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Ivy is a 28-year-old patient at a wellness visit at her Primary Care Provider’s office. Her PCP is a Family 
Nurse Practitioner. The MA that checked Ivy in for the appointment has indicated that Ivy mentioned 
that she wants to quit smoking. 
 BMI of 22. 
 All VSS, all labs are WNL. 
 Ivy has been a smoker since she was 16 years old and smokes a half pack per day. She works as 
a manager in a warehouse and considers her job to be stressful and “I need to smoke to cope 
with my work stress”. She smokes while she drinks her coffee at home before work, in her car 
on the way to work, at her morning and afternoon breaks, during lunch, and on her way home 
from work in her car. 
 Ivy has had two early miscarriages this past year with her partner which were very disappointing 
for them both. 
 Ivy and her partner are planning to get married next month and their relationship is stable and 
he is very supportive. 
ï‚· Ivy’s partner stopped smoking last year after his father had a heart attack at age 52. 

 

use MI( motivational interviewing)  techniques with the case scenario above

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HEALTH SCIENCE
NURSING
NURSING 242