Podcast
Questions and Answers
Which activity is LEAST aligned with the primary goals of a patient interview when collecting a medication history?
Which activity is LEAST aligned with the primary goals of a patient interview when collecting a medication history?
- Developing a comprehensive therapeutic relationship.
- Advising on over-the-counter medications to reduce costs. (correct)
- Identifying potential drug therapy problems.
- Ensuring an up-to-date and accurate medication list.
A patient mentions experiencing a new symptom after starting a medication. Which open-ended question would be MOST effective in gathering relevant information?
A patient mentions experiencing a new symptom after starting a medication. Which open-ended question would be MOST effective in gathering relevant information?
- Can you describe what you're experiencing? (correct)
- Did the symptoms improve after taking the medication?
- Is the medication causing your symptoms?
- Have you experienced any allergic reactions to the medication?
Which question would be MOST appropriate to gather information related to a patient's adherence to their medication regimen?
Which question would be MOST appropriate to gather information related to a patient's adherence to their medication regimen?
- How often do you forget to take your medications? (correct)
- What is your attitude toward taking medications?
- Are you experiencing any side effects from your medications?
- Do you take your medications as prescribed?
A patient reports experiencing a common adverse effect from their medication. What is the MOST appropriate next step?
A patient reports experiencing a common adverse effect from their medication. What is the MOST appropriate next step?
If a pharmacist seeks to understand the impact of a patient's medication on their disease-oriented outcome, which question would be most appropriate?
If a pharmacist seeks to understand the impact of a patient's medication on their disease-oriented outcome, which question would be most appropriate?
When assisting a patient to reach their health goals through medication, what should a pharmacist ask to understand better how medications are helping?
When assisting a patient to reach their health goals through medication, what should a pharmacist ask to understand better how medications are helping?
Which of the following statements accurately describes a drug therapy problem (DTP)?
Which of the following statements accurately describes a drug therapy problem (DTP)?
A patient is prescribed an antibiotic for a viral infection. Which type of drug-related need is MOST likely present?
A patient is prescribed an antibiotic for a viral infection. Which type of drug-related need is MOST likely present?
A patient requires a higher dose of their current medication or an additional medication to achieve their therapeutic goal. What type of drug therapy problem is indicated?
A patient requires a higher dose of their current medication or an additional medication to achieve their therapeutic goal. What type of drug therapy problem is indicated?
A patient experiences liver damage as a result of taking acetaminophen at a higher than recommended dose. Which drug therapy issue does this represent?
A patient experiences liver damage as a result of taking acetaminophen at a higher than recommended dose. Which drug therapy issue does this represent?
When prioritizing drug therapy problems (DTPs), which factor should be considered FIRST?
When prioritizing drug therapy problems (DTPs), which factor should be considered FIRST?
Which of the following is a core element of motivational interviewing (MI)?
Which of the following is a core element of motivational interviewing (MI)?
A pharmacist is helping a patient manage their diabetes. In which scenario is it MOST appropriate to use motivational interviewing?
A pharmacist is helping a patient manage their diabetes. In which scenario is it MOST appropriate to use motivational interviewing?
Which communication strategy best exemplifies the reflection technique in motivational interviewing?
Which communication strategy best exemplifies the reflection technique in motivational interviewing?
How does ‘expressing empathy’ support effective communication within a motivational interviewing framework?
How does ‘expressing empathy’ support effective communication within a motivational interviewing framework?
A patient states, "I know I should exercise more, but it's hard to find the time." Which response best demonstrates the 'develop discrepancy' approach?
A patient states, "I know I should exercise more, but it's hard to find the time." Which response best demonstrates the 'develop discrepancy' approach?
A pharmacist is helping a patient set a health goal. Which SMART goal is best written?
A pharmacist is helping a patient set a health goal. Which SMART goal is best written?
A patient consistently takes their medication but not at the prescribed times, leading to suboptimal therapeutic effects. Which term BEST describes this situation?
A patient consistently takes their medication but not at the prescribed times, leading to suboptimal therapeutic effects. Which term BEST describes this situation?
A patient reports that they stopped taking their medication because they could not afford the refills. Which type of nonadherence does this represent?
A patient reports that they stopped taking their medication because they could not afford the refills. Which type of nonadherence does this represent?
A pharmacist wants to support a patient to self-monitor. Which of the following is MOST important to integrate into the patient's routine?
