A patient needs to lose weight. The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change. Which intervention by the nurse would be most appropriate?

a. Give the patient a referral to a dietician for teaching.
b. Help the patient devise a log to record all food eaten.
c. Provide information on the benefits of losing weight.
d. Teach the patient small, simple steps for weight loss.


C
At this stage, the patient realizes that weight is a problem and is thinking about changing some associated behaviors. However, the patient is not yet ready to change. Providing information could encourage the patient to move on to the next stage in the model.
The patient is not yet ready to take action in this stage, so giving a referral would probably not be beneficial because the patient most likely would not go.
The patient is not yet ready to take action at this point and would probably not be willing to maintain a food log.
The patient is not yet ready to take action in this stage, so instructions on specific behavior changes would not be helpful.

Nursing

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