A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an 80 pack-year smoking history. When assessing the client's current use of nicotine, which question is most appropriate?
A) "Have you tried a nicotine patch for quitting smoking?"
B) "Do you smoke cigarettes with filters or without?"
C) "Do you smoke upon waking?"
D) "Tell me about any attempts you've made to quit using nicotine."
Answer: D
Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. "Tell me about any attempts you've made to quit using nicotine" is the only open-ended phrase that is effective in assessing this client.
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