George Mason is a 78-year-old black man who has hypertension and chronic obstructive pulmonary disease (COPD).

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George Mason is a 78-year-old black man who has hypertension and chronic obstructive pulmonary disease (COPD). He is widowed and lives with his daughter and her husband. He is a retired coal miner and spends time helping his son-in-law work on cars. He is overweight and smokes 1 pack of cigarettes daily. He does not exercise. George’s daughter does not work outside the home and watches her two grandchildren 3 days a week. George helps with the children. Deanna is a student nurse who is working at the health fair sponsored by Mr. Mason’s church. Her role is to take vital signs and talk with the patients who have health concerns. Mr. Mason is there to have his blood pressure checked.

Question 1
Deanna knows that Mr. Mason needs to quit smoking to improve his health. What factors should she take into consideration that could affect Mr. Mason’s willingness to engage in health promotion activities?

Question 2
Mr. Mason says to Deanna that he doesn’t see any reason to quit smoking; he already has COPD, so it wouldn’t do any good. According to the stages of the behavior change model, how should Deanna respond? ( Select the correct response)

A) You are right; it isn’t that important.
B) It is hard to quit smoking. What things are important to you now? What will be important to you over the next year?
C) I am going to tell your daughter that you have to quit smoking.
D) Maybe someday you will decide to quit smoking. I hope you do before it is too late.
Question 3
As Deanna is talking with Mr. Mason, he tells her that he figures he will eventually get diabetes since his father and two brothers had type 2 diabetes. This is considered what type of risk factor? Age? Environmental? Genetic? ?Lifestyle?

Question 4
Deanna is explaining to Mr. Mason that diabetes and COPD are examples of what type of illness?

Sample Solution

Question 1

Deanna should consider several factors when discussing smoking cessation with Mr. Mason:

  • Age and Health Status: Mr. Mason’s age and existing health conditions may make him less receptive to change.
  • Social and Cultural Factors: His social and cultural environment may influence his smoking habits and attitudes towards quitting.
  • Addiction: Nicotine addiction is a powerful force, and quitting can be challenging.
  • Fear of Failure: Previous attempts to quit may have been unsuccessful, leading to fear of failure.
  • Emotional Dependence: Smoking may be a coping mechanism for stress or anxiety.

Question 2

B) It is hard to quit smoking. What things are important to you now? What will be important to you over the next year?

This response is the most appropriate as it acknowledges the difficulty of quitting smoking while also opening a dialogue about Mr. Mason’s values and goals. It encourages him to think about his future and what he wants to achieve.

Question 3

Genetic

A family history of type 2 diabetes is a genetic risk factor, meaning that individuals with a family history are more likely to develop the condition.

Question 4

Chronic Illness

Both diabetes and COPD are chronic illnesses, meaning they are long-lasting conditions that require ongoing management.

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