According to the information given Mr. W is suffering from pneumonia and is given antibiotics accordingly. The client is unable to give up smoking habits. He had tried to stop it and his weight tends to increase due to it. He admits that he gained about 30 pounds. The patient took necessary steps to quit but has no improvements. He also has started walking 30 minutes every day with his wife.
Mr. W is in the pre-contemplation stage. At this stage, the person does not think about changing his behavior for next 6 months. He has already tried changing, but did not work. At such a stage the person becomes completely hopeless.
People in this stage avoid everything and everyone too. He has tried ways to stop his smoking habits and as they did not work properly he gave up. There are various ways to stop the habit of smoking, but all may not be successful too. Some methods would include nicotine replacement, trigger avoidance, and gradually trying to stop.
In nicotine replacement the person uses the nicotine patch and then can gradually reduce the levels. This way the person will not suffer as much as he suffers during smoking cigars and feels the effect of nicotine too. This therapy works the best and has been very helpful to so many people.
A vision of health promotion was started initially in 1979, which involved health promotion and health prevention; it followed in 1990 as well as provided a framework for national health promotion.
Objectives and strategies are applied to develop them. There is a framework with vision, mission. Partnership is also essential for promoting the health. People should join hands to make a useful awareness to people; taking sponsors and partnership are methods to make it a huge success.
Hence, the options 1 and 4 are incorrect.
There are other goals of health promotion too, but those are not included under overarching goals. There are roles of nurse under the health promotion model and are still carried out productively in many countries. This helps people gaining knowledge about what is happening around the world and how people are infected spreading it to others, diseases are epidemic, pandemic and endemic.
Hence, the correct answers are options
The nurse can ask if he had tried any other ways to reduce the smoking habits and if the weight tends to increase, has he seen any doctor for this problem or not. The nurse can ask the client that since when he has started smoking.
Also, about the diet control too, though it is mentioned that his wife makes low fat diet, it may be not working correctly according to the situation. Sometimes, smoking continuously and then suddenly stopping the regular habit can cause the increase in weight. So, the number of times he had tried stopping can be asked.
The nurse can also ask if he regularly works out and if so how many times a day and how many hours of regular exercise is being done by him. These are some important questions a nurse should ask to the client.
The nurse should ask if he feels better by the antibiotics given or is it worse. The interaction with the client is the best way to communicate and to know the problems better. She can also ask general questions about his family, business, and so on