A client diagnosed with COPD says, "I don't see why I need to stop smoking. The damage to my lungs is already done." How should the nurse respond to this statement?
1. "If you stop smoking now your COPD may not get worse as fast."
2. "If you stop smoking, your lungs will get better pretty quickly."
3. "Your symptoms might not be as bad if you aren't smoking."
4. "You are probably correct, but you should at least try."
5. "If I were you, I would enjoy what time I have left."
Correct Answer: 1,3
Rationale 1: Smoking cessation has been shown to slow the progression of COPD.
Rationale 2: Depending upon the extent of damage, the client's lungs may not get better at all, but may just stop getting worse.
Rationale 3: Smoking cessation has been shown to result in fewer respiratory symptoms.
Rationale 4: It is not therapeutic to tell the client that he is correct with this statement.
Rationale 5: The nurse should encourage the client to stop smoking.
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