Week 1 Discussion

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?

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Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. 
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Wednesday, and comment on the posts of two classmates on two different days by 11:59 PM ET Sunday.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.