A patient ready to leave a substance abuse rehabilitation facility tells the nurse that he understands that he must avoid his former associates and join Nar-Anon in order to find new connections. What stage of hope is this patient exhibiting?
1. Bracing for negative outcomes
2. Continuously evaluating signs to reinforce selected goals and the revision of these goals
3. Developing a realistic appraisal of personal resources and external conditions and resources
4. Making a realistic appraisal of an event and the threat to self
Answer: 3
Explanation: The patient's stated plan does not include bracing for negative consequences. Although it may be part of his plan, this statement does not indicate continuous evaluation. The patient is making a realistic appraisal of his needs and resources. He has already made a realistic appraisal of events.
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