The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but

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The nurse is caring for a patient who has been trying to quit smoking. The patient has been
smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should
the nurse anticipate?

a. The patient does not want to and will never quit smoking.
b. The patient must pick up the attempt right where the patient left off.
c. The patient will return to the contemplation or precontemplation phase.
d. The patient will need to adopt a new lifestyle for change to be effective.
ANS: C
When relapse occurs, the person will return to the contemplation or precontemplation stage before
attempting the change again. The patient cannot pick up the attempt where left off. It is believed that
change involves movement through a series of stages (precontemplation, contemplation,
preparation, action, and maintenance). Anticipating that the patient does not want to and will never
quit is premature. While the patient will need to adopt a new lifestyle for change to be effective, it
does not correlate to this scenario since the patient relapsed