A patient states, "I told my husband I wouldn't buy as much prepared food snacks, so I will go the grocery store to buy fresh fruit, vegetables, and whole grains."
When using the Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in which stage of change?
a. Preparation
b. Termination
c. Maintenance
d. Contemplation
ANS: A
The patient's statement indicating that the plan for change is being shared with someone else indicates that the preparation stage has been achieved. Contemplation of a change would be indicated by a statement like "I know I should exercise." Maintenance of a change occurs when the patient practices the behavior regularly. Termination would be indicated when the change is a permanent part of the lifestyle.
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