A smoker has confided to the nurse that he or she feels like a ...

[ericka1]

A smoker has confided to the nurse that he or she feels like a failure because he or she began smoking again after not having had a cigarette for more than a week. What is the nurse's best response?
 
  a. Let's discuss what triggered you to start smoking again so you can avoid it in the future.
  b. You understand that smoking is the number one cause of death in the United States, correct?
  c. Did you know that your insurance premiums will increase if you continue to smoke?
  d. My mother died last year of lung cancer.

Question 2

A nurse is preparing to help patients with health promotion, wellness education, and illness prevention activities. Which action should the nurse take first?
 
  a. Explore available support groups.
  b. Identify risk factors.
  c. Provide patient teaching.
  d. Implement risk factor modification.

[whitcassie]

Answer to Question 1

A
Relapse often feels like a failure, but the person needs to view it as a learning process. Discussing possible triggers will allow learning to take place. What he or she learns from relapse can be applied to the next attempt to change. Saying that smoking is the number one cause of death and insurance premiums will increase do not allow for learning to take place. Saying that your mother died last year of lung cancer does not focus on patient learning, but rather focuses on the nurse, which is inappropriate.

Answer to Question 2

B
Identifying risk factors is the first step in health promotion, wellness education, and illness prevention activities. Once you identify risk factors, implement appropriate and relevant health education programs that help a person to change a risky health behavior. Support groups, teaching, and risk factor modification follow after identifying risk factors.