During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:
"Stopping your dependence on cigarettes can be very difficult. I understand how you feel."
"I'd quit if I were you. The doctor really knows what he is talking about."
"Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?"
"Would you like some information about the different ways a person can quit smoking?"
The Correct Answer is D
A. "Stopping your dependence on cigarettes can be very difficult. I understand how you feel.":
Shows empathy but does not guide the patient toward the next step or offer a solution.
B. "I'd quit if I were you. The doctor really knows what he is talking about.":
Judgmental and authoritative, lacks therapeutic communication.
C. "Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?":
Dismissive and confrontational, could make the patient feel criticized.
D. "Would you like some information about the different ways a person can quit smoking?":
Encourages patient involvement and supports informed decision-making, a core principle of patient education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Screening:
Screening detects health problems early but doesn’t involve directly educating the patient on safety practices.
B. Health education:
Teaching the patient about medication use, risks, and adherence strategies is a form of health education aimed at preventing polypharmacy.
C. Cultural sensitivity:
Important in communication but not the primary strategy for addressing polypharmacy.
D. Sanitation:
Relates to hygiene and infection prevention, not medication safety.
Correct Answer is C
Explanation
A. A 42-year-old who has had ovarian cancer:
Ovarian cancer is a modifiable-associated risk, but the condition itself is not a direct unmodifiable breast cancer risk factor.
B. A 45-year-old who has never been pregnant:
Nulliparity is a modifiable reproductive risk factor.
C. A 65-year-old whose mother had breast cancer:
Family history and age are unmodifiable risk factors for breast cancer.
D. A 37-year-old who is slightly overweight:
Overweight is a modifiable risk factor through lifestyle change.
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