The committee has established the need for a sick-child clinic in an impoverished neighborhood. The demographic data have been collected, and the committee is ready to meet with a group of local business people who are willing to support the project financially.
The plan is for the committee and group to combine to facilitate the establishment of the clinic. Using a transtheoretical model, which level of readiness has the committee achieved?
Relapse.
Contemplation.
Preparation.
Action.
The Correct Answer is D
Choice A rationale
Relapse is the stage where an individual returns to an old, less healthy behavior after a period of attempting to change. In the Transtheoretical Model (TTM), this describes a return to a previous stage, indicating a failure to maintain the behavior change, which is not applicable to a community group actively beginning the change process.
Choice B rationale
Contemplation involves the individual acknowledging a problem and seriously considering action within the next six months, but they are still weighing the pros and cons of change. This committee is past the point of just thinking about the clinic; they have already completed data collection and secured support.
Choice C rationale
Preparation is the stage where the individual intends to take action in the immediate future, usually within the next month, and has a concrete plan. The committee has progressed beyond this; they've already collected data and secured a meeting with financial supporters to act.
Choice D rationale
Action is the stage where individuals have overtly modified their behavior, environment, or experiences to overcome their problems. The committee is actively combining with the business group to facilitate the establishment of the clinic, which represents concrete, observable steps towards the change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This describes the biomedical or scientific belief system, which posits that disease is caused by identifiable, scientifically verifiable pathogens, biochemical imbalances, or structural lesions. This model, prevalent in Western medicine, views the body as a machine that can be repaired by targeting the specific cause, relying on empirical data and research for diagnosis and treatment.
Choice B rationale
This is an outdated concept not representative of any major health belief system. The "law of similars" is actually the foundation of homeopathy, an alternative system where highly diluted substances that cause symptoms in a healthy person are used to treat similar symptoms in a sick person, contrasting sharply with magicoreligious or biomedical views.
Choice C rationale
This describes the naturalistic or holistic belief system, which attributes illness to a disruption or imbalance among the elements within the body, such as yin and yang (Chinese medicine) or hot and cold (Hispanic folk medicine). Health is maintained by keeping these forces in equilibrium, and illness treatment aims to restore that natural harmony.
Choice D rationale
Magicoreligious beliefs attribute health and illness to the actions of supernatural forces—gods, spirits, demons, or fate. Illness may be seen as a punishment, a possession, or a result of witchcraft or voodoo. Healing is thus often sought through religious rituals, faith healing, traditional healers, or spiritual interventions to appease or counteract these forces.
Correct Answer is C
Explanation
Choice A rationale
Anxiety with public speaking acts as a significant psychological barrier to political involvement, which frequently requires speaking in public forums, legislative hearings, or community meetings to advocate for a cause or policy. This fear inhibits a nurse from effectively articulating concerns and mobilizing support for health-related legislation.
Choice B rationale
Political action interfering with family time is a common logistical or personal barrier. Becoming politically involved demands a substantial time commitment for meetings, research, and lobbying efforts, which can create conflicts with existing family and personal responsibilities, thereby discouraging participation.
Choice C rationale
Feelings of empowerment are a facilitator or motivator, not a barrier, to political involvement. This psychological state reinforces a nurse's belief in their ability to effect positive change, encouraging them to engage in advocacy and use their professional expertise to influence health policy decisions.
Choice D rationale
Lack of knowledge in the legislative process constitutes an educational barrier. Without understanding the complex steps of how a bill becomes law, the key stakeholders, or the timing for effective lobbying, a nurse is likely to feel overwhelmed and ineffective, reducing their desire to participate.
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