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) It is a good idea to use the handrails in the bathroom: This statement indicates a correct understanding of fall prevention. Handrails in bathrooms help provide stability and support, especially when getting in and out of the shower or bathtub. They are an essential safety feature to reduce the risk of falls in areas where slipping is more likely, such as wet or slippery bathroom floors.

B) "I should get a longer cord for my telephone": While this may seem like a way to improve accessibility, a longer telephone cord could actually increase the risk of tripping or entangling, especially if it is placed in a walking path. Keeping cords short and secured out of walking areas is a better fall prevention strategy.

C) "I should place a throw rug over electrical cords": Placing a throw rug over electrical cords creates a hazard rather than preventing falls. The rug could slip, and the cord may create a tripping hazard, which increases the risk of falls. It's important to secure cords and avoid placing them in areas where people walk.

D) "I should use chairs without armrests": Chairs without armrests may actually be less supportive for individuals with mobility issues, as armrests can provide extra stability when sitting down or standing up. It is better to use chairs that offer support, including armrests, to help prevent falls. The focus should be on ensuring that chairs are stable and easy to use, not eliminating armrests.

A. Provide support by holding the client’s arm. B. Assume narrow base of support. C. Lean the client toward the wall. D. Lower the lent to the floor.

Correct Answer is D

Explanation

A. Provide support by holding the client’s arm:
While holding the client's arm may seem like a way to prevent the fall, it can actually increase the risk of injury, as the nurse might not be able to support the client’s full weight and could cause additional strain or injury. In the event of a fall, it is safer to focus on guiding the client gently to the floor.

B. Assume a narrow base of support:
Assuming a narrow base of support could make the nurse more vulnerable to losing balance as well. A broader base of support, such as standing with feet shoulder-width apart, provides better stability, but this action does not directly address the client’s fall.

C. Lean the client toward the wall:
Leaning the client toward the wall may be helpful in some situations but does not directly prevent a fall. It may not be safe or feasible depending on the environment, and leaning the client toward a wall might cause further harm if not executed carefully.

D. Lower the client to the floor:
When a client begins to fall, the priority is to prevent injury. The nurse should gently lower the client to the floor while maintaining control, guiding the fall as much as possible to minimize injury. This approach ensures the client is not at risk of further harm and that the nurse can then assess the client for injuries.

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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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Correct Answer is D

Explanation

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