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1. The first step in treating tobacco use and dependence is to identify tobacco users, as the identification of smokers increases rates of clinical intervention.
A. True
B. False
2. Which of the following is NOT one of the 5 “A's” used to treat tobacco use and dependence?
A. Ask every patient about tobacco use at every visit and advise users to quit
B. Assess current willingness to make a quit attempt
C. Assist in quit attempt for patients who are willing, and provide a means to increase future quit attempts for others
D. Apply interventions in a personalized and structured manner
3. When helping a patient cease tobacco use, it is ideal to choose a quit date that is within 4-6 weeks.
A. True
B. False
4. The seven FDA-approved medications for treating tobacco use are bupropion SR, nicotine gum, nicotine inhaler, nicotine lozenge, nicotine nasal spray, nicotine patch and:
A. Varenicline
B. Phentolamine
C. Diliazem
D. Metolazone
5. Among first-line medications, evidence exists that combining nicotine gum or nicotine nasal spray with bupropion SR increases long-term abstinence rates relative to placebo treatments.
A. True
B. False
6. Common side effects of nicotine gum include insomnia and dry mouth.
A. True
B. False
7. Nicotine nasal spray produces higher peak nicotine levels than other nicotine replacement therapies (NRTs) and has the highest dependence potential.
A. True
B. False
8. If clonidine is used to assist in smoking cessation, clinicians should monitor blood pressure because this medication tends to raise blood pressure in most patients.
A. True
B. False
9. Patients unwilling to make a quit attempt may respond to a directive, patient-centered brief counseling intervention based on the principals of:
A. Biofeedback
B. Cognitive behavioral therapy
C. Psychological debriefing
D. Motivational interviewing
10. Infertility, increased potential for respiratory infections, asthma, and impotency are categorized as long-term risks of tobacco use.
A. True
B. False
11. When former smokers encounter significant negative mood or depression, it may be appropriate to provide counseling, prescribe appropriate medication, or refer the patient to a specialist.
A. True
B. False
12. Which of the following is NOT one of recommended strategies that specialists can use to assist nonspecialist health care professionals in the treatment of tobacco dependence?
A. Training nonspecialists in counseling strategies
B. Providing consultation on difficult cases or for inpatients
C. Developing and implementing group counseling and education services
D. Providing specialized assessment services for high-risk populations
13. Counseling in an intensive intervention should include practical counseling with problem solving skills/training and:
A. Self-help treatment strategies
B. Intratreatment social support
C. Person to person psychosocial approaches
D. None of the above
14. Researchers estimate that, over time, the adoption of systems-level tobacco intervention efforts could produce a ______ percent reduction in smoking prevalence rates.
A. 2 to 3.5
B. 3 to 4.5
C. 4 to 5.5
D. 5 to 6.5
15. When implementing strategies for tobacco dependence treatment, heathcare systems should:
A. Educate all staff on a regular basis by offering training and providing continuing education (CE) credits and /or other incentives for participation
B. Provide resources such as access to tobacco quit lines, self-help materials, and information about effective tobacco use medications.
C. Provide feedback to clinicians about their performance and evaluate the degree to which clinicians are identifying, documenting, and treating patients who use tobacco.
D. All of the above
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