safe med

Question 1

when a patient receives a prescription but never gets it filled

Answer 1

primary nonadherence

Question 2

example of unintentional nonadherence

Answer 2

forgetting to take meds

Question 3

example of intention nonadherence

Answer 3

not taking meds because you don’t like the side effects

Question 4

therapy related factors that can influence adherence

Answer 4

regimen changes frequently
drug side effect
complex admin technique such as use of a spacer
med requires multiple daily dosing

(expensive is not a THERAPY related factor)

Question 5

likely ways a pharmacist would assess med adherence of a patietn

Answer 5

ask patient to self report
assess patient’s refills
assess clinical response to med (BP Monitoring)
administer a questionnaire (SEAMS)

NOT electronic monitoring devices– those are mostly used in trials

Question 6

concept of self efficacy means

Answer 6

assessing a person’s confidence that they can take their medications as prescribed

Question 7

what adherence measure is endorsed by the pharmacy quality alliance (PQA)

Answer 7

proportion of days covered (PDC)

Question 8

what is the PDC threshold above which patients are generally considered to be adherent

Answer 8

80%

Question 9

Morisky-4 assesses for?

Answer 9

forgetfulness, abatement of disease symptoms, side effects

NOT affordability

Question 10

what med adherence tool assesses self efficacy

Answer 10

SEAMS

Question 11

Merck Adherence estimator assesses

Answer 11

affordability
harm/side effects
beliefs about meds

NOT forgetfulness

Question 12

how can pharmacists improve med adherence

Answer 12

adherence packaging
med sync
simplifying the regimen

Question 13

asthma control test

Answer 13

for patients 12 and older
(5 items, asks about the last 4 weeks)

Question 14

depression screening with PHQ-2

Answer 14

is SCREENING only; not a diagnosis; have to get evaluated

Question 15

GAD-7 is used for

Answer 15

screening for generalized anxiety disorder

Question 16

what is DAST-10

Answer 16

questions on drug use, using yes/no questions

Question 17

what is the opioid risk tool

Answer 17

self-administered tool assessing a patient’s history of substance abuse for alcohol and prescription/illicit drugs, includes personal and family history, male/female changes score, history of psych diseases is included in scoring

Question 18

brief pain inventory short form

Answer 18

asks about how pain impacts patient’s daily living activities

Question 19

stanford pain scale

Answer 19

uses 0-10 pain scale with detailed descriptions for each number ranking

Question 20

what is STEADI

Answer 20

screens for fall risk

Question 21

REALM-SF

Answer 21

does not assess for numeracy
requires subjects to read 7 lay medical terms
takes less than a minute

Question 22

newest vital sign (NVS)

Answer 22

nutritional label to assess health literacy
assesses numeracy

Question 23

health risk assessments

Answer 23

some payors ask pharmacists to conduct
cover topics like diet, exercise, medical conditions, living situations
pharmacists can use to identify opportunities for patient services

Question 24

when to administer NAC for APAP overdose

Answer 24

4 hr levels > 150 mg/dl
can’t plot it prior to 4 hr

Question 25

acute on chronic toxic ingestion

Answer 25

elderly patient home meds include digoxin, etc and took triple their normal dose of digoxin

Question 26

naloxone effect in individuals without acute opioid toxicity or chronic opioid dependence

Answer 26

no effect

Question 27

naloxone is a reasonable treatment option for overdose of which substances

Answer 27

opioids, loperamide, dextromethorphan

Question 28

t/f: when treating a digoxin overdose, if total serum digoxin levels rise 2 hours after Digi-Bind administration, give another vial of digi-bind

Answer 28

false

Question 29

treatment of local snakebite (crotaline) species

Answer 29

elevate the limb
DO NOT TOURNIQUET OR ATTEMPT TO EXTRACT VENOM

Question 30

poison help line number

Answer 30

1 800 222 1222

Question 31

elimination techniques

Answer 31

gastric lavage
activated charcoal
whole bowel irrigation
hemodialysis

Question 32

sodium bicarbonate is used for what toxicity

Answer 32

aspirin/salicylate

Question 33

what type of med error: electronic order received, 10 times the recommended dose

Answer 33

error of commission

Question 34

which occurs most frequently and which occurs least frequently: ADE, DRHC, medication error

Answer 34

most frequent: med error
least frequent: ADE

Question 35

what type of incident is this: a patient developed AKI after receiving a combo of vancomycin and zosyn

Answer 35

ADE

Question 36

patient’s INR was not checked. in what process node did this error occur

Answer 36

monitoring

Question 37

computer provider order entry was developed to prevent medication errors in what node

Answer 37

prescribing

Question 38

smart pumps prevent errors in what node

Answer 38

administration

Question 39

guidelines for prescribers to adhere to when ordering medications

Answer 39

use a leading zero
do not use a trailing zero
use the metric system

Question 40

strategies for low health literacy

Answer 40

use everyday words
use the teach back method “show me”
encourage questions
easy to read materials
repeat key messages

Question 41

ADL assessments

Answer 41

Katz- assesses basic ADLs
Lawton IADL- assesses advanced activities like medication responsibility, shopping

Question 42

cognitive impairment assessments

Answer 42

Mini-Mental State Exam (MMSE)
Mini-Cog
Abbreviated Mental Test (AMT)
Montreal Cognitive Assessment (MoCA)

Question 43

Wong-Baked FACES pain rating scale

Answer 43

asks the person to choose the face that best describes how much pain they have. can be used in ages 3 years and older. commonly used in hospitals

Question 44

CAT

Answer 44

COPD assessment test- not diagnostic- uses to assess disease severity