Case Study
Chapter 11 – Health Promotion Through
Education
The community health nurse is preparing a smoking
cessation program to be presented at the local high
school for individuals who are thinking about quitting
smoking. The community health nurse is identifying
appropriate education activities that include the three
domains of learning and the three stages of change.
1. The community health nurse has to consider the
three stages of change in considering individual
reasons to stop smoking. What are the three
stages of change?
2. Planned or managed change is a purposeful,
designed effort to effect improvement such as
smoking cessation with the help of a change
agent who is the community health nurse. What
are the eight steps of planned change that the
community health nurse needs to consider?
3. The community health nurse understands that
encompassing strategies are the critical change
strategies to consider in planning the health
education program. What are the three major
change strategies that must be considered by
the community health nurse?
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