TTS Assessment & Treatment Planning 4

Question 1

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

Accepted Answer

About 16-20 hours

Answer

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

Question 2

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

Accepted Answer

CO has a half-life of only a few hours

Answer

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

Question 3

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

Accepted Answer

FTND score of 8 with frequent strong cravings

Answer

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

Question 4

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

Accepted Answer

Assist

Answer

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

Question 5

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

Accepted Answer

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

Answer

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

TTS - Tobacco Treatment Specialist Certification Practice Test