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
Predict a common myth that your patients may be thinking about when they are evaluating whether to quit smoking.
Smoking does not just cause diseases for heavy smokers or longtime smokers.
Breaking nicotine addiction is harder for some people than the others.
Smoking is just a choice. An occasional cigarette is no big deal.
Breathing the chemicals in tobacco smoke changes your blood’s chemistry almost immediately.
Smoking is just a choice. An occasional cigarette is no big deal.
Nicotine withdrawal involves physical, mental, and emotional symptoms. Propose an example of symptoms of nicotine withdrawal.
Feeling hungry
Feelings of paranoia
Numbness in extremities
Loss of sex drive
Feeling hungry
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.
Bronchitis
Emphysema
Being a triathlon participant
Peptic ulcer
Peptic ulcer
Nasal spray is designed to help you quit smoking by reducing your urge to smoke. Determine which statement is true about nicotine nasal spray.
There is a lower risk of prolonging nicotine dependence compared to patches.
It can cause an upset stomach after use.
It provides a rapid rise of the nicotine levels in the blood.
There is a slow controlled release of nicotine into the blood.
It provides a rapid rise of the nicotine levels in the blood.
Explain to a patient what counseling technique you could use in your practice.
Hypnosis is a counseling technique that has demonstrated continuity in smoking cessation.
To be effective, counseling should be done in 1-hour or more sessions.
Counseling should be left to experts, such as a psychiatrist.
Talk to your patients. Don’t Be Silent About Smokingis a social marketing campaign to encourage clinicians to take an active role in helping their smoking patients quit.
Talk to your patients. Don’t Be Silent About Smokingis a social marketing campaign to encourage clinicians to take an active role in helping their smoking patients quit.
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 patient who has required hospitalization with a fever and production of copious lung secretions
A man with prior history of benign prostatic hyperplasia
A man who has a history of gastric ulcer and upper gastrointestinal bleeding and has been a smoker of 15 cigarettes per day
A man who has a history of gastric ulcer and upper gastrointestinal bleeding and has been a smoker of 15 cigarettes per day
Predict the correct statement about a pro or con of varenicline.
Pros: Only needs to be applied once a day and has few side effects
Pros: No known drug interactions
Cons: Less flexible dosing and slower onset of delivery
Pros: Achieve desired levels of replacement and easy to use
Pros: No known drug interactions
Choose the true statement about a pro or con of nicotine patches.
Cons: Contraindicated with certain medical conditions and may interact adversely with MAO inhibitors
Pros: Faster delivery of nicotine
Pros: Convenient and flexible dosing
Cons: Less flexible dosing and slower onset of delivery
Cons: Less flexible dosing and slower onset of delivery
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.
I feel subcutaneous emphysema in my upper chest area.
I seem to have more trouble holding my urine than I use to.
Can you feel how large my lymph nodes are on my neck and armpits (axillae)?
Wheezing and inspiring stridor on auscultation can be observed.
Can you feel how large my lymph nodes are on my neck and armpits (axillae)?
Predict a common myth that your patients may be thinking about when they are evaluating whether to quit smoking.
Smoking does not just cause diseases for heavy smokers or longtime smokers.
Filters make cigarettes safer.
Breathing the chemicals in tobacco smoke changes your blood’s chemistry almost immediately.
Breaking nicotine addiction is harder for some people than the others.
Filters make cigarettes safer.
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.
I feel subcutaneous emphysema in my upper chest area.
Pericardial friction rub can be heard on auscultation.
I seem to have more trouble holding my urine than I use to.
I have been coughing with blood sputum for a while.
I have been coughing with blood sputum for a while.
Nasal spray is designed to help you quit smoking by reducing your urge to smoke. Determine which statement is true about nicotine nasal spray.
It consists of nicotine suspended in an alcohol base.
There is a slow controlled release of nicotine into the blood.
Nasal irritation is common.
It can cause an upset stomach after use.
Nasal irritation is common.
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?
The patch is active for 8 hours.
Metabolism occurs in the liver.
They should be applied to the thigh.
Patches can be cut to reduce the strength.
Metabolism occurs in the liver.
Predict the correct statement about a pro or con of varenicline.
Cons: Nausea, abnormal dreams, and sleep disturbances as common adverse effects
Cons: Mild skin rashes and irritation
Cons: Less flexible dosing and slower onset of delivery
Pros: Achieve desired levels of replacement and easy to use
Cons: Nausea, abnormal dreams, and sleep disturbances as common adverse effects
Nicotine withdrawal involves physical, mental, and emotional symptoms. Propose an example of symptoms of nicotine withdrawal.
Excess energy
Numbness in extremities
Excessively tired
Feelings of paranoia
Excessively tired
Nicotine replacement therapy (NRT) is a medically approved way to take nicotine by means other than tobacco. Propose an adverse reaction to nicotine.
Dysmenorrhea
Double vision
Blurry vision
Loss of balance
Dysmenorrhea
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.
Medical personnel being too involved and pushy
Belief that smoking gives him or her a reason to socialize
Strongly rooted sociocultural beliefs and aspects
Dementia, which causes a loss of reasoning
Strongly rooted sociocultural beliefs and aspects
Predict a common myth that your patients may be thinking about when they are evaluating whether to quit smoking.
Breaking nicotine addiction is harder for some people than the others.
It is too late to quit; the damage is already done.
Breathing the chemicals in tobacco smoke changes your blood’s chemistry almost immediately.
It is true that the longer you use tobacco, the more you hurt your body. However, at any age, the sooner you quit, the sooner your health can improve.
It is too late to quit; the damage is already done.
