Week 5 Study Guide

Question 1

What are the stages of the Transtheoretical Model and Stages of Change?

Answer 1

Precontemplation, Contemplation, Preparation, Action, Maintenance and Termination

Question 2

What is precontemplation?

Answer 2

“I won’t” or “I can’t
No intent to change the behavior in the next 6 months
Client has no personally motivated reason to change
Ignorance is bliss!#
“I know I should quit drinking so much caffeine

Validate client’s lack of readiness to change “The decision is yours. This is your life.” Encourage self-exploration - don’t try to push action
Be careful not to sound judgmental in your words or tone of voice
Three D’s of contemplation: Don’t Know How, Demoralization, Defending
Don’t Know How: Hearing that exercise is beneficial and it’s benefits but doesn’t know how being sedentary ca hurt your health.

Demoralization: feeling uncertain about changing
Defending: denying behavior is risky.
Types: (Turning Inward) Withdrawing: withdrawing from help, not accepting help
Going Silent: Not talking about the behavior that is affecting a person’s health
Internalizing: Where the patient or client blames problem on themselves
(Turning Outward)
Projection: Blaming others for their behavior
Displacing: Redirecting distress to to a substitute object or person that’s safe to attack.

Question 3

What is contemplation?

Answer 3

“I may
Client states his or her intent to change in the next 6 months, but maybe not quite yet.
Often the shift is due to a personal reason for the need to changeB
Client is “sitting on the fenceM
Example: “My sleeping schedule is all messed up. I’m tired all the time. I can’t keep this up -
but I can’t quit this week.

Contemplation Goals:
Validate that client is not quite ready to make a change Clarify that it is the person’s decision
Decisional Balance
Pros and Cons of Change
Pros and Cons of Staying the Same

Question 4

What is preparation?

Answer 4

”I will
Person intends to take a forward step in the next month
Offers a “window of opportunity
Ready to “test the waters
Example: “I bought some decaf tea to drink during my night shift instead of my coffee.

Preparation Goals
Problem solve a plan
What ideas does the client have?
What are potential obstacles? Brainstorm and add some of your ideas.
Always have the client choose which ideas to further explore. What are some realistic small steps?
Words of caution might be helpful. What type of support system does your client have?

Question 5

What is action?

Answer 5

“I am
Client has taken active steps to chang=
Behavior for fewer than 6 months:
Example: “For the last few weeks, I have been trading out one cup of coffee for one cup of my
decaf tea during my night shift.

Action Goals
Further explore client’s support system
Provide affirmations for positive behavior changes and small successes Continue brainstorming the plan
What’s working?
What needs to change?

Question 6

What is maintenance?

Answer 6

“I still am
Client has taken active steps to change for greater than 6 months:
Example: “I have been caffeine free since January and I love my decaf peppermint tea!