A patient reports a desire to stop smoking and asks what is available without a prescription to help with smoking cessation. The nurse tells the patient that which method is best?
a. Abrupt discontinuation to shorten withdrawal effects
b. Nicotine replacement and 1-800-QUITNOW
c. Nicotine replacement products tapered over a year
d. Support groups without the use of medications
ANS: B
Nicotine addiction can be treated with pharmacologic agents or counseling, but the combination of these two approaches is more effective than either one alone. Abrupt cessation is better than tapering off, because the withdrawal effects are not so prolonged; however, this approach is not recommended as the best way to quit. Nicotine replacement products should be discontinued after a few weeks to months after quitting smoking, because they contain nicotine, which is both harmful and addicting. Support groups alone can work but are not as effective as the combination of support groups and medications.
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