The nurse is visiting with a school-age child in the clinic. The child states to the nurse, "Friends are giving me cigarettes to smoke." What is the best response by the nurse?
1. "There are many risks you take when you choose to smoke."
2. "Smoking occasionally will not hurt you"
3. "Tell them ‘no,' don't do it again, and don't tell anyone"
4. "I will show you a model of lungs, and then I want you to breathe through a straw."
4
Rationale:
1. A school-age child will not remember or really care about hearing the risks of smoking.
2. Smoking occasionally will hurt the child's health, so this response is inappropriate.
3. The school-age child wants to be like his peers, and won't just tell friends no without a justification.
4. When teaching about smoking, providing a model of lungs and having the child breathe through a straw demonstrate the effects of airway narrowing. This makes the effects much more realistic.
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