20-pack-year Smoking History Attends in Medicine / Internal Medicine — 45yo Man | Psychiatry | SMLE Q#4100
SMLE Question #4100
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 45-year-old man with a 20-pack-year smoking history attends a primary care smoking-cessation group visit. Before the first session, he bought an over-the-counter nicotine patch and arrives wearing it, saying he started today because he wants to quit. The group session is currently focused on motivation and planning rather than initiating medications. What is the most appropriate action by the physician leading the group?
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