A nurse is counseling a client who reports smoking a pack of cigarettes a day for the past 10 years. The client expresses interest in quitting but states they are unsure where to begin. Which of the following is the most appropriate response by the nurse?
One effective approach is to stop smoking without gradually reducing the number first. Would you like instructional materials on this method?
I will give you information on national smoking cessation rates. This will help you decide where to start.
What are your reasons for wanting to quit smoking?
Many individuals who successfully quit smoking achieve this within six months. Let me discuss nicotine replacement therapy with you.
The correct response focuses on understanding the client's personal motivations for wanting to quit smoking. This approach supports motivational interviewing and establishes a client-centered partnership, key principles in guiding behavioral changes. Discussing specific interventions such as nicotine replacement therapy or quitting abruptly without first understanding the client’s needs and readiness may overwhelm or discourage them. Similarly, general statistical information about smoking cessation is less likely to encourage meaningful behavioral change, as it does not address the client’s individual circumstances or feelings.
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