Podcast
Questions and Answers
A physical therapist is working with a patient who is in the primordial stage of wellness regarding healthy eating habits. Which intervention would be LEAST effective at this stage?
A physical therapist is working with a patient who is in the primordial stage of wellness regarding healthy eating habits. Which intervention would be LEAST effective at this stage?
- Using motivational interviewing techniques to explore the patient’s current perceptions of their eating habits.
- Providing general education on the benefits of a balanced diet without focusing on the patient's specific eating habits.
- Collaboratively setting specific and measurable dietary goals with the patient. (correct)
- Raising the patient's awareness of the link between diet and overall health through visual aids and discussions.
A patient reports occasionally skipping their morning walk due to feeling 'too tired,' but quickly resumes the routine the next day. According to the stages of wellness, how should this situation be classified?
A patient reports occasionally skipping their morning walk due to feeling 'too tired,' but quickly resumes the routine the next day. According to the stages of wellness, how should this situation be classified?
- A major lapse, requiring a re-evaluation of the patient's wellness goals.
- A major relapse, indicating a significant setback in the patient's progress.
- A minor lapse, representing a temporary cessation of the healthy behavior with minimal impact. (correct)
- A minor relapse, suggesting a need to return to the preparation stage.
In the context of wellness stages, what is the MOST critical distinction between the 'maintenance' and 'permanent maintenance' stages?
In the context of wellness stages, what is the MOST critical distinction between the 'maintenance' and 'permanent maintenance' stages?
- The intensity of effort required; maintenance requires conscious effort, while permanent maintenance is automatic and effortless.
- The duration of consistent behavior; maintenance requires at least 6 months, while permanent maintenance lasts indefinitely.
- The risk of relapse; relapse is possible during maintenance but is virtually nonexistent during permanent maintenance. (correct)
- The level of external support required; maintenance relies on ongoing reinforcement, while permanent maintenance involves intrinsic motivation.
A patient consistently exercises and reports feeling a strong urge to do so daily, experiencing discomfort when they miss a workout. They are in the permanent maintenance stage. What is the BEST course of action?
A patient consistently exercises and reports feeling a strong urge to do so daily, experiencing discomfort when they miss a workout. They are in the permanent maintenance stage. What is the BEST course of action?
A patient who has been sober for five years relapses after a stressful life event. According to the stages of wellness, what is the MOST accurate interpretation of this situation?
A patient who has been sober for five years relapses after a stressful life event. According to the stages of wellness, what is the MOST accurate interpretation of this situation?
A patient reports knowing they should exercise more, acknowledges the health benefits, but hasn't started an exercise program. Which strategy is LEAST suitable for motivating this patient?
A patient reports knowing they should exercise more, acknowledges the health benefits, but hasn't started an exercise program. Which strategy is LEAST suitable for motivating this patient?
A patient, after consistently maintaining a healthy weight for two years, experiences a job loss and gradually returns to unhealthy eating habits. How should a physical therapist interpret this within the stages of wellness?
A patient, after consistently maintaining a healthy weight for two years, experiences a job loss and gradually returns to unhealthy eating habits. How should a physical therapist interpret this within the stages of wellness?
A patient in the pre-contemplation stage of adopting an exercise program states, 'I know exercise is good for me, but I'm just too busy right now.' What psychological factor is MOST likely influencing their resistance to change?
A patient in the pre-contemplation stage of adopting an exercise program states, 'I know exercise is good for me, but I'm just too busy right now.' What psychological factor is MOST likely influencing their resistance to change?
A physical therapist is working with a patient to improve their adherence to prescribed exercises. What is the MOST essential element to consider when helping the patient transition from the action stage to the maintenance stage?
A physical therapist is working with a patient to improve their adherence to prescribed exercises. What is the MOST essential element to consider when helping the patient transition from the action stage to the maintenance stage?
A patient, after being diagnosed with pre-diabetes, starts a strict diet and exercise program. After three months, they revert to their old habits. What stage of wellness is this patient in, and what is the MOST appropriate immediate intervention?
A patient, after being diagnosed with pre-diabetes, starts a strict diet and exercise program. After three months, they revert to their old habits. What stage of wellness is this patient in, and what is the MOST appropriate immediate intervention?
A patient in the contemplation stage is researching different exercise programs but is overwhelmed by the number of options. What is the MOST effective approach a physical therapist can use to help this patient?
A patient in the contemplation stage is researching different exercise programs but is overwhelmed by the number of options. What is the MOST effective approach a physical therapist can use to help this patient?
Which scenario BEST exemplifies a 'minor lapse' in the maintenance stage of a wellness program?
Which scenario BEST exemplifies a 'minor lapse' in the maintenance stage of a wellness program?
A patient who has maintained a healthy weight for several years suddenly gains weight and resumes unhealthy eating habits following a family trauma. Which stage of wellness is the patient MOST likely experiencing, and what is the recommended course of action?
A patient who has maintained a healthy weight for several years suddenly gains weight and resumes unhealthy eating habits following a family trauma. Which stage of wellness is the patient MOST likely experiencing, and what is the recommended course of action?
