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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) Tertiary prevention: Tertiary prevention involves interventions aimed at reducing the long-term effects of a disease or injury, improving quality of life, and preventing further complications. In this case, the patient is receiving rehabilitation services (physical therapy and speech therapy) after a stroke to help restore function, improve mobility, and address communication issues caused by the stroke. This type of care focuses on managing and mitigating the effects of an existing health condition, which aligns with tertiary prevention.

B) Primary prevention: Primary prevention refers to actions taken to prevent the onset of a disease or condition before it occurs, such as immunizations, lifestyle modifications, or education about healthy behaviors. Since the patient has already experienced a stroke, primary prevention is not applicable in this situation.

C) Health promotion: Health promotion involves actions that improve overall health and well-being, such as encouraging healthy lifestyles, providing education, and promoting activities that prevent illness. While health promotion is important, it is not the primary focus in this scenario, as the patient is already dealing with the aftermath of a stroke and is receiving rehabilitation to address the effects of the condition.

D) Secondary prevention: Secondary prevention involves early detection and intervention to prevent the progression of a disease or condition. It typically includes screening and diagnostic procedures to identify diseases in their early stages. Since the patient has already experienced a stroke, secondary prevention is not the appropriate level of care here.

A. The client should first move the strong leg, then the weak one." B. When the client moves, he should move the cane forward first." C. The client should hold the cane on the weak side of his body." D. The grip should be level with the client's

Correct Answer is C

Explanation

A) The client should first move the strong leg, then the weak one:
This instruction is not appropriate for cane use. When using a cane, the client should move the cane forward first, followed by the weak leg, and then the strong leg. This ensures proper support and balance while ambulating. Moving the strong leg first could cause instability and increase the risk of falls.

B) When the client moves, he should move the cane forward first:
This statement is partly correct, but it's only one part of the proper technique for cane use. The cane should be moved forward first, but then the weak leg should follow, and the strong leg should move last. This sequence helps the client maintain balance while using the cane.

C) The client should hold the cane on the weak side of his body:
This is the correct instruction. The cane should be held on the weak side (the side with the injury or decreased strength) to provide support and maintain balance while ambulating. Holding the cane on the weak side helps to transfer weight from the weak leg to the cane, improving stability and mobility.

D) The grip should be level with the client's wrist:
This statement is partially correct but lacks clarity. The cane's grip should be level with the client's wrist when standing upright, which ensures that the client can hold the cane with a slightly bent elbow, promoting better posture and more effective use of the device. However, it is essential to make sure the cane height is adjusted to the individual's specific needs, as the wrist level may not always be ideal for every client.

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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?

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Naxlex Comprehensive Predictor Exams

A patient is admitted to a rehabilitation facility following stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

Correct Answer is A

Explanation

A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulations. Which of the following instructions should the nurse give the APs about the clients' use of a cane?

Correct Answer is C

Explanation

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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?

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