Understanding Change in Recovery
A PMHNP is leading a recovery group for at-risk teens who have been
mandated to attend meetings as part of their addiction treatment.
1. A member of the group states that his problem is not that bad and he can
stop anytime he chooses. Using on occasion is just a way to have fun
with friends. Which concepts of the Health Belief Model best describes
the group member’s readiness to change?
A. Perceived severity and perceived barriers
B. Self-efficacy and perceived benefits
C. Cues to action and perceived susceptibility
D. Self-efficacy and perceived susceptibility
Understanding Change in Recovery
2. A member of the group expresses how difficult it has been to maintain her
sobriety and as a result does not feel she will be successful this time.
Which concept of the Health Belief Model would be the most significant
risk factor for relapse?
A. Low perception of severity
B. Low self-efficacy
C. High perceived benefits
D. Cues to action
3. A member attending the group for the first time expresses gratitude 56for
being court ordered to attend the recovery group instead of serving
prison time, and he realizes how out of control he was while using.
Which Health Belief Model concept was demonstrated?
A. Perceived severity and perceived barriers
B. Self-efficacy and perceived benefits
C. Cues to action and perceived severity
D. Self-efficacy and perceived susceptibility
Understanding Change in Recovery
4. A 30-year-old man with three past psychiatric hospitalizations for
schizoaffective disorder presents for follow-up care with the PMHNP.
Before discharge, the patient received court ordered Zyprexa Relprevv
300 mg IM X 1. The patient tells the PMHNP that he is aware that
5. The PMHNP is caring for a 20-year-old man with bipolar I disorder. The
patient indicates that he does not have a problem because he can
accomplish so much during his manic episodes. Which stage of change is
the patient in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
E. Maintenance APA
