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Question ⬇

Safe, Effective Care Environment

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11. The most effective intervention to help a client quit smoking, that a nurse could suggest, is:

Choices

Choices ⬆ ⬇

1. Acupuncture.

2. Tapering off the number of cigarettes smoked.

3. Counseling.

4. Selective serotonin reuptake inhibitors.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Quitting smoking, like losing weight, is best accomplished in a supportive environment.

Content Area: Adult Health, Substance Abuse; Integrated Process: Caring; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Referrals

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Rationale ⬆

Safe, Effective Care Environment

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3.  

Answer 1 is incorrect because there are no data supporting the efficacy of acupuncture as a quitting strategy. However, it may create another opportunity to quit, so it should not be discouraged if the client is interested. Answer 2 is incorrect because tapering has been associated with nicotine withdrawal symptoms and subsequent failure to quit. Setting a "quit" day is currently the preferred strategy. Answer 3 is correct because the 1-year quit rate for a person completing a group counseling program is 20%. Individual counseling has a small but significant impact on quitting. Answer 4 is incorrect because there is an antidepressant approved for use with smoking cessation (Wellbutrin), but it is not a selective serotonin reuptake inhibitor.

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