A client tells a nurse that he is committed to trying to quit smoking. When educating the client on smoking cessation, which of the following would the nurse include?
A) Success usually involves more than one type of intervention.
B) Relapse is fairly rare within the first year of quitting.
C) Ear acupressure is a highly proven method for quitting.
D) The drug varenicline is widely used among patients with psychiatric disorders.
Ans: A
Successful smoking cessation usually requires more than one type of intervention, including social support and education. Recent research has shown that nicotine addiction is extremely powerful and is at least as strong as addictions to other drugs, such as heroin and cocaine; 70% of those who quit relapse within 1 year. Auricular therapy, or ear acupressure, is being studied as a potential adjunctive treatment for nicotine addiction. Varenicline tartrate reduces the craving and rewarding effects of nicotine by preventing nicotine from accessing one of the acetylcholine receptor sites involved with nicotine dependence, but it can cause depression and related psychiatric symptoms in some people. This side effect limits its usefulness for people with psychiatric disorders.
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