Abstract
Policy initiatives are increasingly identifying smoking cessation interventions as a key component of the nurse's role. However, the development of expert recommendations does not guarantee that nurses will always provide high quality smoking cessation care. This impromptu, observational case-study of a nurse-patient interaction documents how great the discrepancy can be between recommended and actual smoking cessation care. Implications of this potentially counter-productive interaction by a smoking nurse are briefly discussed in terms of the need for ongoing monitoring and training.