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Evidence-based treatments for smoking cessation

doi: 10.1097/01.NPR.0000413540.88154.91
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INSTRUCTIONS Evidence-based treatments for smoking cessation


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Lippincott Williams & Wilkins, publisher of The Nurse Practitioner journal, will award 2.8 contact hours for this continuing nursing education activity.

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Evidence-based treatments for smoking cessation

General Purpose: To familiarize the NP with assessment and therapy for patients who smoke. Learning Objectives: After reading this article and taking this test, the NP will be able to: 1. Describe assessment findings and the diagnostic tests indicated for smokers. 2. Discuss smoking cessation treatment.

  1. Patients counseled by an NP to stop smoking are how many times more likely to quit compared to patients not counseled by an NP?
    1. two times
    2. three times
    3. four times
    4. five times
  2. Bronchial cilia become paralyzed after the first
    1. inhalation.
    2. cigarette.
    3. pack.
    4. day of smoking.
  3. How do smokers compare to nonsmokers regarding concomitant depression?
    1. half as likely to be depressed
    2. equally likely
    3. two times more likely
    4. 10 times more likely
  4. Physical exam of a patient who smokes is most likely to reveal
    1. inhalation/exhalation ratio of 1:2.
    2. respiratory rate of 10/minute.
    3. gingivitis.
    4. hypotension.
  5. The authors discuss all the following diagnostic tests in relation to smokers except
    1. spirometry.
    2. computed tomography.
    3. lipid profile.
    4. chest radiography.
  6. Educate patients that smoking while using a nicotine patch may cause
    1. myocardial infarction.
    2. memory loss.
    3. tremors.
    4. increased cancer risk.
  7. The NP should ask the patient if he or she has a desire to quit when the
    1. patient returns for each visit.
    2. NP determines readiness.
    3. patient verbalizes desire.
    4. NP observes adequate social support.
  8. First-line nonnicotinic medications for smoking cessation include
    1. clonidine.
    2. varenicline.
    3. nortriptyline.
    4. sertraline.
  9. What percentage of current smokers have tried a smoking cessation treatment?
    1. 20%
    2. 30%
    3. 40%
    4. 50%
  10. On average, patients are prescribed NRT for
    1. 1 month.
    2. 2 months.
    3. 3 months.
    4. 4 months.
  11. Nicotine gum should be placed between the cheek and gum once it
    1. loses flavor.
    2. tingles.
    3. becomes firm.
    4. softens.
  12. Which of the following NRTs has lower smoking abstinence rates?
    1. inhaler
    2. gum
    3. patch
    4. nasal spray
  13. Bupropion may increase the risk of
    1. stroke.
    2. withdrawal symptoms.
    3. nicotine cravings.
    4. suicide.
  14. When should a patient quit smoking in relation to starting varenicline therapy?
    1. 1 week before starting varenicline
    2. at the same time
    3. 1 week after starting varenicline
    4. 2 weeks after starting varenicline
  15. Advise patients to take varenicline
    1. on an empty stomach.
    2. after meals with a glass of water.
    3. with a sip of water.
    4. with an NRT.
  16. Behavioral counseling with follow-up telephone sessions is most effective
    1. when environmental distractions are controlled.
    2. for initiating prolonged change.
    3. when used without medication.
    4. when motivation is low.
  17. Suggested first-line strategies to effectively overcome the smoking urge and stop smoking include
    1. eating.
    2. hypnotherapy.
    3. acupuncture.
    4. exercising.
  18. Most smokers are successful quitting
    1. on the first attempt.
    2. on the second attempt as long as weight gain is less than 5 lbs.
    3. after several attempts.
    4. abruptly by going “cold turkey.”
    5. $
    6. $


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