A client who has attempted to quit smoking and failed two times before is reluctant to make another attempt. Which response by the nurse is most appropriate?
A) "You will know when the time is right."
B) "Most people who have tried and failed ultimately do succeed."
C) "Tell me what you have tried before and we can make changes to your plan."
D) "I know you can do it this time."
B
Feedback:
Attempts to quit are a predictor of eventual success, and many of those who have tried and failed do ultimately succeed. Providing the client with this encouragement supports the desire to quit. Waiting until the time is right may postpone the urge to quit. The nurse does not "know" for certainty that a client is going to achieve a goal but can be a supporter during the process. Although having a plan to follow is important, the support and encouragement to take the first step is the spring board.
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