COPD - CCE - Certified Chronic Obstructive Pulmonary Disease Educator Smoking Cessation and Behavioral Change in COPD Questions and Answers Flashcards
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Read the first 6 COPD - CCE - Certified Chronic Obstructive Pulmonary Disease Educator Smoking Cessation and Behavioral Change in COPD Questions and Answers flashcards as text
Bupropion SR is used for smoking cessation in COPD. Which patient history is an absolute contraindication for its use?
Answer: History of seizure disorder or eating disorder
Bupropion lowers seizure threshold and is absolutely contraindicated in patients with seizure disorders or active eating disorders (bulimia/anorexia).
A COPD educator uses the '5 A's' model for brief cessation counseling. What does the second 'A' (Advise) require?
Answer: Give clear, strong, personalized advice to quit
The Advise step requires the clinician to deliver a clear, strong, and personalized recommendation to quit, tailored to the patient's COPD diagnosis.
Which approach is most effective when a COPD patient states they are 'not ready to quit'?
Answer: Apply the 5 R's (Relevance, Risks, Rewards, Roadblocks, Repetition) to enhance motivation
The 5 R's framework is specifically designed to enhance motivation in patients not yet ready to quit by making quitting personally relevant and addressing perceived barriers.
Electronic cigarettes (e-cigarettes) in COPD patients who are trying to quit smoking — what is the current US guideline position?
Answer: Not recommended as a cessation tool due to insufficient evidence and potential harm
US guidelines do not recommend e-cigarettes as cessation tools for COPD patients due to lack of long-term safety data and insufficient evidence of efficacy.
Nicotine dependence in COPD is best formally assessed using which validated instrument?
Answer: Fagerström Test for Cigarette Dependence (FTCD)
The Fagerström Test for Cigarette Dependence is the gold-standard validated tool specifically designed to quantify the level of nicotine dependence.
Which psychological factor most commonly drives relapse in COPD patients attempting to quit smoking?
Answer: Negative affect and stress (emotional triggers)
Negative affect, including stress, anxiety, and depression — all prevalent in COPD — are the most common triggers for relapse, underscoring the need for psychological support.