A nurse is working in a community of factory workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:
1. help the group become more aware of marketing efforts by tobacco companies.
2. tell this group that smoking is unacceptable.
3. make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
4. counsel the group regarding addiction.
Correct Answer: 1
Rationale 1: Smoking is a type of drug abuse prevalent in this age group, which can lead to lung cancer and cardiovascular disease. The nurse's role regarding smoking is to serve as a role model by not smoking, provide educational information regarding the dangers of smoking (not just "tell" or "counsel" about it), help make smoking socially unacceptable, suggest resources such as hypnosis, and assist with lifestyle training and behavior modification to clients who desire to stop smoking.
Rationale 2: The nurse's role regarding smoking does not include making judgment statements.
Rationale 3: There is not current research to support the role of tobacco in the development of liver and esophagus cancers.
Rationale 4: The nursing role in this situation is to educate, not counsel.
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