2025/2026 Update) Family Primary Care I Exam |
Questions and Verified Answers| 100% Correct|
Grade A +
Stage 1: Precontemplation
During this stage, we should provide education to the patient on the health
risks and hopefully move them to the next stage.
In this transtheoretical stage, the patient has no intention and motivation to
change; they do not understand and/or deny that their behaviors are risky
and/or detrimental to their health.
Transtheoretical Framework
When applying prevention strategies, we need to look at a patient's readiness
to change a behavior that negatively affects their health and wellness.
Stage 2: Contemplation
In this stage, the patient acknowledges the problem but is ambivalent. We
still need to provide patients in this stage with education on the risks, help
them understand, and encourage them to change
behavior to avoid long-term health consequences.
, Stage 3: Preparation
In this stage, the patient is willing to change a behavior and to explore options
for a healthier life. We
should be actively involved in assisting them to establish a plan as well as
encouraging and supporting them.
Stage 4: Action
In this transtheoretical phase, the patient is actively making changes; to help
facilitate, patients need our support by prescribing medications or getting
them into support groups. Patients can always revert back to old behavior,
so our continuous support is essential.
Stage 5: Maintenance
This stage is where the patient continues the change. It takes about 3-6
months after the initial change has occurred. In this phase, patients start
devaluing old behavior and start integrating new activities.
Stage 6: Termination
where their previous behavior is no longer a threat to their life.
What is the ultimate end goal for our patients to get to in the transtheoretical
framework? r
BP normalizes, oxygenation improves, lungs become clear (no rales/rhonchi).
Their sensation of taste and smell improves, breathing becomes easier,
circulation improves, length of exercise tolerance improves as they have more
energy, and coughing, wheezing, and breathing all
improve when someone stops smoking.
What are the immediate benefits of quitting smoking?
The two most common non-nicotine-based drugs are bupropion (Zyban,
Wellbutrin) and sometimes nortriptyline.
What are the two most common non-nicotine-based drugs?