Public Health · single question
A patient is addicted to tobacco. Using the 5 A's framework, what is the FIRST step you take?
Show answer and explanation
Correct answer: A. Ask (about tobacco use)
✓ A) Ask is the first step.
The 5 A's for tobacco cessation counseling: (1) ASK — ask every patient about tobacco use at every visit; (2) ADVISE — give clear, personalized advice to quit; (3) ASSESS — assess willingness/readiness to quit; (4) ASSIST — provide counseling, medications (NRT, varenicline, bupropion); (5) ARRANGE — schedule follow-up. Ask is always the first step — you cannot intervene without first identifying tobacco users.
The 5 A's for tobacco cessation counseling: (1) ASK — ask every patient about tobacco use at every visit; (2) ADVISE — give clear, personalized advice to quit; (3) ASSESS — assess willingness/readiness to quit; (4) ASSIST — provide counseling, medications (NRT, varenicline, bupropion); (5) ARRANGE — schedule follow-up. Ask is always the first step — you cannot intervene without first identifying tobacco users.