Assessment & Treatment Planning Flashcards
7 cards from real TTS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Assessment & Treatment Planning flashcards as text
A client smoking 8 cigarettes per day wants to start the nicotine patch. What is the recommended starting dose?
Answer: 14 mg/24 hr
Patch labeling recommends 14 mg for 10 or fewer cigarettes per day and 21 mg for more than 10.
A client has their first cigarette 15 minutes after waking. Which nicotine lozenge strength is recommended?
Answer: 4 mg
The 4 mg lozenge is recommended when the first cigarette comes within 30 minutes of waking.
Which history finding is a contraindication to bupropion SR?
Answer: History of bulimia nervosa
Bupropion is contraindicated in bulimia or anorexia nervosa because of a higher seizure risk.
A patient on clozapine plans to quit smoking. Why should the prescriber be notified?
Answer: Clozapine levels may rise because CYP1A2 induction from smoke stops
Polycyclic aromatic hydrocarbons in smoke induce CYP1A2, so quitting can raise clozapine levels to toxic ranges.
What is the main first-line approach for a pregnant smoker in a treatment plan?
Answer: Behavioral counseling, with pharmacotherapy considered case by case
Behavioral counseling is first-line in pregnancy; evidence for medication safety and efficacy is limited.
An exhaled CO reading of 25 ppm in a client who denies smoking most likely shows:
Answer: Recent tobacco smoking
Readings above about 8-10 ppm usually mean recent smoking; NRT does not raise CO.
A treatment specialist asks, 'On a scale of 0-10, how important is quitting to you?' This tool is called:
Answer: A readiness or importance ruler
Importance and confidence rulers are motivational interviewing tools for measuring readiness.
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