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Tobacco Cessation Programs in Substance Use Disorder Treatment Settings

1. Quitting smoking increases the odds of long-term recovery, whereas continued smoking following treatment increases the likelihood of relapse to substance use.

A. True

B. False


2. A meta-analysis of randomized controlled trials found that all of the following forms of tobacco cessation interventions increased tobacco abstinence, except for:

A. Counseling alone

B. Pharmacotherapy alone

C. Pharmacotherapy in combination with counseling

D. All forms of tobacco cessation interventions were found to increase tobacco abstinence


3. Quitting smoking in the first _____ after intake predicted long-term recovery from substance use and remission status nine years later.

A. Month

B. Six months

C. Year

D. Three years


4. Compared to not quitting, beyond initial withdrawal symptoms, for smokers, quitting is associated with all of the following, except for:

A. Reduced depression

B. Reduced anxiety

C. Reduced stress

D. Reduced drug cravings


5. The chance of having a heart attack begins to drop within _____ after smoking cessation.

A. 12 hours

B. 2 weeks to 3 months

C. 1 year

D. 2 to 5 years


6. Clinicians should encourage all individuals attempting to quit to use:

A. Peer support

B. Counseling

C. Medication

D. Both counseling and medication


7. Which of the following can be useful for smokers who are not ready to quit or who are ambivalent about quitting?

A. Hypnosis

B. Cognitive behavioral therapy

C. Motivational interviewing

D. Electrical brain stimulation


8. Which of the following is central to motivational interviewing?

A. An empathic style

B. An attitude of acceptance

C. The belief that ambivalence is normal

D. An understanding of the client’s point of view


9. When using motivational interviewing, the clinician-client relationship is like a teacher-student relationship.

A. True

B. False


10. All of the following are over-the-counter nicotine replacement therapies that have been approved by the Food and Drug Administration for smoking cessation, except for:

A. Nicotine patch

B. Nicotine nasal spray

C. Nicotine gum

D. Nicotine lozenge


11. Both bupropion and varenicline are non-nicotine medications that have been approved by the FDA for smoking cessation.

A. True

B. False


12. When implementing a tobacco-free environment in the workplace, a start date for when the new policies will go into effect should be far enough in advance to allow for:

A. Raising awareness of the new initiative.

B. Offering and promoting cessation services.

C. Incorporating new treatment protocols into records.

D. A start date for when the new policies will go into effect should be far enough in advance to allow for staff training, raising awareness of the new initiative, offering and promoting cessation services, incorporating new treatment protocols into records, and obtaining tobacco-free signage.


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