After signing a contract that he will no longer smoke in his room, the patient violates the contract. The contract consequences include confiscation of smoking materials and mandatory supervision for future smoke breaks
How should the nurse appropriately address the patient's behavior?
a. "Why are you smoking in your room when you know it is not allowed?"
b. "The contract states that if you smoke in your room, you must give me your smok-ing materials. Let me have them, please."
c. "Okay, Larry, give me your cigarettes and lighter now."
d. "I am going to give you one more chance, Larry. Let's see if you can live up to the contract."
B
Reminding the patient of contract violation and the penalty attached should be done before tak-ing the cigarettes. This approach is fair and puts the blame for the consequence on the offender. Providing the patient with the opportunity to "explain" the actions does not conform to the agreed-on contract. Providing additional opportunities for compliance does not support the con-tract and may encourage manipulative behavior.
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