Chapter 46. Smoking Cessation
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Nicotine withdrawal symptoms include:
1. Nervousness
2. Increased appetite
3. Difficulty concentrating
4. All of the above
2. If a patient wants to quit smoking, nicotine replacement therapy is recommended if the patient:
1. Smokes more than 10 cigarettes a day
2. Smokes within 30 minutes of awakening in the morning
3. Smokes when drinking alcohol
4. All of the above
3. Instructions for a patient who is starting nicotine replacement therapy include:
1. Smoke less than 10 cigarettes a day when starting nicotine replacement.
2. Nicotine replacement will help with the withdrawal cravings associated with
quitting tobacco.
3. Nicotine replacement can be used indefinitely.
4. Nicotine replacement therapy is generally safe for all patients.
4. Nicotine replacement therapy should not be used in which patients?
1. Pregnant women
2. Patients with worsening angina pectoris
3. Patients who have just suffered an acute myocardial infarction
4. All of the above
5. Instructions for the use of nicotine gum include:
, 1. Chew the gum quickly to get a peak effect.
2. The gum should be “parked” in the buccal space between chewing.
3. Acidic drinks such as coffee help with the absorption of the nicotine.
4. The highest abstinence rates occur if the patient chews the gum when he or she is
having cravings.
6. Patients who choose the nicotine lozenge to assist in quitting tobacco should be instructed:
1. Chew the lozenge well.
2. Drink at least 8 ounces of water after the lozenge dissolves.
3. Use one lozenge every 1 to 2 hours (at least nine per day with a maximum of 20
per day).
4. A tingling sensation in the mouth should be reported to the provider.
7. Transdermal nicotine replacement (the patch) is an effective choice in tobacco cessation because:
1. The patch provides a steady level of nicotine without reinforcing oral aspects of
smoking.
2. There is the ability to “fine tune” the amount of nicotine that is delivered to the
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Nicotine withdrawal symptoms include:
1. Nervousness
2. Increased appetite
3. Difficulty concentrating
4. All of the above
2. If a patient wants to quit smoking, nicotine replacement therapy is recommended if the patient:
1. Smokes more than 10 cigarettes a day
2. Smokes within 30 minutes of awakening in the morning
3. Smokes when drinking alcohol
4. All of the above
3. Instructions for a patient who is starting nicotine replacement therapy include:
1. Smoke less than 10 cigarettes a day when starting nicotine replacement.
2. Nicotine replacement will help with the withdrawal cravings associated with
quitting tobacco.
3. Nicotine replacement can be used indefinitely.
4. Nicotine replacement therapy is generally safe for all patients.
4. Nicotine replacement therapy should not be used in which patients?
1. Pregnant women
2. Patients with worsening angina pectoris
3. Patients who have just suffered an acute myocardial infarction
4. All of the above
5. Instructions for the use of nicotine gum include:
, 1. Chew the gum quickly to get a peak effect.
2. The gum should be “parked” in the buccal space between chewing.
3. Acidic drinks such as coffee help with the absorption of the nicotine.
4. The highest abstinence rates occur if the patient chews the gum when he or she is
having cravings.
6. Patients who choose the nicotine lozenge to assist in quitting tobacco should be instructed:
1. Chew the lozenge well.
2. Drink at least 8 ounces of water after the lozenge dissolves.
3. Use one lozenge every 1 to 2 hours (at least nine per day with a maximum of 20
per day).
4. A tingling sensation in the mouth should be reported to the provider.
7. Transdermal nicotine replacement (the patch) is an effective choice in tobacco cessation because:
1. The patch provides a steady level of nicotine without reinforcing oral aspects of
smoking.
2. There is the ability to “fine tune” the amount of nicotine that is delivered to the
