Question

Which statement made by a client who is starting a smoking cessation program using a combination of nicotine replacement and hypnosis indicates the need for further teaching? a. “I will try to use deep breathing and imagery to control cravings.” b. “I will suck hard candy when I get an urge for a cigarette.” c. “I will smoke just half a cigarette if I really feel out of control.” d. “I will stay away from places where people smoke during the next week.”

Short answer

Statement c

Step-by-step solution

- Identify Statements

Read through each statement made by the client carefully. The statements are: (a) using deep breathing and imagery, (b) sucking hard candy, (c) smoking half a cigarette when feeling out of control, and (d) avoiding places where people smoke.

- Understand the Goal

Recall that the goal of a smoking cessation program is to completely stop smoking. Any strategy that involves smoking is counterproductive.

- Evaluate Each Statement

Evaluate whether each statement aligns with the goal of completely stopping smoking: - Statement (a) suggests using deep breathing and imagery, which can help control cravings without smoking. - Statement (b) suggests sucking hard candy, which is a common non-smoking tactic to deal with urges. - Statement (c) suggests smoking half a cigarette, which is counterproductive to quitting smoking. - Statement (d) suggests avoiding places where people smoke, which helps to avoid temptation.

- Identify the Problematic Statement

Determine which statement does not align with the goal of quitting smoking. Statement (c) involves continuing to smoke, even if it is just half a cigarette, which contradicts the objectives of the program.

Key concepts

smoking cessation programs

Smoking cessation programs are designed to help individuals stop smoking permanently. They often combine various strategies to tackle both the physical and psychological aspects of nicotine addiction.
Effective programs typically include:

• Personalized plans to address unique triggers and habits.
• Support groups and counseling to provide emotional support.
• Medications and nicotine replacement therapies (NRTs) to ease withdrawal symptoms.

These programs aim to not only help individuals quit smoking but also to maintain a smoke-free lifestyle.

patient education

Patient education is critical in a smoking cessation program. Educating patients about the harmful effects of smoking and the benefits of quitting is essential for motivation. It includes:

• Information on withdrawal symptoms and how to manage them.
• Guidance on using nicotine replacement therapies and medications correctly.
• Strategies to cope with cravings and avoid relapse.

Understanding the risks of smoking and the advantages of quitting empowers patients to take charge of their health.

behavioral modification

Behavioral modification techniques help individuals change the habits and routines associated with smoking. This involves:

• Identifying triggers that lead to smoking, such as stress or social situations.
• Developing healthier coping mechanisms, like exercise or deep breathing.
• Replacing smoking-related activities with new, non-smoking behaviors.

Behavioral modification is a key component in preventing relapse and ensuring long-term success in smoking cessation.

nicotine replacement therapy

Nicotine replacement therapy (NRT) helps reduce withdrawal symptoms and cravings by providing low doses of nicotine without the harmful chemicals found in cigarettes. Different forms of NRT include:

• Patches, which release nicotine steadily over 24 hours.
• Gum and lozenges, which are used as needed to combat sudden cravings.
• Inhalers and nasal sprays, which provide quick relief by delivering nicotine directly to the bloodstream.

NRT is most effective when combined with other smoking cessation strategies like behavioral therapy and patient education.