Which of the following most accurately defines medication reconciliation?
1. A compilation of a list of medications taken by the patient.
2. The conduct of a drug use review.
3. The comprehensive review of a patient's medication regimen whenever a therapy is
changed.
4. The review of a patient's PMR with all prescribers. ANSWER 3. The comprehensive
review of a patient's medication regimen whenever a therapy is changed.
Which of the following statements about a personal medication record is TRUE?
1. The PMR should never be updated.
2. The patient should have the PMR remain private and not share it with other healthcare
providers.
3. The PMR should include only prescription medications.
4. The PMR is meant to be a tool that patients can use to manage their medications
themselves.
ANALYSIS
Which of the following represents a business-related purpose in terms of monitoring and
evaluating patient outcomes?
1. Tracing changes in a patient's health and functional status.
2. Revision of the plan of care as necessary.
3. Demonstration of cost-benefit to payers.
4. Measure of patient satisfaction. - ANSWER 3. Demonstration of cost-benefit to payers.
,A helpful acronym to remember in writing goals is SMART, which stands for:
What is a major drawback to the use of clinical practice guidelines?
Many of them are incapable of fully meeting the needs of a patient with multiple
diseases. Almost all of these are updated annually, thus creating a very large workload
regarding keeping abreast of all the updates. Most professional groups charge
exorbitant fees for the use of their guidelines.
4. Quality measures of pharmacy practice are generally not related to evidence-based
clinical practice guidelines. - ANSWER 1. Many do not fully meet the needs of patients
with multiple diseases.
For the following question, select the letter of the action that best corresponds to the
step of the Pharmacist's Patient Care Process described in the question.
Which of the following activities is generally associated with the "implement" step of the
Pharmacist's Patient Care Process?
1. Educate patient or care giver and provide training on self-management support.
2. Identify immunization status and requirement for prevention care and other health
care services as necessary.
3. Interpret relevant available health information that may include medical history,
health and wellness data, biometric test results, and physical examination findings.
4. Evaluate each medication for appropriateness, effectiveness, safety, and patient
, adherence. - ANSWER 1. Educate the patient or caregiver about the disease process
and self-care.
Using motivational interviewing, how might a pharmacist respond to a patient who rates
his or her confidence in ability to change a behavior as a 2 on a 10-point scale?
1. "You don't seem very confident about your ability to change your behavior right now
so let's address a different problem."
2. "What would it take to increase this rating to a 5?
3. "You really need to change this behavior if you want to avoid serious illness."
4. "That's pretty low but once I show you some strategies, you won't have any
problems." - RESPUESTA 2. "What would it take to increase this rating to a 5?"
Motivational interviewing is a communication technique that:
1. Centres around explaining the clinical consequences of nonadherence to the
treatment plan.
2. Is based on the use of closed-ended questions.
3. Is intended to give patients opportunities to talk themselves into changing.
4. Allows patients to choose from a menu of possible solutions. - ANSWER 3. Is intended
to give patients opportunities to talk themselves into changing.
What does it mean to provide culturally competent health care?
1. To be able to provide care in multiple languages.
2. To provide health care delivery that is tailored to a patient's social, cultural and
linguistic needs.
3. To provide care outside the mainstream medical system.
4. To share the same cultural background as the patient receiving treatment. - ANSWER
2. To provide health care delivery that is tailored to a patient's social, cultural and
linguistic needs.
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