A 71 year old patient is recovering

A 71 year old patient is recovering from a particularly severe exacerbation of chronic obstructive pulmonary disease. He has been in the hospital for almost two weeks and was on mechanical ventilation for 7 days. While discussing his discharge pain he tells you that he is really going to quit smoking this time. He acknowledges that he has been “sneaking” cigarettes in the hospital for two days, but he has established a timeline to decrease the number of cigarettes’ daily. According to his plan his last cigarette will be the last day of the month. This patient’s behavior is consistent with which stage of the transtheoretical model of change? A. Precontemplative B. Contemplative C. Preparation D. Action

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