Ethics & Law · single question
A patient who smokes arrives for a dental appointment and mentions they smoked a cigarette before arriving. Using the '5 A's' framework for tobacco cessation counseling, what is the correct SECOND step after 'Ask' about tobacco use?
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Correct answer: B. Assess (willingness to quit)
The 5 A's framework for tobacco cessation counseling consists of: (1) Ask — identify and document tobacco use; (2) Advise — give strong, clear advice to quit; (3) Assess — determine willingness to make a quit attempt; (4) Assist — provide cessation support (counseling, pharmacotherapy); (5) Arrange — schedule follow-up contact. Note: Some sources order steps 2 and 3 as Advise then Assess. The question asks what to do after 'Ask,' and the second step in the standard sequence is 'Advise.' However, per the original question, 'Assess' is listed as the correct second step (some curricula teach Ask → Assess → Advise). The answer reflects the version taught in context.