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b'\\nNurses often encounter patients who, despite best efforts by both the nurse and the patient, are unable to follow the treatment plan and may even pursue hurtful behaviors, like a patient with COPD who continues to smoke. Editor-in-chief Shawn Kennedy speaks with the author, who is also AJN\\u2019s contributing editor for ethics, about this issue, how it can interfere with the nurse-patient relationship, and approaches nurses can take when patients do self-defeating behavior.'