Rocky Mountain Tobacco Treatment Specialist Certification Program (RMTTS-C)

1. Rocky Mountain Tobacco Treatment Specialist Certification Program (RMTTS-C)

2. Quiz 1 Questions and Answers

3. 1. Which of the following statements is true regarding electronic cigarettes (e-cigarettes)? • The long-term health risks of e-cigarettes are still unknown • E-cigarettes have been consistently shown to be effective at helping people reduce tobacco use • E-cigarettes are not a FDA-approved cessation product • All of the above are true • Only A and C are true

4. 2. Which of the following is an effective way to build rapport with clients during the intake assessment? • Maintaining an appropriate, culturally sensitive, degree of eye contact with clients • Listening and reflecting back the implicit messages in what the client may be saying • Expressing caring and non-judgmental concern toward clients • All of the above • Only A and C

5. 3. True/False. Tobacco use is higher among men than women, but mortality rates from smoking are now equal between men and women. • True • False

6. 4.For individuals who are not ready to stop using tobacco, an action that may help them get ready to change would be: • Set a quit date • Keep track of their current tobacco use • Identify resources • All of the above • Only B and C

7. 5. Of adults who are daily smokers, what percentage started smoking by the time they were 18 years of age? • 22% • 33% • 55% • 66% • 88%

8. 6. Which of the following is a criterion for Tobacco Use Disorder according to the DSM-5? • Tobacco use is continued despite knowledge of having a persistent physical or psychological problem that is likely to have been caused or exacerbated by tobacco use • Craving, or a strong desire to use tobacco • Recurrent tobacco use resulting in a failure to fulfill major role obligations at work, school, or home • All of the above • A and C

9. 7. Which of the following represents the correct order of “The 5A’s” in tobacco cessation interventions? • Advise, Ask, Assess, Assist, Arrange • Advise, Ask, Accept, Assess, Assist • Ask, Advise, Assess, Assist, Arrange • Ask, Advise, Accept, Assess, Assist • e. None of the above

10. 8. Which of the following statements are true of tobacco use among persons with addictions to other substances? More than half of patients in treatment for alcohol and drug dependence die from a tobacco-related illness Individuals who treat their addiction to tobacco and other substances at the same time are 25% more likely to sustain their recovery from alcohol and other substances, compared to individuals who do not address tobacco while in recovery from other drugs Individuals who use tobacco are less likely to use other drugs than individuals who do not use tobacco All of the above are true Only A and B are true

11. 9. In the MI process of engaging, which of the following is NOT one of the four core interviewing skills? • Listening to the underlying message or theme and reflecting that message back to the person • Recognizing a person’s strengths through affirmative statements • Repeating word for word what the person has said without making any changes • Exploring a person’s experience by asking open questions • Expressing the person’s story by summarizing their statements

12. 10. What is the smoking rate among individuals who are homeless? • 30% • 40% • 50% • 60% • 70%

13. 11. Which of the following represents the five “Stages of Change?” • Pre-Contemplation, Consideration, Preparation, Action, Maintenance • Pre-Contemplation, Ambivalence, Preparation, Action, Maintenance • Pre-Contemplation, Contemplation, Preparation, Action, Maintenance • Pre-Contemplation, Contemplation, Acceptance, Action, Maintenance • None of the above

14. 12. Which of the following is NOT an example of something that might interfere with client engagement? • Focusing on a problem before establishing a relationship • Chatting instead of focusing on change • Collaborating on ways to achieve mutually agreed upon treatment goals • Putting a label on the client’s experience at the beginning of the client’s assessment • Prioritizing assessment more than the client’s experience

15. 13. Which of the following strategies has the tobacco industry employed to target specific cultural or demographic groups • Project Sub-Cultural Urban Marketing (SCUM): targeting homeless and gay/lesbian populations in San Francisco • Donating tobacco products to homeless shelters and psychiatric facilities • Distributing scientific articles suggesting that individuals with behavioral health conditions need tobacco products to manage their symptoms • Developing products that specifically appeal to youth and African Americans and American Indians/Native Alaskans • All of the above

16. 14. Which of the following is true of third-hand smoke? • Infants of smokers who smoked outdoors (rather than in the home) were found to have third-hand smoke exposure rates similar to infants from households of non-smokers • Third-hand smoke is the residual contamination of cigarette smoke after the cigarette has been put out • Traditional methods of cleaning are effective at removing third-hand smoke contaminants • All of the above are true • Only A and B are true

17. 15. Which of the following is a mechanism by which tobacco use causes cardiovascular disease? • Decreasing triglycerides • Decreasing HDL cholesterol • Increasing LDL cholesterol • Causing plaque build-up in arteries • B and D are correct

18. Quiz 1 Discussion