Which of the following is the first step in initiating a change to a risk-taking behaviour such as smoking?

Question

a. Assess tobacco use, in terms of amount and frequency.
b. Decide which strategies would be most effective for the client.
c. Complete a physical assessment of the client.
d. Understand the client's values and work with him or her in order to improve health.

Answer 1

D
The nurse must be able to appraise and understand the client's cultural beliefs, values, and prac-tices in order to work with him or her to determine the needs and interventions most likely to improve health.
In assessing the client's tobacco use, the nurse would certainly take into account the number of cigarettes smoked per day. However, this would not cause a change in the risk-taking behaviour.
Making decisions for clients does not enable individuals to assume responsibility for their health care decisions, nor does it promote a commitment to change.
A physical examination of the client would follow once the working relationship was established. It is not the main factor that would lead to a change in client behaviour.