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RPC 228
Test IV - Smoking Cessation
| Question | Answer |
|---|---|
| After a person quits smoking, Shortness of breath gets better and coughing decreases in this time frame? | 1 to 9 months |
| Heart attack risk begins to drop, lung function begins to improve, and ciliary begins to work in this time period? | 2 weeks to 3 months |
| How long does it take for carbon monoxide levels to return to normal after a person quits smoking? | 12 hours |
| One of the almost immediate benefits of smoking cessation is that the heart rate drops in approximately _____ minutes. | 20 |
| What three points were discussed in class about cigarette smoke | 1) has over 1000 agents that damage tissue 2) causes short term problems 3) caused long term problems |
| The 1964 Surgeon General's Report of the advisory committee of smoking and health concluded that smoking can cause these four illnesses as discussed in class? | 1) lung cancer 2) laryngeal cancer 3) emphysema 4) cardio vascular disease |
| Mark Twain said? | Quitting is easy, I have done it hundreds of times |
| After smoking cessation, the added risk of coronary heart disease is 1/2 that of a smoker in this time frame? | 1 year |
| Stroke risk is reduced to that of a non-smoker in this time frame? | 5 years |
| Lung cancer risk is 1/2 that of a smoker and risk of cancers of mouth, pancreas, throat esophagus, bladder, and kidney decrease in this time frame? | 10 years |
| Risk of coronary heart disease is back to that of a non-smoker in this time frame? | 15 years |
| What are the nine benefits of smoking cessation as discussed in class | 1) Food taste better 2) Improved smell 3) Save $ 4) Feel better about self 5) Items will smell better 6) Sets a good example for kids/decrease smoking odds 7)Healthier children 8) Perform better/physical act. 9) Improved appearance ie wrinkles, t |
| What percentage of adults smoke in KY? | 25.6% (tied with WV for highest in the nation) |
| What percentage of high school & middle school students in KY smoke? | 26.1% |
| What percentage of smoker have called a quit line in an attempt to quit? | 2.3% |
| What percentage of smoker say they have a "no smoking inside the house" rule? | 60.9% |
| True or false: The number one public health threat in KY is smoking? | True |
| How many people in KY die each year as a result of tobacco related diseases? | 7800 per year |
| What percentage of all deaths are attributable to smoking? | 23% |
| Approximately how much money is spend each year in associated health care costs? | 1.5 Billion |
| THE CDC goals for reducing the negative health effects of tobacco use are ? | 1)Prevent the initiation of tobacco use among younger people 2)Promote cessation among young people/adults 3)eliminate nonsmoker exposure to tobacco smoke 4) identify & eliminate disparities related to tobacco & it's effects on different population gro |
| What are the smoking cessation methods as discussed in class? | 1) nicotine replacement 2) counseling 3) Hypnosis/acupuncture/other homeopathic remedies 4) Other medications 5) Cooper Clayton Method 6) Cold Turkey |
| What are the five A's of Intervention | Ask- do they smoke? Advise - to quite Assess - Willingness to quit Assist - provide info Arrange - FU to quit attempt |
| What are the 4 R's. Strategy to help patients to quite. | 1) Relevance, Provide info to pt that is relevant to disease, family etc. 2) Risk, acute, long term, 3) Rewards / potential benefits 4) Repetition/ repeat motivation every time pt visits |
| Star Quit Plan | S - Set a quit date, put it in writing contract with self. T - Tell friends/family A - Anticipate challenges, ie hands busy, go to smoke free places R - Remove tobacco products from your environment, ie smoke free home, lighters, ashtrays etc. |
| What are the medications Used to stop smoking? | 1) Bupropion SR (Wellbutren) 2) Varenicline (Chantix) 3) Nicotine Replacement Products 4) 2nd line medication Clonidine - used to treat withdrawal symptoms Nortriptyline – tricyclic antidepressant |
| What are the advantages of taking Bipropion SR? | 1) reduces cravings and other side effects 2) doubles chance of success |
| What are the advantages of Chantix? | 1) nicotine receptor partial agonist 2) reduces cravings for and decreases the pleasurable effects of cigarettes and other tobacco products 3) quadruples chance of success Note: side effect – most common is nausea |
| What are the different nicotine replacement products as discussed in class? | o Nicotine gum o Nicotine inhaler o Nicotine lozenge o Nicotine nasal spray o Nicotine patch |
| 4 types of counseling discussed in class? | 1) Self-help not found to be particularly effective 2) Individual – effective 3) Group – effective 4) Quit-lines - Phone based counseling 1-800-QUITNOW Must talk 2 counselor ea wk to continue to receive NRT. Overcome barriers of accessibility |
| How long of program is Clayton Cooper Method? | 13 weeks |
| Two Major principles of the CC method | 1) success is nothing more than a plan that is adhered to 2) Any major problem can be solved when cut up into a series of smaller problems. |
| The CC method is science based. What 4 points were discussed under this heading? | Education (important for smoker to get reasons behind why) Skills training (how is pt going to quit?, avoiding triggers) Social support (have that accountability partner) Nicotine replacement products |
| What are some of the points discussed under practical advice in class? | - Abstinence – TOTAL is essential after the quit date - Past quit experience – what helped/what hurt - Anticipate triggers/challenges - Alcohol – associated with relapse; patient should limit/abstain - Other smokers in household |
| What was discussed under Special Populations, particularly about pregnant women? | - Pregnant smokers o Encourage to quit throughout pregnancy o Smoking after 3rd month - Low-birth-weight along with many developmental delays/difficulties |
| The only time you use NRT is? | only if chances of quitting hinge on use |
| What are two points to emphasize to adolescents? | - Strong message of importance on TOTAL abstinence - NRT only when clear evidence of nicotine dependence and a clear desire to quit |
| Three points to emphasize to hospitalized patients? | Ask each patient if smoke - Offer information on smoking cessation - If patient interested in cessation; assist with setting up program upon discharge |
| Reasons RT’s promote smoking cessation intervention? | minimal intervention makes a difference-pt. not willing to quit, inter. enh mot & incr future quit- Tob. users primed to quit by soc. & env. Issues - Smo who receive advice to quit rt greater satis. with their h/c-int. cost eff.- Tob. use has a high fat. |
Created by:
jlsteely
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