A telehealth nurse is consulting with a young adult client who mentions smoking electronic cigarettes and occasional traditional cigarettes. The nurse decides to implement the evidence-based brief intervention framework for tobacco cessation. Arrange the nurse's actions in the correct sequential order.
- 1Inquire systematically about the client's current and past use of all tobacco products.
- 2Strongly urge the client to consider quitting using clear and personalized health messaging.
- 3Determine the client's current readiness and willingness to make a quit attempt within the next month.
- 4Collaborate with the client to develop a practical quit plan and discuss potential nicotine replacement therapies.
- 5Schedule a follow-up contact to occur within the first week after the client's designated quit date.
Cevap
The correct sequence follows the 5 A's model: Ask, Advise, Assess, Assist, and Arrange.
The '5 A's' is an evidence-based clinical intervention framework for smoking cessation. It must be implemented sequentially to maximize effectiveness. The nurse must first identify the habit (Ask), then provide a clinical recommendation (Advise). Once the recommendation is made, the nurse evaluates the client's readiness to change (Assess). If the client is ready, the nurse helps them formulate a strategy (Assist), and finally establishes ongoing support to prevent relapse (Arrange).
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The 5 A's Model for Tobacco Cessation