Question 1

A comprehensive assessment of a patient should be holistic when trying to determine competence in drug administration.Which of the following factors would the NP omit from this type of assessment?

Accepted Answer

Sexual practices are not relevant to determining competence in drug administration and could be considered an invasion of privacy unless directly related to the administration of certain medications. Financial status, mobility, and social support can all impact a patient's ability to properly manage their medications and should be assessed in a comprehensive evaluation of competence in drug administration.

Question 2

Rod,age 68,has hearing difficulty.Which of the following would NOT be helpful in assuring that he understands teaching about his drug?

Accepted Answer

Exaggerating lip movements can actually make it more difficult for someone who reads lips to understand what is being said. It distorts the natural patterns of speech, making lip reading less accurate.

Question 3

Elena Vasquez' primary language is Spanish and she speaks very limited English.Which technique would be appropriate to use in teaching her about a new drug you have just prescribed?

Accepted Answer

Using a professional interpreter or a reliable staff member who can interpret is the most appropriate technique as it ensures accurate communication and understanding between the doctor and patient. Reliance on family members or the use of medical terminology may lead to misunderstandings and potential negative health outcomes. Using careful, detailed explanations can also help, but it is important to have a trained interpreter present to ensure complete understanding.

Question 4

Pharmacologic interventions are costly.Patients for whom the cost/benefit variable is especially important include:

Accepted Answer

The answer of Pharmacologic interventions are costly.Patients for whom the...

Question 5

Factors in chronic conditions that contribute to non-adherence include:

Accepted Answer

All three factors listed (complexity of treatment regimen, length of time required for treatment, and breaks in daily routine) can contribute to non-adherence in individuals with chronic conditions. It is important for healthcare providers to address these factors when developing treatment plans and providing support for patients to maintain adherence.

Question 6

Providers have a responsibility for determining the best plan of care,but patients also have responsibilities.Patients the provider can be assured will carry through on these responsibilities include those who:

Accepted Answer

Patients' adherence to a plan of care is not guaranteed by their education level, affluence, having chronic conditions, or self-monitoring drug effects. Adherence involves complex factors including but not limited to understanding, motivation, and the ability to follow through with the prescribed plan, which cannot be assured based solely on these characteristics.

Question 7

Which of the following factors may adversely affect a patient's adherence to a therapeutic drug regimen?

Accepted Answer

Complexity of the drug regimen and patient perception of the potential adverse effects of the drugs are both factors that can negatively impact a patient's adherence to their therapeutic drug regimen. A complex drug regimen may require taking multiple medications at different times or under different conditions, which can be difficult for patients to remember or manage. Additionally, if patients perceive that the potential adverse effects of their medications outweigh the benefits, they may be less likely to adhere to their drug regimen.

Question 8

Ralph's blood pressure remains elevated despite increased doses of his drug.The NP is concerned that he might not be adhering to his treatment regimen.Which of the following events would suggest that he might not be adherent?

Accepted Answer

Ralph's statement that he only takes the drug "when I feel my pressure is going up" suggests that he is not following the prescribed treatment regimen as he should be taking the drug regularly, not just when he feels his blood pressure is rising. Option B indicates that Ralph is proactive in communicating with his NP to adjust the treatment regimen, which shows adherence. Option C indicates Ralph is following the recommended follow-up appointments, which also demonstrates adherence; however, his lack of progress in terms of blood pressure control suggests he is not taking the medication as prescribed. So, option A is the best choice as it is an indicator of non-adherence.

Question 9

Many disorders require multiple drugs to treat them.The more complex the drug regimen,the less likely the patient will adhere to it.Which of the following interventions will NOT improve adherence?

Accepted Answer

The answer of Many disorders require multiple drugs to treat...

Question 10

Adverse drug reactions and patients' perceptions of them are likely to produce non-adherence.Which of the following ADRs are least likely to produce non-adherence?

Accepted Answer

The answer of Adverse drug reactions and patients' perceptions of...

Question 11

Non-adherence is especially common in drugs that treat asymptomatic conditions,such as hypertension.One way to reduce the likelihood of non-adherence to these drugs is to prescribe a drug that:

Accepted Answer

Choosing a drug with a tolerability profile that is less likely to cause adverse effects such as nausea and dizziness may reduce the likelihood of non-adherence. Asymptomatic conditions do not cause noticeable symptoms, so patients may be less motivated to take medication if they experience unpleasant side effects. Choosing a drug with a shorter half-life or requiring several dosage titrations may not necessarily improve adherence. Additionally, limiting dosage to twice a day may not be the most effective solution for all patients.

Question 12

Monitoring adherence can take several forms,including:

Accepted Answer

Monitoring adherence can take several forms, but the best approach is to use a combination of methods, including patient reports from data in a drug diary, pill counts, and lab reports and other diagnostic markers. By using multiple methods, healthcare providers can obtain a more accurate picture of patient adherence to medication and adjust treatment plans accordingly.

Question 13

While patient education about their drugs is important,information alone does not necessarily lead to adherence to a drug regimen.Patients report greater adherence when:

Accepted Answer

While patient education is important, simply providing information about drugs may not lead to adherence. Patients report greater adherence when their specific concerns and knowledge deficits are addressed, suggesting that personalized communication and education is key. Spending a lot of time discussing drugs may be helpful, but only if it is focused on the patient's individual needs. Providing written material may be helpful, but it may not be sufficient on its own. Using appropriate medical and pharmacologic terms may be important for clarity, but it may not necessarily increase adherence on its own.

Question 14

Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and 60%.To improve adherence in this population,prescribe drugs:

Accepted Answer

The answer of Patients with psychiatric illnesses have adherence rates...

Question 15

The health-care delivery system itself can create barriers to adherence to a treatment regimen.Which of the following system variables creates such a barrier?

Accepted Answer

Increasing copayments for care can create a financial barrier for patients to adhere to a treatment regimen. Higher copayments may make medication and other treatments too expensive for patients to afford, leading them to skip appointments or not fill their prescriptions. This can negatively impact their overall health outcomes.

Quiz 6: Factors That Foster Positive Outcomes