Test 1 Helping Patients Manage Therapeutic Regimens

Question 1

compliance

Answer 1

the extent in which a person’s behavior matches the prescriber’s recommendations

Question 2

adherence

Answer 2

the extent in which the patient’s behavior matches agreed recommendations from the prescriber

Question 3

concordance

Answer 3

an agreement reached after negotiation between a patient and health care professional that respects the beliefs and wishes of the patient in determining whether, when, and how medications are to be taken

Question 4

List reasons for less than optimal adherence

Answer 4

• Perception of the medication
• Perception of the severity of the illness
• Value of the treatment
• Confidence in their own ability to adhere
• Lack of social support
• Negative patient mood
• Pill burden
• Negative patient-provider relationship
• Lack of insurance coverage
• Lack of access to medications

Question 5

Identify techniques to improve patient understanding

Answer 5

• Emphasize key points
• Give reasons for key advice
• Give definite, concrete, explicit instructions
• Provide key information at the beginning and end of the interaction
• Give patients the opportunity to provide feedback about what they learned
• Supplement verbal information with written information

Question 6

List some techniques to establish a new behavior

Answer 6

• Integrate new behaviors into current habits
• Provide or suggest compliance or reminder aids
• Suggest patient self-monitoring
• Monitor use on an ongoing basis
• Refer patients when necessary