After being provided with smoking cessation information the client responds, "I'm not interested. I enjoy smoking and don't want to quit."
According to Prochaska and DiClemente, in which stage of change is this client?
1. Preparation
2. Precontemplation
3. Action
4. Contemplation
Correct Answer: 2
This response reflects precontemplation, in which the patient neither thinks about changing behavior nor is interested in information about the behavior. In contemplation, the patient seriously considers changing a specific behavior, actively gathers information, and verbalizes plans to make the change in the near future. The preparation stage occurs when the person undertakes cognitive and behavioral activities that prepare the person for change. The action stage occurs when the person actively implements behavioral and cognitive strategies to interrupt previous behavior patterns and adopt new ones.
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A patient has had surgery to repair a fractured hip. What intervention is important for the nurse to perform when turning the client from side to side?
A) Place abductor pillows between the legs. B) Place pillows between the legs. C) Have the client pull on the side rails when turning. D) Place a pillow under the hips.
The nurse assesses a patient with a temporal bone fracture and notices drainage from the right nostril. Based on this assessment, which nursing diagnosis should the nurse document as priority?
1. Risk for Pain 2. Risk for Impaired Sensory Input 3. Ineffective Airway Clearance 4. Potential for Infection
How much of the weight gained during a normal pregnancy is accounted for by the fetus?
a. Less than 5 pounds b. 6 to 8 pounds c. 9 to 12 pounds d. 13 to 30 pounds
A client complains to the nurse that her daughter often shivers after she comes out of a swimming pool. Based on this information, the nurse recognizes that the client needs further teaching about the mechanisms of shivering
What should the nurse's response be? A) "This could be serious; you should consult a physician immediately." B) "This is an expected response; shivering is a body mechanism that assists temporary regulation." C) "This may be risky; your daughter should avoid swimming completely." D) "Your daughter should have a hot water bath as soon as she comes out of the pool."