COPD COPD - CCE - Certified Chronic Obstructive Pulmonary Disease Educator Smoking Cessation and Behavioral Change in COPD Questions and Answers 2

Question 1

Bupropion SR is used for smoking cessation in COPD. Which patient history is an absolute contraindication for its use?

Accepted Answer

History of seizure disorder or eating disorder

Answer

Hypertension

Answer

Mild renal impairment

Answer

Concurrent LABA use

Question 2

A COPD educator uses the '5 A's' model for brief cessation counseling. What does the second 'A' (Advise) require?

Accepted Answer

Give clear, strong, personalized advice to quit

Answer

Assess willingness to quit

Answer

Arrange follow-up support

Answer

Assist with setting a quit date

Question 3

Which approach is most effective when a COPD patient states they are 'not ready to quit'?

Accepted Answer

Apply the 5 R's (Relevance, Risks, Rewards, Roadblocks, Repetition) to enhance motivation

Answer

Dismiss the topic until the next visit

Answer

Immediately prescribe NRT

Answer

Refer to a specialist and end the discussion

Question 4

Electronic cigarettes (e-cigarettes) in COPD patients who are trying to quit smoking — what is the current US guideline position?

Accepted Answer

Not recommended as a cessation tool due to insufficient evidence and potential harm

Answer

Recommended as first-line cessation therapy

Answer

Approved by the FDA as a cessation device

Answer

Preferred over NRT for COPD patients

Question 5

Nicotine dependence in COPD is best formally assessed using which validated instrument?

Accepted Answer

Fagerström Test for Cigarette Dependence (FTCD)

Answer

CAT (COPD Assessment Test)

Answer

mMRC Dyspnea Scale

Answer

GOLD ABCD Assessment Tool

Question 6

Which psychological factor most commonly drives relapse in COPD patients attempting to quit smoking?

Accepted Answer

Negative affect and stress (emotional triggers)

Answer

Physical withdrawal symptoms alone

Answer

Lack of access to medications

Answer

Improvement in spirometry results