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1. Persons with mental illnesses have unique neurobiological features that may increase their tendency to use nicotine, make it more difficult to quit, and complicate withdrawal symptoms.
A. True
B. False
2. Among patients seeking smoking cessation treatment, _______ percent have a history of major depression and many have minor dysthymic symptoms.
A. 10-15
B. 15-30
C. 20-35
D. 25-40
3. During the preparation phase of change, the individual is not prepared to quit at present, but intends to do so in the next six months.
A. True
B. False
4. Which of the following is NOT one of the strategies for implementation during the "ASK" phase of smoking cessation treatments?
A. Establish an office system to consistently identify tobacco use status at every visit
B. Determine what form of tobacco is used
C. Inquire whether or not the client is interested in quitting
D. Make note of consumers exposed to secondhand smoke
5. When assisting a client who has agreed to stop smoking, it is ideal to set a quit date within 30 days.
A. True
B. False
6. African American men bear one of the greatest health burdens, with death rates from lung cancer that are 50 percent higher than those of Caucasian men.
A. True
B. False
7. Cessation interventions that have been effective for persons with mental illnesses include nicotine replacement therapy (NRT) or buproprion in combination with counseling that employs motivational interviewing or cognitive-behavioral strategies.
A. True
B. False
8. Consumers with schizophrenia seem to have the highest success when cognitive-behavioral therapy is combined with NRT and:
A. Group counseling
B. Nortriptyline
C. Typical antipsychotic medications
D. Strategies to enhance motivation
9. Smoking cessation treatment for persons with mental illness should include:
A. Sessions that are at least 20 minutes long
B. At least 3 sessions
C. Total contact time that is no longer than 60 minutes
D. None of the above
10. Although the optimal duration is unknown and some individuals appear to require long-term use of NRT, almost all individuals eventually stop the treatment and NRT dependence is rare.
A. True
B. False
11. Research has indicated that smokers with posttraumatic stress disorder (PTSD) found that bupropion was well tolerated and resulted in rates of smoking cessation at ____ percent, as compared to ____ percent with the placebo group.
A. 70; 30
B. 65; 25
C. 60; 20
D. 55; 15
12. Each of the following accurately describes the connection between substance abuse and smoking cessation EXCEPT:
A. Concurrent use of alcohol and/or other drugs is a negative predictor of smoking cessation outcomes for those who are trying to quit using tobacco
B. Long-term quit rates of smokers in early recovery from substance use disorders (SUDs) are low, at approximately 17 percent
C. The combined effects of co-occurring substance abuse and smoking behaviors appear to significantly influence the high rates of smoking cessation treatment failure
D. Some evidence exists suggesting that nicotine replacement and behavioral approaches are effective for substance abusers who are trying to quit smoking
13. Relapse prevention programs for smoking cessation that are either prescriptive or intensive should be a part of every encounter with a consumer who has recently quit.
A. True
B. False
14. Bupropion SR and nicotine-replacement pharmacotherapy such as nicotine gum may delay weight game that commonly occurs after quitting smoking.
A. True
B. False
15. When consumers are feeling deprived and need motivaton to continue smoking cessation, they should be reassured that these feelings are common and be encouraged to participate in:
A. Self-help groups
B. Telephone help-line support
C. Rewarding activities
D. None of the above
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