38-year-old Man in Medicine / Internal Medicine — 38yo Man | Psychiatry | SMLE Q#16973

SMLE Question #16973

Medicine / Internal Medicine Psychiatry

Objective: OBJ-253

Last updated: February 2026
A 38-year-old man attends a bariatric surgery follow-up clinic 5 months after Roux-en-Y gastric bypass. He reports adhering to dietary recommendations and a structured exercise plan and attends support-group meetings. He has lost 25 kg. He asks what else he can do to sustain these lifestyle changes long term. According to the transtheoretical (stages of change) model, which stage best describes his current behavior?

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