Assessment & Treatment Planning Flashcards

What is the approximate half-life of cotinine, which makes it useful for detecting tobacco use over several days?

Answer: About 16-20 hours

Cotinine's half-life of about 16-20 hours lets it reflect nicotine intake over the past several days.

Why is exhaled CO useful mainly for confirming very recent abstinence?

Answer: CO has a half-life of only a few hours

CO has a half-life of about 4-6 hours, so it mostly shows smoking within the last day.

Which assessment finding would most strongly support recommending combination NRT over a single form?

Answer: FTND score of 8 with frequent strong cravings

High dependence and strong cravings support combining a patch with a short-acting NRT form.

In the 5 A's model, which step includes building a treatment plan with a quit date and medication?

Answer: Assist

Assist covers helping the client make a quit plan, giving counseling, and offering medication.

A client is not ready to quit. Which framework is recommended to build motivation?

Answer: The 5 R's: Relevance, Risks, Rewards, Roadblocks, Repetition

The 5 R's are used to increase motivation in tobacco users not yet willing to quit.

Which screening tool is most appropriate to include for detecting depression during a tobacco intake assessment?

Answer: PHQ-9

The PHQ-9 is a validated depression screen; depression is common among smokers and affects quit outcomes.

Which client characteristic most predicts a greater risk of relapse and should be addressed in the plan?

Answer: Living with another smoker

Living with smokers increases exposure to cues and cigarettes, which raises relapse risk.