The nurse is caring for a patient who has been trying to quit smoking. She has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate?
a. The patient does not want to and never will quit smoking.
b. The patient will return to the contemplation or precontemplation phase.
c. The patient will need to adopt a new lifestyle for change to be effective.
d. The patient must pick up her attempt right where she left off.
ANS: B
When relapse occurs, the person will return to the contemplation or precontemplation stage before attempting the change again. The patient cannot pick up her attempt where she left off.
It is believed that change involves movement through a series of stages. These stages range from no intention to change (precontemplation), to making small changes (preparation), to actively engaging in strategies to change behavior (action), to maintenance. The action phase indicates a desire to change and a potential to do so. Changes will be maintained over time only if they are integrated into an individual's overall lifestyle.
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