3. Rosenstock’s health belief model
4. Pender’s health promotion model

ANSWER:

Correct Answer: 2

People who believe their health is largely controlled by outside forces and is beyond their control have an external locus of control and may need assistance to become more internally controlled if behavior changes are to be successful. People who believe that they have a major influence on their own health status are internally controlled; that is, they have an internal locus of control. The health belief model (HBM), developed by Rosenstock provides a framework for understanding why people do not adopt disease prevention strategies or participate in screening tests for the early detection of disease. Pender’s health promotion model focuses on health-promoting behaviors rather than health-protecting or preventive behaviors.