Question

Ve.lau edu sa Assignment Mr. (X) and Mr. (Y) have both suffered heart attacks. Mr. (X), upon advice from his physician, started exercising, changed his dietary intake, entered stress reduction classes, and returned to work 6 weeks after his heart attack. He has a positive outlook, is doing well, and talks about being "well." Mr. (Y) also changed his dietary habits and started exercising. However, Mr. (Y) has been unable to quit smoking even though he wants to and has been advised to do so. Joe is frequently despondent, is very fearful of having another heart attack, has not yet returned to work, and frequently talks about being "ill." 1. How does Mr. (X)'s psychologic dimension of health status differ from Mr. (Y) 's? 2. Both Mr. (X) and Mr. (Y) have heart disease. Mr. (X) considers himself "well" whereas Mr. (Y) considers himself "ill." Explain this phenomenon based on the health locus of control model. 3. What external factors may have influenced Mr. (X)'s decision to implement positive health behaviors? 4. What factors may have prevented Mr. (Y) from developing the same positive outlook and actions that Mr. (X) was able to take in regard to his illness? 5. What nursing interventions would be most beneficial to Mr. (Y) concerning his smoking problem?

Answer 1

1. Health status depends upon the mind, body, and spirit. MR.X positive approach and healthy habits impact wellness on him. The self-realization of the actual situation of his current health condition improves the emotional well-being of the Mr.X. Whereas Mr.Y unacceptance of his health condition, unable to control smoking declines his quality of life.

2. Health locus of control plays an important role in the outcome of individual health concerns. The individual belief system is controlled either by an external or internal locus of control. Mr.X has an internal locus of control so that he is motivated and learned to change positive dietary habits, initiates exercising, controls his stresses and achieves wellness in his life. MR.Y has an external locus of control so that he can't control the smoking habits. He is very fearful of his condition which increases his anxiety level and makes him felt illness.

3. External factors that may influence Mr.X decision are

• Personal changes to modify positive lifestyle behaviors
• Getting help from a formal group to reduce stress
• sociocultural factors that have a positive impact.
• Social support promotes positive behavior.

4. Factors that prevented Mr.Y from developing a positive outlook are

• Lack of knowledge about risk factors of his disease condition
• Life adaptation skills that influence smoking behavior.
• Psychological imbalance that increases anxiety and illness
• False beliefs and attitudes towards the disease condition.

5. Nursing interventions concerning to Mr.Y smoking problem

• Motivate Mr.Y to quit smoking by explaining the risks of smoking.
• Assess and identify the environmental risk factors to remove quitting barriers.
• Introduce him smoking cessation program.
• Provide counseling to promote a positive attitude on Mr.Y