Registered Practical Nurse (RPN) Practice Test

What is an appropriate nursing intervention during the preparation stage of change?

1. Identify barriers to stopping and elicit solutions

2. Encourage ongoing substance use

3. Provide only educational materials

4. Discourage patient involvement in decision-making

The correct answer is: Identify barriers to stopping and elicit solutions

In the preparation stage of change, the individual is getting ready to take action. This is a critical phase where they may have already made some small changes and are contemplating taking bigger steps towards change. An appropriate nursing intervention during this stage involves identifying barriers that may prevent the individual from progressing and working collaboratively to elicit solutions that can help overcome those challenges. This approach is effective because it empowers the individual to actively engage in their change process and helps them develop a personalized plan. By addressing obstacles and brainstorming solutions, nurses can support individuals in feeling more equipped and motivated to make significant changes. This intervention aligns well with the principles of motivational interviewing, where the focus is on enhancing the patient’s intrinsic motivation to change by respecting their autonomy and encouraging self-efficacy. The other options do not align with the supportive and empowering approach required in the preparation stage. For instance, encouraging ongoing substance use contradicts the notion of preparing for change. Providing only educational materials without addressing personal barriers also overlooks the need for personalized support during this stage. Discouraging patient involvement in decision-making undermines the collaborative aspect of the preparatory process, which is essential for fostering engagement and commitment to change.