A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has "learned what to do
" He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him?
a. "By now, you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own."
b. "Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success."
c. "You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle."
d. "You have entered the ‘determination stage' and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time."
C
Prochaska and Diclemente identified four stages of change: the contemplation stage, the determination stage, the action stage, and the maintenance stage. This patient demonstrates behaviors typical of the action stage. If a participant exits a program before the end of the maintenance stage, relapse is likely to occur as the individual resumes his previous lifestyle.
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