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. "Tell them 'no,' don't do it again, and don't tell anyone."
2. "Smoking occasionally will not hurt you."
3. Show the child a model of lungs with smoke damage then have the child try to breathe through a straw.
4. Explain to the child the risks associated with smoking.
3
Rationale 1: The school-age child wants to be like his peers and won't just tell friends "no" without a justification.
Rationale 2: Smoking occasionally will hurt the child's health, so this response is inappropriate.
Rationale 3: 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.
Rationale 4: A school-age child will not remember or really care about hearing the risks of smoking.
Global Rationale:
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