Midterm Part 3

Question 1

Hypothyroidism can _______ the metabolic rate of other drugs

Answer 1

Hypothyroidism can decrease the metabolic rate of other drugs

Question 2

Hyperthyroidism can ______ the metabolic rate of some drugs

Answer 2

Hyperthyroidism can increase the metabolic rate of some drugs

Question 3

Compliance is the

Answer 3

Compliance is the degree to which a patient’s behavior matches medical advice

Question 4

Noncompliance, is

Answer 4

Noncompliance, therefore, is any behavior that does not follow medical advice

Question 5

Compliance is even lower for

Answer 5

Complicated or difficult treatment regimens

Regimens involving lifestyle changes such as diet modification and exercise often recommended for hypertension and diabetes

Question 6

True or False
Compliance can fluctuate over time within the same patient depending on multiple factors such as severity of symptoms

Answer 6

True

Question 7

Name Types of Noncompliance

Answer 7

drug holidays
nonpersistence,
White coat compliance

Question 8

White coat compliance

Answer 8

Poor or partial compliance on a regular basis but improved compliance around scheduled doctors visits

Question 9

drug holidays

Answer 9

Prolonged intervals between dose administrations

Lapses of > three days are typically called drug holidays

This is when people forget or decide they don’t like taking it

Question 10

nonpersistence,

Answer 10

Extreme deviation from drug dosing is cessation of medication called nonpersistence, an ultimate expression of noncompliance

Question 11

Extreme deviation from drug dosing is cessation of medication, an ultimate expression of noncompliance

Answer 11

nonpersistence,

Question 12

Prolonged intervals between dose administrations
Lapses of > three days are typically called drug holidays

Answer 12

drug holidays

Question 13

Poor or partial compliance on a regular basis but improved compliance around scheduled doctors visits

Answer 13

White coat compliance

Question 14

Factors Affecting Compliance

Answer 14

Parents and caregivers
- Family’s belief regarding susceptibility
to disease, disease severity, and
benefits of treatment play a role in
compliance
- Parental anxiety if activity is
restricted due to medication, affects
compliance and results in under or
overdosing

Type of illness or disease
- Poor Rate of compliance for acute
illness
- Therapy for chronic diseases shows
a slightly better rate of compliance
than acute diseases

Intellectual status
- Memory problems (forgetting to
take medication or regimen)
- Ability to follow and understand
directions
- Diminished cognitive status
- Difficulty with task organization
- Fear of needles ( belonephobia &
trypophobia)
Physical status
Other factors

Question 15

Improving Compliance

Answer 15

Education appears to be the key to increased compliance

Education of patients, families, and care givers, health care providers to recognize barriers to compliance and address them
Important to remember that if the patient cannot see/hear clearly or remember instructions, frustration and errors with the treatment regimen will set in
Recognize and address dexterity issues if present
If a pill bottle cannot be opened, the medication is not taken
Providing older patients with clear and concise written instructions in large print
Improving communication between multiple providers