The client states, "I have emphysema, so I have enrolled in a smoking cessation program." According to Prochaska's stages of change, the client is in which of the following stages?
a. Action
b. Determination
c. Precontemplation
d. Contemplation
ANS: A
During the action stage of change, the client engages in concrete actions to effect needed change. In the determination stage, the client decides there is a problem and is willing to make a change. In the precontemplation stage, the client does not think there is a problem and is not considering the possibility of change. In the contemplation stage, the client thinks there may be a problem, is thinking about change, and goes back and forth between concern and unconcern.
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