Question: Chapter Review Jerome Is 48 Years Old. He Has Been Smoking Cigarettes Since He Was 16. He Smokes Approximately Half A Pack Of Cigarettes A Day. Jerome’s Wife And Children Have Been Trying To Persuade Him To Stop Smoking For Many Years. Recently, His Good Friend And Neighbor Died Of Lung Cancer, And Jerome Is Newly Motivated To Stop. He Has Tried Several …
Chapter Review Jerome is 48 years old. He has been smoking cigarettes since he was 16. He smokes approximately half a pack of cigarettes a day. Jerome’s wife and children have been trying to persuade him to stop smoking for many years. Recently, his good friend and neighbor died of lung cancer, and Jerome is newly motivated to stop. He has tried several times over the years to stop smoking on his own, but never lasted longer than a month or two. He says: “Smoking has been a part of my life for so long, I don’t know what I’d do without it. It helps me to relax. It’s what I do.” You are a CHW working with Jerome. He shares the following information with you: “I just don’t want to let my family down, particularly my wife. I know she’s scared that I could get it (cancer).” “You think I’m bad now. I tell you, when I was younger I used to smoke a pack a day or more. Cigarettes were a lot cheaper then, though.” “You know, I wasn’t gonna tell you, but I used to drink too much too. Almost ruined my marriage. My wife, she kicked me out at one point, Said she wouldn’t take me back if I kept it up. And I did it. I quit, and I haven’t had alcohol in 22 years!” “Is it gonna make any difference now-quitting? I’ve probably done enough damage already. Sometimes I lje awake at night and I worry that cancer is already there.” “I don’t know if I can quit. I used to think I’d give it up by the time I was 30 or 40… but I just never did. It embarrasses me, but I don’t know if I’ve got what it takes to do this. When I stopped, all I thought about was smoking.” Please practice answering the following questions about how you would work to support Jerome: 1. Where is Jerome or the Stages of Change in relation to stopping smoking? 2. What is an example of a harm-reduction strategy or approach that Jerome might take? 256 CHAPTER 9: CLIENT-CENTERED COUNSELING FOR BEHAVIOR CHANGE 3. Use your OARS. Based on the information provided above, provide at least two examples of each of the following that you would ask or share with Jerome: Open-ended questions Affirming statements Reflective statements Summaries 4. Explain two different ways that you could use a 0-10 scale when working with Jerome: 0 TO Not important Very important Not ready Not confident Very confiden 5. Jerome says to you: “I know my wife wants me to quit, but I don’t think I can. I’ve smoked for too many mitin new ca de me, anyway? How would you respund in a way that demon
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