WBR0512: Difference between revisions

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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{Rim}}
|QuestionAuthor={{Rim}}, {{AJL}} {{Alison}}
|ExamType=USMLE Step 1
|ExamType=USMLE Step 1
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
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|SubCategory=General Principles
|SubCategory=General Principles
|Prompt=A 52-year-old male, with a medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for an annual check-up. When asked, the patient explains that he knows his smoking has been a problem, but he is not ready to quit. Based on the patient's reply, which of the stages of change is the patient most likely currently experiencing?
|Prompt=A 52-year-old male, with a medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for an annual check-up. When asked, the patient explains that he knows his smoking has been a problem, but he is not ready to quit. Based on the patient's reply, which of the stages of change is the patient most likely currently experiencing?
|Explanation=The patient never stopped smoking, so therfore he cannot be relapsing. Also, the patient acknowledges that there is a problem, so he cannot be in the precontemplation stage. The patient is not ready to make any changes despite his recognition of the problem indicating that he is not in the preparation or action stage. The patient is in the contemplation stage, where he fully understands the problem and acknowledges its presence, but has not yet made any change and is not ready to.  
|Explanation=The patient never stopped smoking, so therefore he cannot be relapsing. Also, the patient acknowledges that there is a problem, so he cannot be in the precontemplation stage. The patient is not ready to make any changes despite his recognition of the problem indicating that he is not in the preparation or action stage. The patient is in the contemplation stage, where he fully understands the problem and acknowledges its presence, but has not yet made any change and is not ready to.  


The stages of change in order are as follows:<br>
The stages of change in order are as follows:<br>
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6- Relapse
6- Relapse


Educational Objective:
|EducationalObjectives= The contemplation stage of change is when the patient acknowledges that there is a problem, but is not yet ready to change.
Contemplation stage of change is defined as the patient acknowledging that there is a problem, but not being ready to change yet.
|References= First Aid 2014 page 513
 
|AnswerA=Precontemplation
|AnswerA=Precontemplation
|AnswerAExp=Precontemplation is defined as no acknowledgement of the problem in the first place.
|AnswerAExp=Precontemplation is when an individual does not acknowledge that there is a problem.
|AnswerB=Contemplation
|AnswerB=Contemplation
|AnswerBExp=Contemplation is defined as the patient acknowledging there is a problem, but not yet ready to change.
|AnswerBExp=Contemplation is defined as the patient acknowledging there is a problem, but not yet ready to change.
|AnswerC=Preparation
|AnswerC=Preparation
|AnswerCExp=Preparation / determination is defined as the stage where the patient shows readiness to make necessary changes.
|AnswerCExp=During the preparation/determination stage individuals demonstrate readiness to make necessary changes.
|AnswerD=Action
|AnswerD=Action
|AnswerDExp=Action / will power is defined as the stage where the patient is actively changing his behavior.
|AnswerDExp=During the action/will power stage, the patient actively changes his behavior.
|AnswerE=Relapse
|AnswerE=Relapse
|AnswerEExp=Relapse is defined as the stage where the patient returns to his problem after stopping for a while.
|AnswerEExp=During relapse, an individual's illness resumes following a period of improvement.
|RightAnswer=B
|RightAnswer=B
|WBRKeyword=stage, stages, of, evolution, smoking, substance, abuse, addiction, precontemplation, contemplation, preparation, determination, action, will, power, maintenance, relapse
|WBRKeyword=stage, smoking, substance abuse, addiction, precontemplation, contemplation, preparation, determination, will power, maintenance, relapse, stages of change,
|Approved=No
|Approved=Yes
}}
}}

Revision as of 14:35, 30 July 2014
Author [[PageAuthor::Rim Halaby, M.D. [1], Alison Leibowitz [2] (Reviewed by Alison Leibowitz)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Behavioral Science/Psychiatry
Sub Category SubCategory::General Principles
Prompt [[Prompt::A 52-year-old male, with a medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for an annual check-up. When asked, the patient explains that he knows his smoking has been a problem, but he is not ready to quit. Based on the patient's reply, which of the stages of change is the patient most likely currently experiencing?]]
Answer A AnswerA::Precontemplation
Answer A Explanation AnswerAExp::Precontemplation is when an individual does not acknowledge that there is a problem.
Answer B AnswerB::Contemplation
Answer B Explanation AnswerBExp::Contemplation is defined as the patient acknowledging there is a problem, but not yet ready to change.
Answer C AnswerC::Preparation
Answer C Explanation AnswerCExp::During the preparation/determination stage individuals demonstrate readiness to make necessary changes.
Answer D AnswerD::Action
Answer D Explanation AnswerDExp::During the action/will power stage, the patient actively changes his behavior.
Answer E AnswerE::Relapse
Answer E Explanation AnswerEExp::During relapse, an individual's illness resumes following a period of improvement.
Right Answer RightAnswer::B
Explanation [[Explanation::The patient never stopped smoking, so therefore he cannot be relapsing. Also, the patient acknowledges that there is a problem, so he cannot be in the precontemplation stage. The patient is not ready to make any changes despite his recognition of the problem indicating that he is not in the preparation or action stage. The patient is in the contemplation stage, where he fully understands the problem and acknowledges its presence, but has not yet made any change and is not ready to.

The stages of change in order are as follows:
1- Precontemplation
2- Contemplation
3- Preparation/Determination
4- Action/Will power
5- Maintenance
6- Relapse
Educational Objective: The contemplation stage of change is when the patient acknowledges that there is a problem, but is not yet ready to change.
References: First Aid 2014 page 513]]

Approved Approved::Yes
Keyword WBRKeyword::stage, WBRKeyword::smoking, WBRKeyword::substance abuse, WBRKeyword::addiction, WBRKeyword::precontemplation, WBRKeyword::contemplation, WBRKeyword::preparation, WBRKeyword::determination, WBRKeyword::will power, WBRKeyword::maintenance, WBRKeyword::relapse, WBRKeyword::stages of change
Linked Question Linked::
Order in Linked Questions LinkedOrder::
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