Smoking cessation Flashcards
Explain to a patient what counseling technique you could use in your practice.
Counseling should be left to experts, such as a psychiatrist.
To be effective, counseling should be done in 1-hour or more sessions.
Hypnosis is a counseling technique that has demonstrated continuity in smoking cessation.
Conduct motivational interviewing.
Conduct motivational interviewing.
It does not matter how old a patient is or how long he or she has been smoking. Quitting smoking at any time improves health. Determine a factor that makes it more difficult to help an elderly patient quit smoking.
Dementia, which causes a loss of reasoning
Belief that smoking gives him or her a reason to socialize
Being too old to be worth the effort
Lack of motivation
Lack of motivation
Determine which individual is most clearly in need of diagnostic testing for lung cancer.
A patient with a history of secondary tuberculosis who failed to complete his prescribed course of antibiotics
A man with prior history of benign prostatic hyperplasia
A man with a history of chronic obstructive pulmonary disease with progressive weight loss
A patient who has required hospitalization with a fever and production of copious lung secretions
A man with a history of chronic obstructive pulmonary disease with progressive weight loss
Smoking cessation therapies are more likely to succeed for patients who are motivated to stop smoking and are provided additional advice and support. Predict a previous history that would require caution for a patient with varenicline.
Sedentarism
Angina
Being a triathlon participant
Emphysema
Angina
Cigarette smoking is one of the leading causes of preventable death in the United States, but quitting can be daunting. Many fear that it will take a long time to see improvements in health and well-being, but the time line for seeing real benefits is faster than most people realize. Health benefits begin in as little as an hour after the last cigarette and continue to improve. Predict a quality of life improvement that a person quitting smoking can expect to see.
Higher salary
Increase in the amount of doctors’ visits
Better expectations if you must undergo surgery
Less weight gain
Better expectations if you must undergo surgery
Nicotine withdrawal involves physical, mental, and emotional symptoms. Propose an example of symptoms of nicotine withdrawal.
Becoming grumpy
Excess energy
Numbness in extremities
Feelings of paranoia
Becoming grumpy
Predict an adverse reactions that may be reported with the use of varenicline.
Neuropsychiatric adverse events
Deep venous thrombosis
Pulmonary embolism
Renal failure
Neuropsychiatric adverse events
You are a faculty member who teaches about the importance of counseling and lifestyle advising in patients who are quitting smoking. Propose a statement that you will share with your students and peers.
To be effective, counseling should be done in 1-hour or more sessions.
The Agency for Healthcare Research and Quality has developed 2 As, a counseling technique with five major steps to intervention.
In performing psychosocial intervention, practical advice includes that the smoker knows his or her addiction and modifies his or her behavior in relation to it while developing skills to control difficult situations.
Hypnosis is a counseling technique that has demonstrated continuity in smoking cessation.
In performing psychosocial intervention, practical advice includes that the smoker knows his or her addiction and modifies his or her behavior in relation to it while developing skills to control difficult situations.
Many smokers have kicked the habit only to get hooked on something that was supposed to help: nicotine chewing gum. Conclude how nicotine gum is supposed to aid in quitting smoking.
Swallow the gum.
Chew at a fixed time rather than wait for a craving.
Chew multiple pieces of gum at a time.
Chew only after an intense craving.
Chew at a fixed time rather than wait for a craving.
A nurse runs into an old high school friend after 20 years. She notes that her friend continues to smoke after all these years. The friend asks, “Do you think I sound hoarse?” Upon further assessment, the nurse notes that her friend has several warning signs of cancer. Predict a manifestation that would lead to this conclusion.
Pericardial friction rub can be heard on auscultation.
My current consumption is 1–2 packs a day.
I seem to have more trouble holding my urine than I use to.
I feel subcutaneous emphysema in my upper chest area.
My current consumption is 1–2 packs a day.
Determine which individual is most clearly in need of diagnostic testing for lung cancer.
A patient who has required hospitalization with a fever and production of copious lung secretions
A woman who complains of recurrent lower respiratory infections and has sought care for increasing shortness of breath
A woman with prior family history of lung cancer, breast cancer, and leukemia
A man with prior history of benign prostatic hyperplasia
A woman with prior family history of lung cancer, breast cancer, and leukemia
Predict an adverse reactions that may be reported with the use of varenicline.
Deep venous thrombosis
Renal failure
Accidental injury
Pulmonary embolism
Accidental injury
Nicotine replacement therapy (NRT) is a medically approved way to take nicotine by means other than tobacco. Propose an adverse reaction to nicotine.
Numbness
Insomnia
Double vision
Loss of balance
Insomnia
A nicotine patch is a method of nicotine replacement therapy that delivers nicotine through your skin to help reduce withdrawal symptoms, including cigarette cravings associated with quitting smoking. Which of the following is true about transdermal patches?
They should be applied to the thigh.
Patches can be cut to reduce the strength.
They may cause nightmares if used when sleeping.
The patch is active for 8 hours.
They may cause nightmares if used when sleeping.
Evaluate and select which substance is included in the nicotine drug interactions.
Bupropion SR
Alcohol and opioids
Varenicline
Antibiotics
Alcohol and opioids
