2. The
[ Select ]
rapid
slow
delivery of nicotine from smoking cigarettes contributes to its reinforcing properties. However, the
[ Select ]
slow
rapid
delivery of nicotine from OTC nicotine replacement therapy contributes to its therapeutic efficacy.

Question

2. The 
[ Select ]
rapid
slow
 delivery of nicotine from smoking cigarettes contributes to its reinforcing properties.  However, the 
[ Select ]
slow
rapid
 delivery of nicotine from OTC nicotine replacement therapy contributes to its therapeutic efficacy.

BlackTom AI · Accepted Answer

In this item, there are two separate fill-in-the-blank concepts about nicotine delivery and its effects, each relying on fundamental pharmacology of nicotine.
First blank: The statement asserts that rapid delivery of nicotine from smoking cigarettes contributes to its reinforcing properties. Nicotine delivered quickly to the brain produces a rapid rise in nicotine levels, which is closely associated with strong reinforcement and craving reduction. This rapid pharmacokinetic profile typically enhances the rewarding effects and can increase the likelihood of repeated use to reproduce that sharp surge.
Second blank: The second sentence contrasts OTC nicotine replacement therapy (NRT) and its therapeutic efficacy, attributing it to slow delivery of nicotine. Indeed, most OTC NRT products (patches, gums, lozenges, etc.) are designed to provide a steadier, slower, and more controlled release of nicotine to prevent withdrawal symptoms without producing the rapid peaks associated with inhaled tobacco. This slower delivery minimizes reinforcing spikes while maintaining enough nicotine to support cessation attempts, thereby supporting therapeutic efficacy.
Now, evaluating the alternatives conceptually: if nicotine delivery were rapid in the context of NRT, it might feel more pharmacologically reinforcing but could undermine gradual withdrawal management and increase abuse potential. Conversely, if smoking delivered nicotine slowly, it would likely weaken reinforcement and reduce the immediate satisfaction that sustains smoking behavior. The combination of rapid delivery contributing to reinforcement and slow delivery supporting therapeutic efficacy aligns with established nicotine dependence and cessation science.
Therefore, the intended pairing is that the first blank should be filled with rapid to reflect the reinforcing nature of quick nicotine spikes from smoking, while the second blank should be filled with slow to reflect the gradual Nicotine delivery that underpins NRT’s therapeutic benefit.

PHR 2410 SP2025 (36478) MODULE 5 | Quiz #10

2. The [ Select ] rapid slow delivery of nicotine from smoking cigarettes contributes to its reinforcing properties. However, the [ Select ] slow rapid delivery of nicotine from OTC nicotine replacement therapy contributes to its therapeutic efficacy.

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