A community-based nurse in a pulmonary clinic is developing a care plan for a client who smokes. Which of the following might the nurse include in the plan if the client is in the preparation phase of the Transtheoretical Model?
Identify a support system to prevent the client from giving into the urge to smoke.
Give literature to the client who has expressed wanting to quit but is not yet ready to do so.
Console the client for smoking a cigarette after having quit smoking 4 months ago.
Teach the client who refuses to quit smoking about fire safety and cigarette smoking.
The Correct Answer is A
Choice A Reason:
Identifying a support system to prevent the client from giving into the urge to smoke is crucial during the preparation phase of the Transtheoretical Model. In this phase, the client is ready to take action within the next 30 days and may start taking small steps towards quitting smoking. A support system, which can include family, friends, or support groups, provides the necessary encouragement and accountability to help the client stay committed to their goal. This support can significantly increase the chances of successful smoking cessation by offering emotional and practical assistance².
Choice B Reason:
Giving literature to the client who has expressed wanting to quit but is not yet ready to do so aligns more with the contemplation phase of the Transtheoretical Model. In the contemplation phase, individuals are considering quitting within the next six months but are not yet ready to take immediate action. Providing educational materials can help them understand the benefits of quitting and the steps involved, but it is not as relevant for someone in the preparation phase who is already planning to quit soon.
Choice C Reason:
Consoling the client for smoking a cigarette after having quit smoking 4 months ago is more appropriate for the maintenance phase. In the maintenance phase, individuals work to sustain their behavior change and prevent relapse. While offering support after a relapse is important, it does not align with the preparation phase, where the focus is on planning and preparing to quit smoking.
Choice D Reason:
Teaching the client who refuses to quit smoking about fire safety and cigarette smoking is not relevant to the preparation phase. This intervention might be more suitable for individuals in the precontemplation phase, where they are not yet considering quitting and need to be made aware of the risks associated with smoking. In the preparation phase, the client is already motivated to quit, so the focus should be on supporting their efforts to take action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Ensuring the client has been taking their prescribed diuretic is important in managing heart failure. Diuretics help reduce fluid buildup, which can alleviate symptoms like edema and weight gain. However, this action alone may not be sufficient if the patient is already experiencing significant symptoms. Immediate consultation with a healthcare provider is necessary to adjust the treatment plan appropriately.
Choice B Reason:
Reinforcing the importance of daily weights is a crucial educational intervention for patients with heart failure. Monitoring daily weight helps in early detection of fluid retention, allowing for timely intervention. However, given the patient's current symptoms of significant weight gain and generalized edema, immediate action is required beyond just reinforcing education.
Choice C Reason:
Documenting the findings and continuing with the visit is part of the nurse's responsibilities. Accurate documentation is essential for tracking the patient's condition over time. However, in this scenario, the patient's symptoms indicate a potential exacerbation of heart failure, which requires prompt medical attention. Simply documenting without taking further action is not sufficient.
Choice D Reason:
Calling the healthcare provider for further instructions is the most appropriate action in this situation. The patient's weight gain and generalized edema suggest worsening heart failure, which may require adjustments in medication or other interventions. Immediate consultation with the healthcare provider ensures that the patient receives timely and appropriate care to prevent further complications.
Correct Answer is C
Explanation
Choice A: The Corporate Manager of the Restaurant Chain with a Facility in the Community
While the corporate manager of a restaurant chain may have some influence, their primary focus is likely on business operations rather than community health initiatives. Their influence might be limited to their business network and customers, rather than the broader community. Therefore, they may not be the best choice for leading a community health program.
Choice B: An Individual Who Owns a Vacation Home in the Community
An individual who owns a vacation home in the community is likely not a permanent resident and may not have a deep understanding of the community's needs and dynamics. Their influence is likely limited due to their transient presence, making them less effective as a community influencer for health initiatives.
Choice C: The Program Director of the Local Community Health Department
This is the correct choice. The program director of the local community health department is likely to have extensive knowledge of the community's health needs and resources. They are also likely to have established relationships with key stakeholders and a strong influence within the community. Their expertise and connections make them an ideal candidate to lead the implementation of a community health program.
Choice D: A Local High School Student
While a local high school student may have influence among their peers, they may lack the experience and authority needed to lead a community health program. Their influence is generally limited to their age group and may not extend to the broader community. However, they can still play a valuable role in supporting and promoting the program among their peers.
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