An adolescent patient has recently begun smoking and reports a habit of fewer than five or six cigarettes per day. The patient does not want to quit smoking now but plans to do so after college. The primary care nurse practitioner should:
a. prescribe varenicline (Chantix).
b. recommend a nicotine transdermal patch.
c. refer the patient to a smoking cessation program.
d. begin a discussion about the negative effects of smoking.
D
For all patients who smoke, the provider should assess their willingness to quit. For patients unwilling to quit, the provider should focus on motivational issues. Chantix, nicotine transdermal patches, and smoking cessation programs are treatments for smoking, but if they are used by a patient who is unwilling to quit, they will be ineffective.
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A) dilated pupils B) thin and brittle nails C) an increase in tear production D) a decrease in pubic hair
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
A) Public stigma B) Self-stigma C) Label avoidance D) Negative life events
A client weighs 106 pounds and is 5 feet 5 inches tall. Her ideal body weight is 120 pounds. After determining the client's percentage of ideal body weight, which of the following would the nurse conclude?
A) Client is mildly malnourished B) Client is experiencing moderate malnutrition C) Severe malnutrition is present D) The client's body weight is within 10% of ideal body weight
What actions do you need to take based on this concern?
What will be an ideal response?