The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning, what should the nurse anticipate?
The patient must pick up the attempt right where the patient left left off
The patient will need to adapt a new lifestyle for change to be effective
The patient does not want and will never quit smoking
The patient will return to the contemplation or precontemplation phase
The Correct Answer is D
A) The patient must pick up the attempt right where the patient left off: Quitting smoking is a process, and a setback, such as smoking a few cigarettes, does not mean the patient must pick up where they left off as if nothing happened. The patient may need to reassess their goals, identify triggers, and modify their approach, but this setback does not mean they should immediately resume from the same spot. It’s about recognizing the challenge and continuing forward, not picking up as if no progress was made.
B) The patient will need to adapt a new lifestyle for change to be effective: While adapting to a new lifestyle is necessary for long-term success in quitting smoking, this answer overemphasizes a sudden, drastic shift. In fact, the patient may need more time in the stages of change to incorporate healthier behaviors and coping mechanisms. A lapse doesn’t automatically mean the patient has successfully adapted a new lifestyle, but it may highlight areas that need further focus.
C) The patient does not want and will never quit smoking: This assumption is not accurate. A lapse in smoking behavior does not mean the patient does not want to quit. Many individuals trying to quit smoking experience setbacks or relapses, but that does not negate their desire or ability to quit in the future. It's important to avoid labeling the patient as unwilling or incapable based on one setback.
D) The patient will return to the contemplation or precontemplation phase: This is the most accurate response. A patient who has been smoke-free but then relapses may return to the contemplation phase (where they begin to think about quitting again) or the precontemplation phase (where they are not yet actively considering quitting). The relapse does not erase the progress made but may lead to reevaluating the readiness to quit and reengaging in the quitting process with more awareness of the challenges ahead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1170"]
Explanation
Convert Cups to Milliliters (mL):
Coffee: 1 cup = 240 mL
Gelatin: 1 cup = 240 mL
Tea: 1 cup = 240 mL
Convert Ounces (oz) to Milliliters (mL):
Orange Juice: 4 oz x 30 mL/oz = 120 mL
Water (first serving): 3 oz x 30 mL/oz = 90 mL
Broth: 5 oz x 30 mL/oz = 150 mL
Water (second serving): 3 oz x 30 mL/oz = 90 mL
Total Intake:
Add all the volumes together:
240 mL (coffee) + 240 mL (gelatin) + 240 mL (tea) + 120 mL (orange juice) + 90 mL (water) + 150 mL (broth) + 90 mL (water) = 1170 mL
Correct Answer is D
Explanation
A) Diagnosis of diabetes mellitus: While diabetes mellitus is a significant risk factor for cardiovascular disease, it is not directly modifiable. Management and control of diabetes through lifestyle changes and medication can reduce the risk, but the diagnosis itself cannot be altered.
B) Family history of cardiac disease: Genetic predisposition to cardiac disease is a non-modifiable risk factor. Individuals cannot change their family history, but they can take steps to mitigate the risk through healthy lifestyle choices.
C) Increasing age: Age is a natural risk factor that cannot be changed. As people age, the risk of cardiovascular disease increases. While this is an important consideration, it is not something that can be modified through lifestyle changes.
D) Cigarette smoking: Smoking is a modifiable risk factor for cardiovascular disease. Quitting smoking can significantly reduce the risk of heart disease and improve overall health. Smoking cessation programs, education, and support can help individuals make this important lifestyle change.
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