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Question

Difficulty: EasyLifestyle Choices

A nurse is implementing the evidence-based "5 A's" model to help a client quit smoking. Arrange the following nursing actions in the correct chronological order from first to last.

  1. 1Ask the client about their current tobacco use status.
  2. 2Advise the client to quit smoking in a clear, strong, and personalized manner.
  3. 3Assess the client's willingness to make a quit attempt at this time.
  4. 4Assist the client in developing a specific quit plan and provide resources.
  5. 5Arrange a follow-up contact to monitor progress and provide ongoing support.

Answer

The correct order for the 5 A's of smoking cessation is: Ask, Advise, Assess, Assist, and Arrange.
The '5 A's' is an evidence-based framework for smoking cessation. It follows a logical clinical progression: first identifying the behavior (Ask), providing clear medical guidance (Advise), determining the client's readiness to change (Assess), providing practical help (Assist), and finally ensuring continuity of care (Arrange).

Step-by-Step Solution

1
Identify the framework being tested.
The scenario requires knowledge of the 5 A's behavioral counseling framework for treating tobacco use and dependence.
This is the standard evidence-based practice for smoking cessation interventions.
2
Sequence the interventions chronologically according to the clinical pathway.
The nurse must first identify the habit (Ask), then provide a medical recommendation (Advise), determine readiness (Assess), help with the intervention (Assist), and finally plan for continued care (Arrange).
This logical progression ensures that interventions are sequentially tailored to the client's current stage of readiness.

Key Concept

The 5 A's Model for Smoking Cessation Intervention
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Topics

Lifestyle Choices

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