Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

In patient education and counseling, which approach is NOT considered logical?

1. Discontinue established behavior rather than attempting to add new positive behaviors.

2. Suggest small rather than large changes in behavior.

3. Ask the patient about perceived barriers to action.

4. Ask for a commitment from a reluctant patient.

The correct answer is: Discontinue established behavior rather than attempting to add new positive behaviors.

In patient education and counseling, the approach of discontinuing established behavior rather than attempting to add new positive behaviors is not considered logical because it overlooks the concept of behavior modification that emphasizes building upon existing routines. Modifying or adding new positive behaviors incrementally is generally more effective for long-term adherence, as abruptly stopping established behaviors can lead to resistance and a sense of loss for the patient. Focusing on adding new positive behaviors allows for a more constructive approach, empowering patients to gradually incorporate healthier habits into their lifestyle. This method often leads to better outcomes because it acknowledges the difficulty of change and leverages the patient’s current habits as a foundation for improvement. Conversely, suggesting small rather than large changes in behavior is logical because it promotes a more achievable and less overwhelming approach to change, which can enhance patient confidence and motivation. Inquiring about perceived barriers provides crucial information that can lead to tailored strategies for overcoming obstacles, while asking for a commitment from a reluctant patient can encourage accountability and engagement in the change process. Thus, the reasoning behind those approaches aligns with effective behavior change strategies in healthcare.