Which item is part of the second step's listed actions overall?

• A. educate and encourage self efficacy
• B. primary load management (early stage rehab)
• C. secondary load management (late stage rehab)
• D. rebuild

Answer: (A)

Focusing on patient engagement and belief in their own ability to influence outcomes drives progress in the second step. Educating the patient about what to expect, how and why to perform exercises, and encouraging confidence helps them take an active role in rehab, which supports consistent participation and adherence. This psychosocial aspect is central to the second step, making educating and encouraging self-efficacy the best fit. The other items relate more to mechanical loading strategies or later rebuilding phases (early load management aims to protect tissue, late load management increases challenge, and rebuilding targets restoring capacity after initial rehab), rather than the empowerment and activation focus of the second step.