Deck 36: Tobacco Cessation

Question 1

A mechanism for coping with cravings is realizing that cravings last only 3 to 5 minutes and trying to wait them out. The human need for freedom from fear and stress is usually unmet in clients seeking dental hygiene care.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true, and the second statement is false.
D) The first statement is false, and the second statement is true.

Answer 1

Both statements are true.

Question 2

All of the following identify actual or potential deficits related to the dental hygiene human needs theory for the tobacco-using client except one. Which is the one exception?

A) Inadequate ownership of personal oral health and hygiene
B) Misconception and lack of knowledge about systemic and oral effects of tobacco use
C) Missing teeth, abrasion, erosion, chewing difficulties, and abscesses
D) Tobacco-related illness (e.g., heart disease, cancer, delayed wound healing)
E) Tooth staining halitosis, periodontal disease, missing teeth, wrinkling
F) Initially, more bleeding, erythema

Answer 2

Initially, more bleeding, erythema

Question 3

All of the following identify symptoms of nicotine withdrawal except:

A) cravings.
B) anxiety.
C) insomnia.
D) stomach problems.
E) concern about confidentiality.
F) hunger or weight gain.
G) All of the above identify symptoms.

Answer 3

concern about confidentiality.

Question 4

When assisting clients who are not ready to quit, the recommended goal is to help them think about the benefits of using tobacco versus the benefits of stopping tobacco use. What type of interview is recommended?

A) Protection from health risks interviewing
B) Personal advice to quit interviewing
C) Motivational interviewing
D) Responsibility for oral health interviewing
E) Makes a note in the chart when the client is not ready

Question 5

Which of the following of the 5 As approach to tobacco cessation involves coping skills training?

A) Asking
B) Advising
C) Assessing
D) Assisting
E) Arranging

Question 6

What are the major aspects of nicotine addiction that sustain tobacco use?

A) Psychologic aspects
B) Behavioral aspects
C) Sensory aspects
D) Social-cultural aspects
E) All of the above

Question 7

Halitosis is a potential deficit of which type of human need due to tobacco use?

A) Wholesome facial image
B) Protection from health risks
C) Freedom from fear and stress
D) Responsibility for oral health

Question 8

Examples of oral and systemic effects of tobacco use include all of the following, except:

A) osteoporosis.
B) oral and pharyngeal cancers.
C) hypertension and stroke.
D) hyperkeratosis.
E) xerostomia.

Question 9

When assessing a client for tobacco use, all these questions can be asked of current tobacco users except one. Which is the one exception?

A) If you smoke, what type and how many times per day
B) If you chew/use snuff, what type? How much?
C) How long do you keep chew in your mouth? ____minutes
D) How many days of the week do you use tobacco?
E) How interested are you in stopping your use of tobacco?
F) Do you have ill-fitting dentures?
G) Have you tried to stop using tobacco before?

Question 10

A national survey reported that ____ of smokers want to quit. Each year approximately ____ try to quit, but less than 10% achieve abstinence. Among smokers who attempt to quit, 60% relapse within the first 7 days of quitting and ____ relapse within the first month.

A) 70%; 46%; 70%
B) 72%; 50%; 60%
C) 71%; 36%: 65%
D) 74%; 45%; 72%

Question 11

The following list identifies the type of chemicals released by the brain when exposed to nicotine except one. Which is the one exception?

A) Dopamine
B) Serotonin
C) Beta-endorphin
D) Cyclosporine
E) Vasopressin
F) Acetylcholine
G) Norepinephrine

Question 12

All of the following are true when it comes to arranging follow-up with a tobacco user except:

A) the hygienist checks in on where the clients are at in their thinking about quitting.
B) the RDH checks in on the progress in coping with the quitting process.
C) the RDH asks how many times the tobacco user has quit before.
D) for those clients with an unsuccessful quit attempt, modifications are made.
E) new goals may be set or a new quit date.

Question 13

All of the following are hallmarks of nicotine addiction except:

A) compulsive use.
B) use despite harmful effects.
C) pleasant (euphoric effects).
D) recurrent drug cravings.
E) intolerance to nicotine.
F) physical dependence.
G) tolerance.