A patient reports occasionally skipping their stress-reduction exercises due to lack of time, but quickly resumes the routine the next day. According to the stages of wellness, how should this be classified?
A patient reports occasionally skipping their stress-reduction exercises due to lack of time, but quickly resumes the routine the next day. According to the stages of wellness, how should this be classified?
What is the MOST critical factor in determining whether a patient has transitioned from the 'action' stage to the 'maintenance' stage of behavior change?
What is the MOST critical factor in determining whether a patient has transitioned from the 'action' stage to the 'maintenance' stage of behavior change?
A patient in the primordial stage of wellness states, 'I feel fine, and I don't need to change anything about my lifestyle.' What's the MOST effective initial strategy for a health professional to employ?
A patient in the primordial stage of wellness states, 'I feel fine, and I don't need to change anything about my lifestyle.' What's the MOST effective initial strategy for a health professional to employ?
A patient who has consistently maintained a healthy diet and exercise routine for over a year experiences a brief period of increased stress and temporarily reverts to unhealthy eating habits. According to the stages of wellness model, which action would be MOST appropriate?
A patient who has consistently maintained a healthy diet and exercise routine for over a year experiences a brief period of increased stress and temporarily reverts to unhealthy eating habits. According to the stages of wellness model, which action would be MOST appropriate?
Which of the following BEST illustrates the 'pre-contemplation' stage of behavior change regarding exercise?
Which of the following BEST illustrates the 'pre-contemplation' stage of behavior change regarding exercise?
A marathon runner stops training because of an injury, but resumes training the next day, this is BEST characterized as:
A marathon runner stops training because of an injury, but resumes training the next day, this is BEST characterized as:
Which of the following is NOT a stage of wellness?
Which of the following is NOT a stage of wellness?
Flashcards
Primordial Stage
Primordial Stage
Not aware of a health-related problem or unhealthy behavior.
Pre-Contemplation Stage
Pre-Contemplation Stage
Begins to recognize a health-related problem or unhealthy behaviors but hasn't committed to change.
Contemplation Stage
Contemplation Stage
Recognizes unhealthy behavior, investigates pros and cons, but is ambivalent about change.
Preparation Stage
Preparation Stage
Signup and view all the flashcards
Action Stage
Action Stage
Signup and view all the flashcards
Maintenance Stage
Maintenance Stage
Signup and view all the flashcards
Permanent Maintenance Stage
Permanent Maintenance Stage
Signup and view all the flashcards
Lapse
Lapse
Signup and view all the flashcards
Relapse
Relapse
Signup and view all the flashcards
Study Notes
- Examination and evaluation of a patient's wellness involves identifying their stage of wellness in relation to physical, mental, or social well-being, leading to a wellness plan of care.
Seven Stages of Wellness
- These stages include primordial, pre-contemplation, contemplation, preparation, action, maintenance, and permanent maintenance.
- These stages are based on change models
Primordial Stage
- The patient isn't aware of a health problem or unhealthy behavior.
- Changing behavior is difficult at this stage without awareness of the problem.
- Patient education and psychological skills are crucial.
- Mental health counselor referral may be necessary if psychological support is beyond the physical therapist's scope.
- Example: Someone with decreased hamstring flexibility is unaware of the impairment.
Pre-Contemplation Stage
- The patient starts recognizing a potential health problem or poor habits but doesn't intend to change.
- They accept their current health status without planning immediate action.
- Example: Someone acknowledges tight hamstrings but hasn't seriously considered addressing it.
Contemplation Stage
- The patient recognizes a behavior linked to a health problem and weighs the pros and cons but remains ambivalent about taking action.
- The move into this stage can be gradual or abrupt.
- Example: An obese woman recognizes being a little overweight, but then realizes she is obese after seeing a photo.
Preparation Stage
- The patient decides to change the unhealthy behavior with a developed care plan.
- The unhealthy behavior can be self-assessed or by a professional.
- Example: A woman decides to lose weight, assesses her weight, and develops a fitness plan.
Action Stage
- The patient begins changing their behaviors.
- It is important not to advance to this stage without the preparation stage
- Failure to prepare increases the risk of failure.
- Example: Someone quits smoking and uses nicotine medication.
Maintenance Stage
- The patient consistently practices the new behavior.
- Examples: Quitting smoking, diet and exercise programs, or regular stress-reduction techniques.
- Lapses or relapses may occur during this stage.
Lapse
- A temporary stop in healthy behavior without major harm, occurring in the maintenance or permanent maintenance stages.
- It may be major (complete cessation) or minor (brief cessation).
Relapse
- A lengthier stop in a healthy behavior causing significant adverse effects.
- It may be major (complete cessation) or minor (incomplete cessation).
- Return to the preparation stage if a relapse occurs, but cannot occur if an individual has reached the permanent stage.
- Can result from unrealistic goals, decreased motivation, or changed circumstances.
Permanent Maintenance Stage
- The healthy behavior becomes self-reinforcing due to intrinsic motivation.
- Example: Brushing teeth is a regular habit.
- Although a lapse can occur, there is no risk of relapse.
- Reaching this stage can take months or years, or may never occur.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
