A nurse is reinforcing teaching about smoking cessation with a client who has chronic bronchitis and has smoked two packs of cigarettes per day for 30 years. Which of the following client statements indicates an understanding of the teaching?
Explanation & Rationale
A. "I will share my decision to quit smoking with my friends.": Social support is a key factor in successful smoking cessation. Sharing the decision to quit with friends and family can provide encouragement, accountability, and reinforcement during withdrawal and cravings, which increases the likelihood of maintaining abstinence. B. "I will ask for a prescription for alprazolam to reduce my withdrawal symptoms.": Alprazolam is a benzodiazepine and is not indicated for nicotine withdrawal. Nicotine replacement therapy or medications like bupropion and varenicline are evidence-based options for managing withdrawal symptoms. Using alprazolam does not address nicotine addiction. C. "I'm not going to set a target date for quitting.": Setting a specific quit date is an important component of effective smoking cessation plans. A clear target date helps the client prepare mentally, plan coping strategies, and increase commitment. Avoiding a quit date reduces the likelihood of successful cessation. D. "Unfortunately, even if I stop smoking now, my lung function will not improve.": Smoking cessation can slow disease progression and improve symptoms such as cough, sputum production, and shortness of breath even in clients with chronic bronchitis. Lung function may partially recover, and quitting still provides significant long-term health benefits.