Review an adolescent's vaping-cessation follow-up timeline and determine which nursing responses best support sustained risk reduction.
Trend
Choose your responses, then check the answer.
Explanation
Nicotine can produce dependence and withdrawal, making vaping cessation difficult. A supportive plan includes asking about use without judgment, identifying triggers, choosing a quit strategy, connecting the adolescent with confidential counseling or quit resources, and arranging follow-up. A lapse is information for revising the plan, not proof of failure. The nurse should assess withdrawal, mood, other tobacco use, and safety concerns. E-cigarettes are not FDA-approved cessation products, and substituting cigarettes or dual use does not reduce risk. Medication decisions for adolescents require an appropriate prescribing clinician and individualized review.
Correct Answer The improving trend is reduced use with growing trigger awareness and renewed commitment after a lapse, supported by follow-up and counseling resources.
Why It Fits Dependence and withdrawal are expected barriers; a lapse should prompt assessment and plan adjustment rather than shame or discharge from support.
Clinical Picture The adolescent identifies a trigger, contacts a quit coach, removes devices, and returns to the quit plan while use declines from daily to one lapse.
Memory Link A lapse is a data point, not the end of the quit attempt.
NCLEX Rule Use confidential, nonjudgmental screening, behavioral support, trigger planning, and planned follow-up for adolescent vaping cessation.
Why the Alternatives Fail Switching to cigarettes, recommending dual use, or using punishment without support does not address nicotine dependence or build cessation skills.
Sources
1CDC Resources to Help Youth Reject or Quit Vaping
2CDC Vaping and Quitting
32026 NCLEX-RN Test Plan
Adolescent health visitA 16-year-old reports daily nicotine vaping and wants to stop before sports season. The nurse follows progress over four weeks using confidential, nonjudgmental assessment and age-appropriate cessation support.
Nicotine withdrawal — Symptoms such as cravings, irritability, anxiety, concentration difficulty, or sleep change that can occur after nicotine reduction.
Quit plan — A personalized plan that identifies reasons, triggers, coping strategies, support resources, and follow-up.
Lapse — A brief return to use that can be examined and used to strengthen the continuing cessation plan.