# Review an adolescent's vaping-cessation follow-up timeline and determine which nursing responses best support sustained risk reduction. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=en > language: en > subject: High-Risk Behaviors > category: HPM ## Question Review an adolescent's vaping-cessation follow-up timeline and determine which nursing responses best support sustained risk reduction. | Time | Data | | --- | --- | | Week 0 | The adolescent vapes nicotine throughout each day, reports strong morning cravings, and chooses a quit date. The nurse reviews triggers and confidential support options. | | Week 1 | Use has decreased. Irritability and cravings occur after school. The adolescent enrolls in a youth text-support program and removes spare devices. | | Week 4 | The adolescent reports one lapse after an argument, identifies the trigger, contacts a quit coach, and resumes the plan. No cigarette use is reported. | Q1. How should the nurse interpret the four-week trend? Progress with expected withdrawal and a lapse that can guide relapse-prevention planning Failure requiring termination of cessation support Evidence that switching to cigarettes would be safer Q2. Which response is most therapeutic at week 4? You broke the plan, so start again only when you can guarantee no lapses Keep the lapse secret from the health care team Let's review the trigger, reinforce what helped you resume the plan, and update coping steps for the next high-risk moment Q3. Which ongoing plan is most appropriate? Recommend dual use of cigarettes and vapes to reduce cravings Avoid follow-up unless severe withdrawal occurs Assume all nicotine medications are automatically appropriate for every adolescent Continue confidential behavioral support, assess withdrawal and mood, and involve an appropriate clinician for individualized treatment decisions ## 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. ## In-depth explanation 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 ## Clinical scenario Adolescent health visit A 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. ## Key concepts - **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. ## Related questions - [Review the adolescent's vaping history and determine the most appropriate prevention and c…](https://mymerci.kr/pages/nclex_q.php?qn_id=563774&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=535418&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. 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