WBR0512
| 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: |
| 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:: |