A pharmacist wants to support a patient to self-monitor. Which of the following is MOST important to integrate into the patient's routine?
A pharmacist is interviewing a new patient. Which of the following questions is MOST appropriate for building a therapeutic relationship early in the interview?
A pharmacist is interviewing a new patient. Which of the following questions is MOST appropriate for building a therapeutic relationship early in the interview?
A patient has been experiencing persistent heartburn despite using an over-the-counter antacid as needed. Which question would be MOST effective in exploring the indication for their medication use?
A patient has been experiencing persistent heartburn despite using an over-the-counter antacid as needed. Which question would be MOST effective in exploring the indication for their medication use?
A patient reports difficulty swallowing their medication. Which follow-up question would BEST explore the effectiveness of the current medication formulation?
A patient reports difficulty swallowing their medication. Which follow-up question would BEST explore the effectiveness of the current medication formulation?
A patient mentions they sometimes skip doses of their blood pressure medication because they feel fine. What is the MOST appropriate question to assess the safety consequences of this behavior?
A patient mentions they sometimes skip doses of their blood pressure medication because they feel fine. What is the MOST appropriate question to assess the safety consequences of this behavior?
A patient with diabetes is picking up their refill of insulin. Which question BEST targets a disease-oriented outcome related to their medication?
A patient with diabetes is picking up their refill of insulin. Which question BEST targets a disease-oriented outcome related to their medication?
Which scenario BEST describes a situation where a pharmacist should prioritize addressing a drug therapy problem (DTP)?
Which scenario BEST describes a situation where a pharmacist should prioritize addressing a drug therapy problem (DTP)?
A patient states, 'My doctor wants me to start exercising, but I hate going to the gym.' Which response BEST reflects the 'express empathy' technique in motivational interviewing?
A patient states, 'My doctor wants me to start exercising, but I hate going to the gym.' Which response BEST reflects the 'express empathy' technique in motivational interviewing?
A pharmacist is working with a patient to improve their medication adherence. Which approach is MOST consistent with motivational interviewing principles?
A pharmacist is working with a patient to improve their medication adherence. Which approach is MOST consistent with motivational interviewing principles?
Which of the following is the BEST example of a 'Specific' component of a SMART goal related to improving medication adherence?
Which of the following is the BEST example of a 'Specific' component of a SMART goal related to improving medication adherence?
A patient reports they often forget to refill their prescriptions on time, leading to gaps in their medication therapy. Which type of nonadherence is MOST likely?
A patient reports they often forget to refill their prescriptions on time, leading to gaps in their medication therapy. Which type of nonadherence is MOST likely?
When trying to promote positive health behaviors, what is MOST important when tailoring self-monitoring techniques for patients?
When trying to promote positive health behaviors, what is MOST important when tailoring self-monitoring techniques for patients?
A pharmacist suspects a patient is experiencing a drug therapy problem. What is the MOST important first step in addressing this issue?
A pharmacist suspects a patient is experiencing a drug therapy problem. What is the MOST important first step in addressing this issue?
A patient is prescribed a medication they do not need. Which type of drug therapy problem (DTP) is MOST likely?
A patient is prescribed a medication they do not need. Which type of drug therapy problem (DTP) is MOST likely?
A patient is taking a medication which is effective, but experiencing an avoidable side effect. What type of drug therapy problem (DTP) is MOST likely?
A patient is taking a medication which is effective, but experiencing an avoidable side effect. What type of drug therapy problem (DTP) is MOST likely?
A patient requires additional laboratory monitoring while on amiodarone. What type of drug therapy problem (DTP) is MOST likely?
A patient requires additional laboratory monitoring while on amiodarone. What type of drug therapy problem (DTP) is MOST likely?
A pharmacist is participating in an interprofessional team meeting to discuss a patient's care. What action would BEST exemplify demonstration of respect?
A pharmacist is participating in an interprofessional team meeting to discuss a patient's care. What action would BEST exemplify demonstration of respect?
A clinic is considering implementing a Collaborative Practice Agreement (CPA) with a pharmacist. Which disease state would be MOST appropriate for inclusion in the CPA?
A clinic is considering implementing a Collaborative Practice Agreement (CPA) with a pharmacist. Which disease state would be MOST appropriate for inclusion in the CPA?
