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Difficulty: Very hardLifestyle Choices

A clinic nurse is initiating a comprehensive smoking cessation intervention for a client newly diagnosed with chronic obstructive pulmonary disease (COPD). According to the evidence-based '5 A's' behavioral change framework, arrange the following nursing actions in the correct sequential order from first to last.

  1. 1Document the client's current daily cigarette consumption and smoking history in the triage intake assessment.
  2. 2Inform the client that continuing to smoke will accelerate lung function decline, using a clear, strong, and personalized approach.
  3. 3Explore the client's current readiness and motivation to set a target quit date within the upcoming month.
  4. 4Collaborate with the client to anticipate potential relapse triggers and identify appropriate pharmacological support options.
  5. 5Establish a specific timeline for a check-in phone call within the first week of the planned quit attempt.

Answer

The correct sequence is: Document consumption (Ask) -> Inform about lung decline (Advise) -> Explore readiness (Assess) -> Collaborate on triggers/medications (Assist) -> Establish check-in (Arrange).
The '5 A's' framework provides a structured sequence for lifestyle behavior change regarding tobacco use: Ask (identify users), Advise (strongly urge quitting), Assess (determine readiness), Assist (provide counseling and medication), and Arrange (schedule follow-up). The specific clinical nursing actions align perfectly with this chronological progression.

Step-by-Step Solution

1
Identify the required framework specified in the stem.
The evidence-based '5 A's' framework for smoking cessation.
This framework dictates a specific chronological order for clinical interventions.
2
Map the 'Ask' action to the given options.
Documenting the client's current daily cigarette consumption and smoking history.
Identifying tobacco use is the foundational first step of the intervention.
3
Map the 'Advise' action to the given options.
Informing the client that continuing to smoke will accelerate lung function decline.
Providing a strong, personalized recommendation to quit follows immediately after identifying use.
4
Map the 'Assess' action to the given options.
Exploring the client's current readiness and motivation to set a target quit date.
Before making a plan, the nurse must evaluate if the client is actually ready to change.
5
Map the 'Assist' action to the given options.
Collaborating to anticipate potential relapse triggers and identify pharmacological support.
Once readiness is confirmed, practical support and planning are provided.
6
Map the 'Arrange' action to the given options.
Establishing a timeline for a check-in phone call.
Ongoing support and accountability are necessary to maintain the lifestyle change.

Key Concept

The 5 A's Framework for Smoking Cessation
Estimated Time:2m 0s
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Topics

Lifestyle Choices

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