A smoking discussion and a failed attempt

Setting: A respiratory follow-up clinic

A patient has resumed smoking and expects criticism. The clinic can offer a separate cessation-support appointment, but this conversation does not prescribe any treatment.

Task

Explore the concern behind the opening: "I started again. You probably think I wasted everyone's time."
Clarify the specific barrier and acknowledge its effect on the patient.
Explain the supplied next steps and respond to this possible question: "Will the referral mean I have to choose a quit date before I am ready?"
Check the patient can distinguish what is agreed from what needs confirmation.

A smoking discussion and a failed attempt supplied plan

A patient has resumed smoking and expects criticism. The clinic can offer a separate cessation-support appointment, but this conversation does not prescribe any treatment.
The clinic offers a separate cessation-support appointment where available options can be discussed with the appropriate professional.
The nurse can record the patient's priorities and preferred contact arrangements if the patient wants a referral.
Do not select medication or promise success; the purpose is to explore readiness and agree whether support is wanted.
The support appointment offers a chance to discuss what led up to smoking again and what helped during your earlier attempt. It does not require you to arrive with every answer worked out.
With your agreement, I can request that discussion and note the stress at home and your wish to explore options first. Choosing any treatment would be a separate conversation with the appropriate professional.

Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..