A nurse is planning care for a client who wants to quit smoking. Which of the following actions should the nurse plan to take first?
Implement activities that promote the client's self-esteem.
Offer a list of smoking cessation support groups.
Provide education about the dangers of smoking.
Determine the client's coping methods.
The Correct Answer is D
Rationale:
A. Implement activities that promote the client's self-esteem: While boosting self-esteem can support smoking cessation, it is not the first priority. The nurse must first assess the client’s current coping strategies to tailor the cessation plan.
B. Offer a list of smoking cessation support groups: Providing resources is helpful, but without assessing the client’s needs and coping methods first, the support may not be appropriately matched to the client’s situation.
C. Provide education about the dangers of smoking: Education is important, but most clients are already aware of the health risks. Effective teaching requires first understanding the client's motivation and coping mechanisms.
D. Determine the client's coping methods: Assessment is always the initial step in the nursing process. Identifying how the client currently manages stress will help the nurse create an individualized and effective cessation plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I cannot be a witness for your consent to donate.": While a nurse often cannot witness the consent form to avoid a conflict of interest, this response does not directly address the client’s need for information about how to become an organ donor.
B. "Your name cannot be removed once you are listed on the organ donor list.": Clients can change their decision about organ donation at any time, and their name can be removed from the registry if they choose.
C. "Your desire to be an organ donor must be documented in writing.": Documenting consent in writing ensures legal clarity and verifies the client’s intent. Written consent is required to formalize organ donation in the medical record or donor registry.
D. "You must be at least 21 years of age to become an organ donor.": Age requirements for organ donation vary by jurisdiction, and many states allow individuals younger than 21 to register as donors, often with parental consent if under 18.
Correct Answer is C
Explanation
Rationale:
A. A blister-like area: Blistering is not the expected reaction used to interpret a Mantoux test. The result is based on the presence and size of induration, not the formation of blisters.
B. A cool, blanched area: Coolness and blanching are not indicators of a positive test. These findings may reflect poor circulation or local skin reaction unrelated to tuberculosis screening.
C. An elevated, hardened area: Induration (elevated, firm area) at the injection site, measured in millimeters, is the basis for determining a positive result. The size threshold for positivity depends on the client’s risk factors for tuberculosis.
D. An area of ecchymosis: Bruising at the site is a local skin reaction that can occur after any injection and is unrelated to the diagnostic criteria for a positive Mantoux test.
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