Assessment & Treatment Planning Flashcards

A client smokes 1.5 packs per day and has smoked for 20 years. What is their pack-year history?

Answer: 30 pack-years

Pack-years equal packs per day multiplied by years smoked, so 1.5 x 20 = 30.

Which two items make up the Heaviness of Smoking Index (HSI)?

Answer: Cigarettes per day and time to first cigarette after waking

The HSI uses two FTND items: cigarettes per day and time to first cigarette.

A patient using a nicotine patch reports full abstinence. Which biomarker best verifies they are not smoking?

Answer: Urinary anabasine

Anabasine is a tobacco alkaloid not found in NRT, so it separates tobacco use from NRT use.

Which FTND item is the strongest single predictor of nicotine dependence severity?

Answer: Time to first cigarette after waking

Smoking within 5 minutes of waking is the strongest single indicator of high dependence.

With standard varenicline dosing, when should the client's quit date be set?

Answer: One week after starting varenicline

Standard varenicline dosing sets the quit date 1 week after starting so the drug can reach steady state.

During assessment, a client says they smoke mainly after meals, with coffee, and while driving. This information is used mainly for:

Answer: Identifying triggers for behavioral coping plans

Mapping situational cues guides personalized coping and avoidance strategies in the treatment plan.

Which tool checks whether a client has lost autonomy over tobacco use, and is often used with adolescents?

Answer: Hooked on Nicotine Checklist (HONC)

The HONC is a 10-item yes/no tool that detects early loss of autonomy, especially in youth.