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A 55-year old man is working with his coach on improving his intake of healthy fats, fruits and vegetables, and reducing the amount of alcohol he consumes. The coach decided to use the decisions balance took to help the client. What is most likely the reason for choosing the decisional balance tool?

A. Client is showing some discord
B. Client needs some sympathy
C. Client is demonstrating change talk
D. Client is ambivalent about making the change

1 Answer

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Final answer:

The decisional balance tool is most likely chosen because the client is ambivalent about changing their lifestyle. It helps weigh the pros and cons of change, making it a valuable tool for clients who recognize the need for change but are hesitant. This tool is effective in visualizing the client's motivations and concerns, which can then be addressed and used to foster commitment to a healthier lifestyle.

Step-by-step explanation:

The most likely reason a coach would choose to use the decisional balance tool is because the client is ambivalent about making the change (D). This tool is used in motivational interviewing to help clients weigh the pros and cons of changing versus not changing a behavior. It's particularly useful when a client acknowledges the need for change but feels conflicted about taking the required steps.

The decisional balance helps to visibly map out the benefits and drawbacks of changing, which can clarify the client's values and motivate action. In the case mentioned, improving intake of healthy fats, fruits and vegetables, and reducing alcohol consumption are significant lifestyle changes. As individuals age, there are life-style changes brought on by circumstance rather than choice, such as the possibility of an onset of Type 2 Diabetes, which can be affected by diet and other lifestyle factors.

Good nutrition and reducing alcohol intake can positively impact weight management, reduce the risk for Type 2 diabetes, and improve overall health. The 2015 Dietary Guidelines for Americans suggests these kinds of dietary and lifestyle changes to maintain a balanced diet and a healthier approach to life.

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