Chapter 13: Factors Affecting Medication Adherence in Healthcare Settings
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Questions and Answers

What can cause confusion for patients when new medications are substituted within a class?

  • Similar appearance, dosing schedule, side effect profile, or interactions
  • Different appearance, dosing schedule, side effect profile, or interactions (correct)
  • Different appearance but same side effect profile
  • Same appearance but different dosing schedule

How can clinicians promote medication adherence effectively?

  • Prescribing more medications without assessing adherence
  • Reprimanding the patients for non-adherence
  • Ignoring poor adherence and maintaining a distant relationship with the patient
  • Recognizing poor adherence, identifying contributing factors, and enhancing partnership (correct)

What is a hallmark of strong patient-clinician partnerships in terms of communication?

  • No communication
  • Effective communication (correct)
  • Misleading communication
  • One-way communication from clinician to patient

How can clear explanations of health recommendations help with adherence?

<p>Minimize patient confusion (A)</p> Signup and view all the answers

What type of environment encourages bidirectional communication and rapport between patients and clinicians?

<p>An environment that conveys compassion and respect (A)</p> Signup and view all the answers

Why is it important for clinicians to normalize factors impeding adherence?

<p>To elicit factors impeding adherence more effectively (D)</p> Signup and view all the answers

What factor may hinder patients living in low-income housing units or who are homeless from proper medication storage?

<p>Lack of understanding (B)</p> Signup and view all the answers

Why can misunderstanding, uncertainty, and confusion about medical recommendations lead to poor adherence?

<p>Difficulty following the prescribed regimen (B)</p> Signup and view all the answers

What percentage of information conveyed to patients in a medical visit do they typically recall and comprehend?

<p>50% (C)</p> Signup and view all the answers

In what way does the lack of scheduled breaks in certain work environments affect medication adherence?

<p>Limits the time available to take medications (A)</p> Signup and view all the answers

Why might patients living in low-income housing units face challenges with monitoring the effects of their medications?

<p>Work environment restrictions (A)</p> Signup and view all the answers

What complicates medication adherence for patients who must take multiple medications?

<p>Certain medications conflicting with each other (B)</p> Signup and view all the answers

Why are depressed patients less likely to follow through on medical recommendations?

<p>Lack of confidence in treatment effectiveness (B)</p> Signup and view all the answers

What is a common challenge with medication regimens for depressed patients?

<p>Complexity of the regimens (C)</p> Signup and view all the answers

Why are depressed patients more likely to be isolated?

<p>Lack of social support (C)</p> Signup and view all the answers

What may contribute to depressed patients not following medical recommendations?

<p>Multiple health problems (A)</p> Signup and view all the answers

Why might a network and environment supporting medication adherence be beneficial?

<p>To increase treatment effectiveness (A)</p> Signup and view all the answers

What factor might hinder depressed patients' adherence to medical recommendations?

<p>Hopelessness about treatment effectiveness (B)</p> Signup and view all the answers

What led to the mandate for pharmacists to provide face-to-face medication counseling for new prescriptions?

<p>The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990) (A)</p> Signup and view all the answers

What is a common issue faced by clinicians in exploring different patient factors contributing to poor adherence?

<p>Limited time to explore health beliefs and patient factors (A)</p> Signup and view all the answers

What role did most states play in response to the need for patient medication counseling?

<p>Mandated pharmacists to provide face-to-face medication counseling (D)</p> Signup and view all the answers

What is a common scenario where patients may miss out on discussing medication-related problems?

<p>When they receive medication refills (A)</p> Signup and view all the answers

What are some common refill restrictions imposed by insurance plans?

<p>Limiting each prescription to a 30-day supply (C)</p> Signup and view all the answers

Why did Congress pass the Omnibus Budget Reconciliation Act of 1990 (OBRA 1990)?

<p>To mandate states to improve patient education about medications (A)</p> Signup and view all the answers

What type of questions should clinicians ideally use to engage patients in discussions about adherence?

<p>Open-ended questions (D)</p> Signup and view all the answers

Why is it suggested to ask patients to bring in their pill bottles during discussions about adherence?

<p>To confirm an understanding of the regimen (A)</p> Signup and view all the answers

How far back in time should clinicians typically ask patients about their medication schedule?

<p>3 days (D)</p> Signup and view all the answers

What is one of the strategies mentioned for increasing recall and comprehension of the medication regimen?

<p>Providing written instructions (D)</p> Signup and view all the answers

Why do clinicians ask about missed doses over a span of 3 days during discussions about adherence?

<p>To identify potential areas of improvement in adherence (B)</p> Signup and view all the answers

What is the main purpose of using introductory statements that acknowledge the difficulty of adherence?

<p>To engage patients in a non-judgmental way (B)</p> Signup and view all the answers

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