View source for WBR0512

{{WBRQuestion
|QuestionAuthor={{Rim}}
|ExamType=USMLE Step 1
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|Prompt=A 52-year-old male, with a medical history of myocardial infarction and heavy tobacco use, presents to the physician's office for an annual check-up. When asked, the patient explains that he knows his smoking has been a problem, but he is not ready to quit. Based on the patient's reply, which of the stages of change is the patient most likely currently experiencing?
|Explanation=The patient never stopped smoking, so therfore he cannot be relapsing. Also, the patient acknowledges that there is a problem, so he cannot be in the precontemplation stage. The patient is not ready to make any changes despite his recognition of the problem indicating that he is not in the preparation or action stage. The patient is in the contemplation stage, where he fully understands the problem and acknowledges its presence, but has not yet made any change and is not ready to. 

The stages of change in order are as follows:<br>
1- Precontemplation<br>
2- Contemplation<br>
3- Preparation/Determination<br>
4- Action/Will power<br>
5- Maintenance<br>
6- Relapse

Educational Objective: 
Contemplation stage of change is defined as the patient acknowledging that there is a problem, but not being ready to change yet.
|AnswerA=Precontemplation
|AnswerAExp=Precontemplation is defined as no acknowledgement of the problem in the first place.
|AnswerB=Contemplation
|AnswerBExp=Contemplation is defined as the patient acknowledging there is a problem, but not yet ready to change.
|AnswerC=Preparation
|AnswerCExp=Preparation / determination is defined as the stage where the patient shows readiness to make necessary changes.
|AnswerD=Action
|AnswerDExp=Action / will power is defined as the stage where the patient is actively changing his behavior.
|AnswerE=Relapse
|AnswerEExp=Relapse is defined as the stage where the patient returns to his problem after stopping for a while.
|RightAnswer=B
|WBRKeyword=stage, stages, of, evolution, smoking, substance, abuse, addiction, precontemplation, contemplation, preparation, determination, action, will, power, maintenance, relapse
|Approved=No
}}