JIPMER Nursing Officer-2017
Community Health Nursing
Hard
Which factor is most closely associated with successful smoking cessation?
Appeared in: JIPMER Nursing Officer-2017
Explanation
- Successful smoking cessation is a long-term process where relapse is common and should be anticipated.
- Behavior therapy, including relapse prevention, is the most widely accepted and proven psychological therapy for treating tobacco use disorder.
- This strategy involves identifying high-risk situations and planning specific behavioral or cognitive coping skills to use when they arise.
- Proactively preparing for challenges empowers the individual and significantly increases the chances of maintaining long-term abstinence.
Why Other Options Were Wrong
- Option A: While support is helpful, the emphasis on 'short-term' makes this less effective. Long-term, sustained support is more closely associated with success.
- Option B: This is factually incorrect. Nicotine Replacement Therapy (NRT) like nicotine gum is an evidence-based intervention that significantly increases quit rates.
- Option D: Best practices and clinical guidelines strongly recommend combination therapy. Relying on a single intervention is less effective than combining behavioral support with pharmacotherapy.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Behavioral strategies for smoking cessation as background academic context rather than a clinical decision trigger.
- Nurses are in a prime position to deliver brief smoking cessation interventions using the '5 A's' model during routine patient interactions.
- Patient education should emphasize that quitting often takes multiple attempts and that a relapse is a learning opportunity, not a failure. This reframing is part of the relapse prevention plan.
- What if? If a patient is assessed as 'not ready' to quit, the nurse's role shifts from 'Assisting' with a quit plan to providing motivational interviewing to explore ambivalence and build readiness for a future quit attempt (using the '5 R's': Relevance, Risks, Rewards, Roadblocks, Repetition).
How to Approach the Question
- First, identify the core of the question: what is the MOST important factor for SUCCESSFUL smoking cessation? 'Successful' implies long-term maintenance.
- Evaluate each option against the principles of addiction and behavior change.
- Option A (short-term support): 'Short-term' is a red flag for a long-term problem. This is likely not the best answer.
- Option B (lack of reliance on NRT): This contradicts evidence-based practice. NRT is a helpful tool. This option is incorrect.
- Option D (single intervention): This contradicts the gold standard of combination therapy (behavioral + pharmacological). This option is incorrect.
- Option C (plan for relapses): This directly addresses the primary obstacle to long-term success in addiction recovery. Relapse is common, so planning for it is a key strategy. This is the strongest option.
Concept Tested & Keywords
- Concept Tested: Behavioral strategies for smoking cessation
- Stem keywords: smoking cessation, successful
- Lead-in keywords: most closely associated
Question ID
QWWr4cbI5H2jV7Pi_VIttA
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 4516-4518, 4509-4511
Practise the full JIPMER Nursing Officer-2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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