The nurse is counseling a client who smokes and drinks heavily about cancer risk. The client is adamant that he or she will never stop smoking. Which question by the nurse is most appropriate?
a. "Would you be willing to stop drinking alcohol?"
b. "Have you ever tried the nicotine patch?"
c. "Why are you so determined to continue smoking?"
d. "Do you understand that smoking is the leading cause of cancer?"
A
Both tobacco and alcohol are carcinogenic, but their effects are multiplied when ingested togeth-er. Because the client is refusing to stop smoking, the nurse could help him or her reduce cancer risk by not drinking. Although it is not as beneficial as avoiding tobacco, this could at least de-crease the risk. The client does not want to stop smoking, so asking about the nicotine patch, the reasons behind continued smoking, and knowledge regarding cancer risk might only serve to make the client more resolved to continue the habit or might make the client angry.
You might also like to view...
What kind of otitis media is a pathogen-free fluid behind the tympanic membrane, resulting from irritation associated with respiratory allergies and enlarged adenoids?
A) Purulent otitis media B) Infectious otitis media C) Serous otitis media D) Sterile otitis media
What intervention would be most appropriate for a wound with a beefy red wound bed?
a. Mechanical debridement b. Autolytic debridement c. Dressing to keep the wound moist and clean d. Removal of devitalized tissue and a sterile dressing
A patient who is diagnosed with shingles is
taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy? a. Insomnia and nervousness b. Temporary swelling and rash c. Burning when applied d. This medication has no adverse effects.
Projective methods usually have a lot of face validity
A) True B) False