A client with lung disease is strongly urged to stop smoking but likes to smoke and does not know what to do. In what order should the nurse take the following actions to help this client clarify values?

Question

1. Choose freely.
2. List alternatives.
3. Affirm the choice.
4. Act with a pattern.
5. Examine consequences of choices.
6. Examine feelings about the choice.

Answer 1

Correct Answer: 2, 5, 1, 6, 3, 4

Rationale 1: The nurse should ask if the client has a say in the decision in the third step of the process.

Rationale 2: In the first step of the process, the nurse should help the client list alternatives so that the client is aware of all alternative actions.

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Rationale 3: The nurse needs to ask how the client affirmed the choice by asking if the choice was discussed with others in the fifth step of the process.

Rationale 4: The final step is to find out if the client has acted with a pattern or consistently performs an action in a certain way.

Rationale 5: In the second step of the process, consequences of all choices need to be examined so that the client has thought about possible results of each action.

Rationale 6: In the fourth step of the process, the nurse needs to examine the client's feelings about the choice. Some clients may not feel satisfied with their decision.