In: Nursing
Your client inconsistently applies self-management behaviors for her diabetes. Talking with you, she shares that her husband and her cultural interpretations discourage her from making time for exercise and from preparing low-fat, consistent carbohydrate meals. She also seems to have low self confidence and low self-efficacy. Which theory or model would you use to help plan a counseling intervention for her?
Your client is 13 weeks into her pregnancy and her energy-level and iron status measures are extremely low. Talking with you, she shares her belief that the baby will take the iron it needs from her body and that pregnancy-related diet or supplement changes are not necessary. She also doesn't believe in the effectiveness of supplements. She says she tried them before and they made her constipated but didn't make her feel more energetic.
Your teenage client has recently been diagnosed with celiac disease. Assessment reveals that he continues to consume gluten, that he knows the food sources of gluten, and that he wants to quit eating gluten but for some reason hasn’t been able to do it. From talking with him you learn that there are certain triggers, in his daily life, that affect the way he feels, thinks, and behaves around food. Which theory or model would you use to help plan a counseling intervention for him?
Your client has decided to reduce the amount of sugar and processed carbohydrate he typically eats in an effort to improve his health status. He has tried doing this before but wasn't successful. Talking with him, you find that in previous attempts he failed to adequately prepare for making changes in the foods and beverages he consumes. Which theory or model would you use to help plan a counseling intervention for him?
HEALTH BELIEVE MODEL
The primary component of health belief model are
1. percieve susceptibility : Person's opinion of the chances of getting a certain condition
2. Percieved severity : a person's opinion of how serious the condition is.
3. perceived benefits: a persons opinion of the effectiveness of some advised action to reduced the risk
4. percieved barriers: Psychological costs of advised action
5. cues of action: internal or external events which can activate actions anf change in behavior
The three questions that can be asked to check whether the Health believed model is affective or not are
1. who is giving the opinion?
2. whether the opinion is positive or negative?
3. what the outcome after taking cost of advised action?
SOCIAL COGNITIVE THEORY
The components of social cognitive theory are made to motivate and acheive the goal
1. self observation: It include observation of self behavior base on the goal set
2. self evaluation: Comparing one self performance with desire performance or goal
3. self reaction: Giving reaction or suggestion to one's performance to improve or motivate.
4. self efficent : It include goal completion can be motivated by itself.
The questions that could arise to check the affect to client by this theory are
1. How much the person is goal orientes?
2. How much afective the comparision of current perfomance with desire performance?
3. How much self motivation is affective?
COGNITIVE BEHAVIOR THEORY
The component of cognitive behavioral theory are
1. thought
2. Feeling
3. Behaviour
These three component are interelated to one another. If there is change in thought then leads to change in feeling as well as behaviour.
The questions that can be asked to check that this theory affect the patient are
1. If the love one is death then will the feeling and behaviour change or not?
2. If the person is happy then will the feeling and behaviour chage or not?
3. is the thought directly changes the behavior of the person?