رجل عمره ٥٠ سنة يدخن علبة يومياً منذ ٢٠ سنة، حاول الإقلاع مرتين وفشل. بعد الاحتشاء قال للممرض إنه خائف ويريد ترك التدخين هذه المرة. ما أفضل خطوة أولى من الممرض؟

A 50-year-old man has smoked a pack a day for 20 years and has tried to quit twice without success. After his MI he tells the nurse he is scared and wants to stop this time. What is the best first step by the nurse?

1. Wait until he asks for help again
2. Advise switching to shisha as it is milder
3. Tell him quitting after 20 years brings no benefit
4. Set a quit date and discuss behavioural support and medication

Answer: D) Set a quit date and discuss behavioural support and medication. Admission is a key opportunity. Combining behavioural support with nicotine replacement or other drugs as prescribed improves success. Quitting benefits the heart at any age and duration.