270-273 Health, Wellness, and Illness

Question 1

What are the stages of illness behavior

Answer 1

Stage 1: Symptom experience
The client believes something is wrong and may interpret a symptom to mean something serious
Stage 2: Assumption of the sick role
The client accepts the sick role and seeks confirmation but not necessarily from healthcare providers, they
may try self-treatment first
Stage 3: Medical care contact
The client seeks advice of a health professional, is looking for reassurance and validation
Stage 4: Dependent client role
The client becomes dependent on the professional for help and looks to the professional for management of the illness
Stage 5: Recovery or rehabilitation
Client relinquishes the dependent role
Resumes former roles and responsibilities
May include adapting to a disability

Question 2

What are the factors that influence adherence

Answer 2

clients motivation to become well
the degree of the change
the clients perceieved severity of the illness
overall cost of therapy
degree of inconvenience
ability to understand and perform specific behaviors

Question 3

What should the nurse do if they notice non-adherence

Answer 3

determine why
demonstrate caring
encourage healthy behaviors through positive reinforcement
use aids to reinforce teaching
establish a therapeutic relationship of freedom, understanding, and responsibility with the client and the support persons