55-year-old female smoker with 23 pack-year history, taking Chantix (varenicline). Has generalized staining. Which intervention is most likely to promote smoking cessation?

Correct answer: A. Counseling

• A. Correct. Behavioral counseling combined with pharmacotherapy (such as varenicline) has the strongest evidence for improving smoking cessation success rates compared to medication alone.
• B. Simply increasing medication dose is not the recommended strategy for improving cessation rates; combining with counseling is.
• C. Switching medications is not indicated without further information; counseling support adds the most established additional benefit.
• D. Smoking cessation support should be ongoing and reinforced, not discontinued.