Community Health Nursing
NUR4636 – Community Health Nursing
Case Study
Chapter 11
Health Promotion: Achieving Change 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?
4. The community health nurse understands that the nature of learning
contributes to the effectiveness of teaching on smoking cessation. The nurse
needs to include the three domains of learning in the presentation. What are
the three learning domains that must be considered in planning the
education program?
