The nurse is providing care to a client who has a history of chronic obstructive pulmonary disease (COPD) who wants help and information regarding nicotine addiction and ways to quit smoking
After providing education to this client regarding smoking cessation, which statement indicates appropriate understanding of the information presented?
A) "I will keep a pack of cigarettes in my closet in case I need it."
B) "I will taper off smoking gradually."
C) "I will chew sugar-free gum when I want a cigarette."
D) "I will eat a snack when I am feeling nervous."
Answer: C
When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.
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