A pharmacist is communicating with a physician about a patient's uncontrolled pain. What component of the ISBAR communication model would include the patient's current pain score and recent analgesic use?
A pharmacist is communicating with a physician about a patient's uncontrolled pain. What component of the ISBAR communication model would include the patient's current pain score and recent analgesic use?
Which scenario exemplifies asynchronous telehealth?
Which scenario exemplifies asynchronous telehealth?
A study showed a significant increase in statin use and tobacco cessation following pharmacist intervention. What important consideration should be made before widely implementing the study's procedures?
A study showed a significant increase in statin use and tobacco cessation following pharmacist intervention. What important consideration should be made before widely implementing the study's procedures?
A pharmacist is interviewing a patient to collect their medication history. What is the PRIMARY reason for collecting this information?
A pharmacist is interviewing a patient to collect their medication history. What is the PRIMARY reason for collecting this information?
Which of the following questions is MOST likely to elicit information about a patient's chief complaint during an initial interview?
Which of the following questions is MOST likely to elicit information about a patient's chief complaint during an initial interview?
A patient mentions they have taken a medication in the past for their current condition, but it caused unpleasant side effects. Which question would be MOST appropriate to understand how they feel about retaking this medication?
A patient mentions they have taken a medication in the past for their current condition, but it caused unpleasant side effects. Which question would be MOST appropriate to understand how they feel about retaking this medication?
A patient is starting a new medication. Which question is MOST appropriate for gathering information about their personal goals related to their health?
A patient is starting a new medication. Which question is MOST appropriate for gathering information about their personal goals related to their health?
A pharmacist is reviewing a patient's medication list. Which question is MOST pertinent to gather information about potential allergic reactions or drug intolerances?
A pharmacist is reviewing a patient's medication list. Which question is MOST pertinent to gather information about potential allergic reactions or drug intolerances?
What is the MOST important aspect of defining a drug therapy problem (DTP)?
What is the MOST important aspect of defining a drug therapy problem (DTP)?
Which of the following drug therapy problems (DTPs) should be prioritized FIRST?
Which of the following drug therapy problems (DTPs) should be prioritized FIRST?
What is the central focus of motivational interviewing (MI)?
What is the central focus of motivational interviewing (MI)?
Which element is MOST characteristic of the 'evocation' principle in motivational interviewing?
Which element is MOST characteristic of the 'evocation' principle in motivational interviewing?
A patient says, 'I'm not sure if I can make these lifestyle changes, it seems like too much.' Which response best reflects the 'support self-efficacy' concept of motivational interviewing?
A patient says, 'I'm not sure if I can make these lifestyle changes, it seems like too much.' Which response best reflects the 'support self-efficacy' concept of motivational interviewing?
Which of these options align with a time-based component of a SMART goal focused on improving medication adherence?
Which of these options align with a time-based component of a SMART goal focused on improving medication adherence?
A patient understands how to take their medication but still takes it incorrectly due to forgetfulness. Which type of nonadherence is MOST likely?
A patient understands how to take their medication but still takes it incorrectly due to forgetfulness. Which type of nonadherence is MOST likely?
Which approach is MOST important to incorporate into a new self-monitoring technique to help promote positive health behaviors?
Which approach is MOST important to incorporate into a new self-monitoring technique to help promote positive health behaviors?
A pharmacist and physician have different viewpoints regarding a patient's treatment plan. Which behavior is MOST appropriate for demonstrating respect in this situation?
A pharmacist and physician have different viewpoints regarding a patient's treatment plan. Which behavior is MOST appropriate for demonstrating respect in this situation?
A healthcare clinic is considering implementing a Collaborative Practice Agreement (CPA). Which element refers to defined activities delegated to the pharmacist?
A healthcare clinic is considering implementing a Collaborative Practice Agreement (CPA). Which element refers to defined activities delegated to the pharmacist?
In the ISBAR communication model, which component includes objective data such as vital signs, lab results, and current medications?
In the ISBAR communication model, which component includes objective data such as vital signs, lab results, and current medications?
Which scenario BEST exemplifies asynchronous telehealth?
Which scenario BEST exemplifies asynchronous telehealth?
A study shows that pharmacist interventions significantly increased statin use and tobacco cessation rates. What consideration is MOST relevant before wide implementation?
A study shows that pharmacist interventions significantly increased statin use and tobacco cessation rates. What consideration is MOST relevant before wide implementation?
