Week 6 - Smoking

Question 1

How many times does the average smoker attempt to quit before successfully stopping?

Select one:

a. once
b. twice
c. 5 times
d. 8 times
e. 12 times

Answer 1

c. 5 times

Question 2

What is the article’s recommendation for how often patients should be asked about smoking status?

Select one:

a. every visit
b. every 6 months
c. every year
d. depends on if the patient is a smoker or non-smoker

Answer 2

a. every visit

Question 3

When advising a patient to quit smoking, what is the recommended physician approach?

Select one:

a. if the patient seems ambivalent, be confrontational that they must quit now
b. use motivation interviewing to explore ambivalence to quitting
c. if the patient is ambivalent, say nothing about quitting, it won’t help
d. try to make them feel guilty if they are ambivalent about quitting

Answer 3

b. use motivation interviewing to explore ambivalence to quitting

Question 4

T/F. Asking your patient about the benefits of smoking cessation as well as helping them identify road blocks to quitting are important aspects of the “Five R’s Strategy.”

Answer 4

True

Question 5

Which of the following techniques is recommended as most effective for long term smoking cessation?

Select one:

a. quitting abruptly, aka “cold turkey”
b. cutting down gradually to quit
c. neither is more effective, go with patient preference

Answer 5

c. neither is more effective, go with patient preference

Question 6

Which of the following is NOT associated with trying to quitting smoking?

Select one:

a. depression
b. weight gain (average <10lbs)
c. need for increased caffeine
d. irritability
e. anxiety

Answer 6

c. need for increased caffeine

Decreased caffeine is generally advised

Question 7

Which of the following nicotine replacement therapies is NOT available over-the-counter (a prescription is required)?
Select one:
a. nicotine gum
b. nicotine inhaler
c. nicotine lozenge
d. nicotine patch

Answer 7

b. nicotine inhaler

Question 8

Would you consider recommending nicotine replacement to assist a patient with smoking cessation? Why or why not?

Answer 8

“Yes, I would consider recommending nicotine replacement therapy (NRT) to patients. Since studies show that NRTs can increase the chances of quitting by 40-70%, I need to admit that they may be beneficial. In addition to recommending a NRT, I would suggest other methods too such as meditation and exercise and so on as a way to address underlying addiction and mindfulness practices that could support smoking cessation.”

Question 9

Which of the following is NOT a potential benefit to mother and infant if the woman quits smoking before or in early pregnancy?

Select one:

a. decreased risk of preterm birth
b. improved birth weight
c. less chance of perinatal infections
d. decreased chance of infant death

Answer 9

c. less chance of perinatal infections

Question 10

None of the available studies of the complementary and alternative therapies listed in this article were able to demonstrate measurable benefit to quitting smoking EXCEPT:

Select one:

a. acupuncture
b. exercise
c. hypnotherapy
d. telephone quitlines

Answer 10

d. telephone quitlines