Question 14

The physical aspects of nicotine addiction include reinforcing effects, tolerance, and physical dependence. Nicotine causes the brain to release chemicals such as dopamine, norepinephrine, acetylcholine, vasopressin, serotonin, and beta-endorphins.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The statement is correct, but the reason is not.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 15

Nicotine withdrawal symptoms can be hunger or weight gain. Behavioral coping strategies to address these symptoms are aerobic exercise, healthy eating, drinking water, chewing xylitol gum, and/or eating xylitol hard candy.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The first statement is correct, but the second is not.
D) The first statement is not correct, but the second is correct.
E) Neither the statement nor the reason is correct.

Question 16

Which of the following is an example of a thinking response?

A) Delay
B) Avoidance
C) Distraction
D) Use of oral substitutes
E) On the quit date

Question 17

All of the following identify ways to help clients become tobacco-free except one. Which is the one exception?

A) Advising about the health benefits of chemicals added to tobacco
B) Advising of health risks with tobacco use
C) Advising about all aspects of nicotine addiction
D) Being supportive and assisting the client with problem solving
E) Advising about coping strategies
F) All of the above are appropriate ways.
G) Options b, c, d, and e are appropriate ways.

Question 18

Medical consultation often is recommended for clients with a deficit in their human need for protection from health risks. The need for medical consultation is necessary for a client wishing to make a quit attempt if they have symptoms of an underlying depressive disorder.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true, and the second statement is false.
D) The first statement is false, and the second statement is true.

Question 19

Clients need to be advised to stop their tobacco use to protect their current and future health. Such advice should be clear, unequivocal, nonjudgmental, and related to something relevant to the client.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The first statement is correct, but the second one is not.
D) The first statement is not correct, but the second one is correct.
E) Neither the statement nor the reason is correct.

Question 20

When assisting a client with quitting tobacco use, characteristics of patient centered communication are:

A) collaborating, not persuading.
B) eliciting information, not imparting information.
C) scheduling a follow-up for contact at future visits.
D) emphasizing the client's autonomy, not the authority of the expert.
E) options a, b, and d.

Question 21

The purpose of nicotine replacement therapy is to provide some blood concentration of nicotine to reduce or eliminate withdrawal symptoms so clients can focus on the psychosocial and behavioral changes necessary to stop their tobacco use.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The statement is correct, but the reason is not.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 23

A deficit in the need for a wholesome facial image is a dissatisfaction with the appearance of one's teeth. This need creates an ideal teachable moment in the advising stage of the 5 As approach because tobacco use stains teeth and can adversely affect one's breath.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true, and the second statement is false.
D) The first statement is false, and the second statement is true.

Question 24

What are the four general principles that underlie motivational interviewing?

A) Express empathy, develop discrepancy, roll with resistance, and support self-efficacy
B) Express empathy, ask open-ended questions, affirm change talk, and support self-efficacy
C) Ask open-ended questions, develop discrepancy, roll with resistance, and support self-efficacy
D) Open-ended questioning, affirm change talk, reflective responding, summarizing the results of the dialogue

Question 25

All of the following are OTC pharmacotherapies except nicotine:

A) gum.
B) lozenge.
C) patch.
D) inhaler.

Question 26

All of the following are key elements to assess in the intensive tobacco cessation treatment program except one. Which is the one exception?

A) Motivation to quit
B) Reasons for quitting
C) Previous quit attempts
D) Patterns of tobacco use
E) History of mood disorders
F) Thinking responses

Question 27

Withdrawal symptoms of tobacco cessation peak within:

A) 12 to 24 hours
B) 24 to 48 hours
C) 48 to 72 hours
D) 1 to 2 weeks
E) 2 to 4 weeks

Question 28

All of the following are contraindications of using the nicotine patch as an over-the-counter (OTC) pharmacotherapy except one. Which is the one exception?

A) Recent myocardial infarction
B) Severe or worsening angina
C) Stomach ulcer
D) Lactation
E) Psoriasis
F) Headaches

Question 29

All of the following are nonnicotine replacement products except one. Which is the one exception?

A) Chantix
B) Zyban
C) Sustained-release bupropion
D) Varenicline
E) Nicotine patch

Question 30

All of the following are nicotine replacement products except:

A) nicotine gum.
B) nicotine lozenge.
C) nicotine patch.
D) varenicline.