Which of the following features is MOST indicative that telehealth would be appropriate?
Which of the following features is MOST indicative that telehealth would be appropriate?
Which piece of information would be placed in the 'Objective' section of a SOAP note?
Which piece of information would be placed in the 'Objective' section of a SOAP note?
Flashcards
Purpose of patient interview?
Purpose of patient interview?
To ensure an accurate medication list, assess needs, identify problems, and develop a therapeutic relationship.
Key interview components?
Key interview components?
Includes chief complaint, history of present illness, past medical history, and medication history.
Types of drug therapy problems?
Types of drug therapy problems?
Unnecessary drug therapy, needs additional therapy, ineffective drug, dosage issues, adverse reactions, adherence problems.
Prioritizing drug therapy problems?
Prioritizing drug therapy problems?
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Key elements of motivational interviewing?
Key elements of motivational interviewing?
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When to use motivational interviewing?
When to use motivational interviewing?
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Communication strategies for motivational interviewing?
Communication strategies for motivational interviewing?
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SMART goals?
SMART goals?
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Compliance?
Compliance?
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Adherence?
Adherence?
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Concordance?
Concordance?
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Reasons for less-than-optimal adherence?
Reasons for less-than-optimal adherence?
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Behaviors of collaborative partnerships?
Behaviors of collaborative partnerships?
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Benefits of pharmacist involvement?
Benefits of pharmacist involvement?
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What is a collaborative practice agreement (CPA)?
What is a collaborative practice agreement (CPA)?
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Appropriate CPA disease states?
Appropriate CPA disease states?
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ISBAR?
ISBAR?
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Synchronous telehealth?
Synchronous telehealth?
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Asynchronous telehealth?
Asynchronous telehealth?
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Benefits of telehealth services?
Benefits of telehealth services?
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Patient Interview Components
Patient Interview Components
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What is a Drug Therapy Problem (DTP)?
What is a Drug Therapy Problem (DTP)?
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Unnecessary Drug Therapy
Unnecessary Drug Therapy
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Effectiveness Problem
Effectiveness Problem
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Adverse Drug Reaction
Adverse Drug Reaction
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Non-Adherence
Non-Adherence
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Motivational Interviewing
Motivational Interviewing
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Purpose of Patient Counseling
Purpose of Patient Counseling
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Required Counseling Content
Required Counseling Content
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Prime Counseling Question: Purpose
Prime Counseling Question: Purpose
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Prime Counseling Question: Use
Prime Counseling Question: Use
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Prime Counseling Question: Expectations
Prime Counseling Question: Expectations
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Medication Errors in Children
Medication Errors in Children
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How to speak to Children
How to speak to Children
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Impact of Age on Communications.
Impact of Age on Communications.
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Communication Barriers
Communication Barriers
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Attitudes in Healthcare
Attitudes in Healthcare
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Environmental Barriers
Environmental Barriers
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Chief Complaint
Chief Complaint
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History of Present Illness
History of Present Illness
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Past Medical History
Past Medical History
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Medication History
Medication History
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Medication Experience
Medication Experience
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Vital Signs
Vital Signs
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Allergic Reactions
Allergic Reactions
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Social History
Social History
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Lifestyle
Lifestyle
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Needs Additional Drug Therapy
Needs Additional Drug Therapy
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Surrogate Outcome
Surrogate Outcome
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Patient Medication Goals
Patient Medication Goals
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Eliciting DTPs
Eliciting DTPs
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Unintentional non-adherence
Unintentional non-adherence
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Patient Chart
Patient Chart
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Study Notes
Here are the updated notes.
- Action is required if common or severe side effects occur
Safety
-
Common Side Effects
-
Teach patients how to manage side effects
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For very young patients, counsel parents only
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Encourage children to respond, and understand that those Under 7 express actions vs time
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Be aware of children's cognitive abilities at different ages, for example, children aged 2-7 cannot relate cause and effect
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Children aged 7-12, can relate diseases and the effects
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Communicate using internal, educational, tone, and stress levels of those that are patients, using proper communication style
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Be understanding of hearing or memory issues in older patients when trying to communicate
Managing Communications
- Always remember and listen when communication, remember their norms and literacy skills, while having proper tone
- Be understanding of hearing issues & memory loss, and focus on them
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