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Pender Health Promotion Model case study chart guide

A theory-application exercise: chart every component of Pender's Health Promotion Model, map each to Mrs. Richards's grief, hypothyroidism, depression, and heroin use, and cite one practice-based resource supporting the model in clinical use.

Editorial process

Last reviewed · August 12, 2026

01

What must the Health Promotion Model chart contain?

The deliverable is a chart or diagram, and that format instruction is the assignment's real test: it forces you to know the Health Promotion Model's architecture well enough to draw it, then discipline the case into it. Pender's model organizes into three blocks — individual characteristics and experiences, behavior-specific cognitions and affect, and the behavioral outcome — and the chart should carry all of them: prior related behavior and personal biological, psychological, and sociocultural factors in the first; perceived benefits of action, perceived barriers, perceived self-efficacy, activity-related affect, interpersonal influences, and situational influences in the second; competing demands and preferences, commitment to a plan of action, and the health-promoting behavior itself as the outcome. A diagram that names all the components, with the case mapped beside each, is exactly what the make-a-chart instruction is asking for, and a prose essay wearing a table's clothes will read as dodging it.

Mrs. Richards supplies material for every cell, which is why this case was chosen. Her prior behavior and biology include hypothyroidism, depression, and eight months of heroin use; her psychological and sociocultural factors center on catastrophic bereavement — a husband and two children lost at once — which also loads activity-related affect and interpersonal influences, since the family that would normally support change is the loss driving the behavior. Perceived barriers plausibly include grief itself, depression's inertia, stigma, and withdrawal fear; self-efficacy is presumably low and must be built rather than assumed; situational influences include whatever access and environment sustain use. The outcome block is where the plan of care lives: commitment to concrete, negotiated actions — medication-assisted treatment engagement, thyroid and depression management, grief counseling — with competing demands honestly acknowledged rather than waved off.

The closing requirement is small but graded: one scholarly, practice-based resource — an article or clinical guideline — that supports applying the Health Promotion Model in clinical practice, not merely describing it. Choose a source that demonstrates the model structuring real assessments or interventions, cite it properly, and say in a sentence what its application shows. A cleaning note: the record circulated with generic formatting and proofreading guidance appended after the assignment; that material is excluded from the brief above, and the archived original retains it.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Chart all components of Pender's model across its three blocks — characteristics and experiences, behavior-specific cognitions, behavioral outcome.
  • 02
    Map Mrs. Richards's history — bereavement, hypothyroidism, depression, heroin use — to the specific components each informs.
  • 03
    Treat the bereavement as both psychological factor and interpersonal-influence loss, the case's structural center.
  • 04
    Build the plan of care in the outcome block: negotiated commitments with competing demands acknowledged.
  • 05
    Cite one practice-based resource showing the model applied, not just described.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

You as the advanced practice nurse are working in a community health center. Your next patient is Mrs. Richards, a 39 year-old Caucasian female, presenting to the clinic with a history of Hypothyroidism, Depression, and recent history of Substance Abuse (Heroine Use). During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago and she reports using illicit drugs since their death. Based on your knowledge of the Health Promotion Model, make a chart and/or diagram that outlines all components of the theory and how the theory can be applied to this case study to formulate a plan of care for this patient. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the application of the Health Promotion Model in clinical practice. Pender’s Health Promotion Model
02

Turn the brief into deliverables

  1. 01
    A chart and/or diagram outlining all components of Pender's Health Promotion Model.
  2. 02
    The case-to-component mapping that formulates Mrs. Richards's plan of care.
  3. 03
    One scholarly, practice-based resource supporting the model's clinical application.
03

How does Mrs. Richards's case map to the components?

01

The model, drawn complete

Lay out the three blocks with every component named — prior behavior and personal factors; benefits, barriers, self-efficacy, affect, interpersonal and situational influences; competing demands, commitment, and the health-promoting behavior.

02

The case, mapped cell by cell

Assign hypothyroidism, depression, heroin use, and the eight-month-old triple bereavement to the components each informs, with the lost family read as both driver and missing support.

03

The plan of care in the outcome block

Formulate the negotiated commitments — treatment engagement, medical management, grief work — with barriers and competing demands addressed as the model requires.

04

The practice-based resource

Cite and briefly argue one article or guideline demonstrating the model structuring real clinical work.

04

Where is the model's clinical application documented?

Recommended databases

  • PubMed Central
  • MedlinePlus

Search sequence

  1. 1.
    Review the model's component set before drawing, so the chart starts complete.
  2. 2.
    Read the application review for how the model structures assessments and interventions in practice.
  3. 3.
    Check the depression and substance-use overviews for the clinical content of the plan-of-care cells.
  4. 4.
    Draw the chart, map the case, then write the resource citation and its one-sentence argument.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Application and Effectiveness of the Nola Pender Model in Nursing: A Narrative Review

    PubMed Central, National Library of Medicine · 2025

    The practice-based application evidence the assignment explicitly requires — the model structuring real nursing assessments and interventions.

  2. 02

    Depression

    MedlinePlus, U.S. National Library of Medicine · 2024

    The clinical grounding for the depression thread of the plan of care and its barrier role in the model's cognition block.

  3. 03

    Drug Use and Addiction

    MedlinePlus, U.S. National Library of Medicine · 2024

    The substance-use context for the behavior the plan targets — treatment engagement as the health-promoting outcome.

06

Review before submission

Common mistakes

  • Writing an essay when the instruction says chart and/or diagram — the format is the test.
  • Charting only the famous middle block and dropping individual characteristics or the outcome components.
  • Listing case facts beside the chart without assigning each to the component it informs.
  • Treating self-efficacy as present rather than as the thing the plan must build.
  • Ignoring competing demands, which her grief and depression make the honest cell.
  • Citing a source that describes the model instead of one that applies it in practice.

Submission checklist

  • All model components present across the three blocks.
  • Every case fact mapped to a named component.
  • Plan of care lives in the outcome block as negotiated commitments.
  • Bereavement handled in both its component roles.
  • One practice-based application resource cited properly.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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