Assessment & Treatment Planning Flashcards

For a hospitalized smoker, evidence-based treatment planning should include:

Answer: Counseling in hospital plus follow-up of at least 1 month after discharge

Inpatient programs work when supportive follow-up lasts at least 1 month after discharge.

What was a key finding of the EAGLES trial for treatment planning?

Answer: Varenicline and bupropion showed no significant increase in neuropsychiatric events versus placebo, including in psychiatric patients

EAGLES found no significant rise in neuropsychiatric adverse events with varenicline or bupropion, which led to removal of the boxed warning.

A client stopped smoking 3 days ago and reports irritability, restlessness, and poor concentration. Which tool best quantifies these symptoms?

Answer: Minnesota Nicotine Withdrawal Scale

The Minnesota Nicotine Withdrawal Scale rates the severity of withdrawal symptoms.

A client taking an MAOI wants to use bupropion. What is the correct guidance?

Answer: At least 14 days must pass between stopping the MAOI and starting bupropion

Bupropion is contraindicated within 14 days of MAOI use because of the risk of a hypertensive reaction.

A client who uses e-cigarettes wants a dependence measure designed for vaping. Which tool fits best?

Answer: Penn State Electronic Cigarette Dependence Index

The Penn State Electronic Cigarette Dependence Index was developed specifically for e-cigarette users.

What is the standard varenicline maintenance dose after titration?

Answer: 1 mg twice daily

After a 1-week titration, varenicline is maintained at 1 mg twice daily for 12 weeks.

A client has made 4 previous quit attempts that failed within the first week. What assessment priority does this suggest?

Answer: Review what triggered each relapse to adjust medication and coping strategies

Looking at past attempts shows triggers and treatment gaps, so the new plan can be tailored.