Prescribing Authority for Pharmacists

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Questions and Answers

What percentage of the U.S. adult population experiences a diagnostic error in the outpatient setting every year?

  • 1%
  • 5% (correct)
  • 2%
  • 10%

What is the primary reason pharmacists are not typically authorized to prescribe medications?

  • Lack of training
  • Physician opposition
  • State laws prohibit it
  • It is outside of their responsibilities (correct)

What is the typical last step in the prescribing process?

  • Choose the drug and its formulation
  • Screen for drug interactions and allergies
  • Choose the therapeutic approach
  • Prescribe the medication (correct)

Which of the following medications can be prescribed by pharmacists in some states?

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

What is the term for the study of principles of drug selection?

<p>Rational prescribing (D)</p> Signup and view all the answers

What is the potential consequence of about half of diagnostic errors?

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

What is a common problem associated with writing 'as directed' on a prescription?

<p>It causes confusion for both patients and practitioners (D)</p> Signup and view all the answers

Why is it important to add the patient's age and weight to the prescription?

<p>To calculate the accurate dosage of the medication (A)</p> Signup and view all the answers

What is a safety problem associated with oral transmission of prescriptions?

<p>Mishearing of verbal instructions (C)</p> Signup and view all the answers

What should clinicians consider when making a diagnosis to prevent diagnostic errors?

<p>Reviewing data from old records, family members, and other clinicians (C)</p> Signup and view all the answers

Why is it recommended to eliminate drug abbreviations on prescriptions?

<p>To prevent misinterpretation of drug abbreviations (D)</p> Signup and view all the answers

What is a potential problem associated with written transmission of prescriptions?

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

What is an example of external pressure that can contribute to diagnostic errors?

<p>Clinician fatigue (A)</p> Signup and view all the answers

Why is it recommended to specify the therapeutic duration of the medication on the prescription?

<p>To specify the length of treatment (C)</p> Signup and view all the answers

What is a benefit of using metric measures for dosages on prescriptions?

<p>It reduces the risk of medication errors (C)</p> Signup and view all the answers

What is a safety problem associated with electronic transmission of prescriptions?

<p>Technical errors or system failures (D)</p> Signup and view all the answers

What is a common safety risk in the administering stage in both inpatient and outpatient settings?

<p>Long work hours (A)</p> Signup and view all the answers

What is a unique aspect of administering medications in the outpatient setting?

<p>Special circumstances such as IV infusion therapy (B)</p> Signup and view all the answers

What is the purpose of monitoring clinical lab values?

<p>All of the above (D)</p> Signup and view all the answers

What is a key difference between monitoring in inpatient and outpatient settings?

<p>Level of direct observation (D)</p> Signup and view all the answers

What is the role of pharmacists in long-term care settings?

<p>Conducting drug-regimen review to optimize therapy (B)</p> Signup and view all the answers

What is the importance of interprofessional teamwork in patient safety?

<p>To highlight the importance of nurses' responsibilities in the administering stage (C)</p> Signup and view all the answers

What is the primary responsibility of pharmacists when reviewing medication orders or prescriptions?

<p>Interpreting, clarifying, and then processing the prescription or order (B)</p> Signup and view all the answers

What is a common error that can occur during the transcribing stage of medication orders?

<p>Both A and B (D)</p> Signup and view all the answers

What is a benefit of e-prescribing in reducing transcribing errors?

<p>It reduces the risk of mishearing (B)</p> Signup and view all the answers

What type of medications may require compounding?

<p>Medications used to treat rare conditions (B)</p> Signup and view all the answers

What is a patient safety risk associated with compounded medications?

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

What was the consequence of the 2012 fungal infection outbreak related to compounded medications?

<p>Over 100 patients died (A)</p> Signup and view all the answers

What is a common situation that may require a medication to be compounded?

<p>When a patient has difficulty swallowing (B)</p> Signup and view all the answers

What is a critical step in the medication preparation process?

<p>Performing checks before medication preparation (B)</p> Signup and view all the answers

What is a challenge of performing checks in the community setting?

<p>It can be time-consuming and resource-intensive (D)</p> Signup and view all the answers

What is a requirement for compounded medications?

<p>They must meet requirements in the Federal Food, Drug, and Cosmetic Act (D)</p> Signup and view all the answers

What is the concern with compound semaglutide products from compounding pharmacies?

<p>They may be altered during the compounding process (C)</p> Signup and view all the answers

According to Novo Nordisk, where do compounding pharmacies source their semaglutide ingredients from?

<p>Entities other than Novo Nordisk (B)</p> Signup and view all the answers

What is a common issue with repackaging unit-dose medications?

<p>Dose manipulation and errors (C)</p> Signup and view all the answers

Which of the following is a factor that can be influenced during dispensing?

<p>Workload and staffing (A)</p> Signup and view all the answers

What checks do pharmacists typically perform after preparing the medication order/prescription?

<p>Checks before medication distribution (C)</p> Signup and view all the answers

In what setting does the administering stage have the fewest safeguards in place?

<p>Inpatient setting (B)</p> Signup and view all the answers

Who is primarily responsible for intercepting medication errors in the inpatient setting?

<p>Nurses (B)</p> Signup and view all the answers

What is the purpose of patient counseling in the medication use process?

<p>To educate the patient and confirm understanding (B)</p> Signup and view all the answers

What is the result of inadequate patient counseling?

<p>Medication errors (C)</p> Signup and view all the answers

What is the difference in patient counseling requirements between Iowa and Nebraska?

<p>Iowa requires counseling on all new prescriptions, while Nebraska requires a verbal offer to counsel the patient on all prescriptions (A)</p> Signup and view all the answers

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