Author Question: A patient who gave up smoking recently began again. What might be an appropriate nursing ... (Read 36 times)

bcretired · **on:** Jul 19, 2018

A patient who gave up smoking recently began again. What might be an appropriate nursing intervention according to Prochaska's model?

1. Ask what the patient gets from smoking.
2. Teach the patient stress reduction strategies.
3. Discuss how smoking affects the lungs.
4. Bolster the patient's self-efficacy for managing barriers to change.

Question 2

A prescribing practitioner has ordered cytochrome P450 testing for a patient who is not responding to his current antidepressant medication. Which is the best explanation the nurse can provide the patient for why the provider has ordered the test?

1. It can help find the most beneficial medication.
2. It provides important information for pharmacological research.
3. It may rule out any organic causes of your depression.
4. It helps determine the extent and severity of your depression.

morganmarie791 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 2
Explanation: This patient has relapsed into resuming his smoking habit. According to the stages of change model, discussing other coping strategies is an appropriate nursing intervention for the patient experiencing relapse. By asking what the patient gets from smoking, the nurse is encouraging evaluation of the pros and cons of the behavior, an intervention appropriate for the contemplation stage. By discussing how smoking affects the lungs, the nurse is providing examples of how risk can affect the patient, an intervention that is appropriate in the pre-contemplation stage. Bolstering self-efficacy is an action stage intervention.

Answer to Question 2

Answer: 1
Explanation: Cytochrome P450 testing can assist in determining which psychotropic medications might be more beneficial for an individual and more efficiently processed by an individual's metabolism. Although the testing might provide pharmacological information, it is intended to determine the most effective medication for the individual patient. It is not used for determining causality of a mental health disorder nor for making differential diagnoses.