WBR0512

Author	[[PageAuthor::Rim Halaby, M.D. [1]]]
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Behavioral Science/Psychiatry
Sub Category	SubCategory::General Principles
Prompt	[[Prompt::A 52-year-old man, with a past medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for his annual check-up. Upon questioning, the physician notes that the patient still hasn't stopped smoking despite recommendations. The patient explains that he is aware that smoking has been a problem for him and he knows he needs help, but he does not feel like he is quite ready to stop smoking. Which of the following stages of change is the patient currently in?]]
Answer A	AnswerA::Precontemplation
Answer A Explanation	AnswerAExp::During precontemplation individuals do not acknowledge the problem they have and are not considering change.
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::Preparation / determination is defined as the stage where the patient shows readiness to make necessary changes.
Answer D	AnswerD::Action
Answer D Explanation	AnswerDExp::Action / will power is defined as the stage where the patient is actively changing his behavior.
Answer E	AnswerE::Relapse
Answer E Explanation	AnswerEExp::Relapse is defined as the stage where the patient returns to his problem after stopping for a while.
Right Answer	RightAnswer::B
Explanation	[[Explanation::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: Contemplation is a stage of the stages of change model whereby individuals acknowledge the presence of a problem and may seek help, but have not yet made a commitment to take action or change. References: ]]
Approved	Approved::No
Keyword	WBRKeyword::stage, WBRKeyword::stages, WBRKeyword::of, WBRKeyword::evolution, WBRKeyword::smoking, WBRKeyword::substance, WBRKeyword::abuse, WBRKeyword::addiction, WBRKeyword::precontemplation, WBRKeyword::contemplation, WBRKeyword::preparation, WBRKeyword::determination, WBRKeyword::action, WBRKeyword::will, WBRKeyword::power, WBRKeyword::maintenance, WBRKeyword::relapse
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::