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Smoking, Mental Illness, and Public Health

1. When assessed by psychiatric diagnoses, smoking prevalence is particularly high among any of those who have the following, except:

A. Schizophrenia

B. Bipolar disorder

C. Obsessive-compulsive disorder

D. Post-traumatic stress disorder


2. The elevated prevalence of smoking among individuals with mental illness is due in part to disparities in tobacco use reductions over time, as tobacco use among US adults nationally has declined steadily and similar reductions in smoking have not been observed among individuals with mental illness.

A. True

B. False


3. Mental illness is associated with:

A. Heavier smoking

B. Greater nicotine dependence

C. Greater withdrawal symptoms when quitting

D. Mental illness is associated with heavier smoking, greater nicotine dependence, greater withdrawal symptoms when quitting, and lower quit rates


4. Which of the following is true with regard to smoking by those with schizophrenia?

A. Current smoking is predictive of future suicidal behavior, independent of depressive symptoms, prior suicidal acts, and other substance use.

B. Cigarette smoking prevents the metabolism of some psychiatric medications leading to higher therapeutic blood levels and the need for lower doses.

C. Smokers experience decreased psychiatric symptoms and fewer hospitalizations compared with nonsmokers.

D. Heavier smokers have decreased positive symptoms and increased negative symptoms.


5. Newer research indicates that quitting smoking is associated with improvements in mental health, including reductions in depression, anxiety, and PTSD symptoms.

A. True

B. False


6. There is sufficient scientific evidence to show that _____ promotes experimentation, regular smoking, and increased likelihood of addiction in youth smokers and are associated with less success with quitting among African American smokers.

A. Humectants

B. Menthol flavorings

C. Sugars

D. Flavor enhancers


7. The most commonly held belief among mental health professionals for why they do not provide assistance with quitting smoking or provide treatment referrals for patients with mental illness is that:

A. These patients have more immediate problems to address.

B. Smoking cessation heightens other symptoms.

C. These patients are disinterested in quitting.

D. Quitting smoking is too stressful for these patients.


8. Documents in the Truth Tobacco Industry Library show that the tobacco industry stopped supplying free, low-cost, and tax-free cigarettes to psychiatric institutions in the 1980s.

A. True

B. False


9. All nicotine replacement therapy formulations provide lower and slower-rising plasma nicotine concentrations compared with cigarettes, reducing the behaviorally reinforcing effects of smoking.

A. True

B. False


10. For those with substance use disorder, _____ improves continuous abstinence for 12 months.

A. Nicotine patches

B. Nicotine gum

C. Both nicotine patches and nicotine gum improve continuous abstinence of 12 months

D. Neither nicotine patches nor nicotine gum improves continuous abstinence of 12 months


11. Smokers with stably treated schizophrenia who use varenicline to aid smoking cessation are nearly three times as likely as those on placebo to be abstinent at the end of the drug therapy, with no worsening of schizophrenia or depressive symptoms.

A. True

B. False


12. Analysis of national data found that comprehensive smoking bans in the home and workplace are associated with a significantly reduced risk of developing:

A. Schizophrenia

B. Attention deficient disorder

C. Bipolar disorder

D. Major depression


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