Patient Adherence and Education Flashcards

According to the Transtheoretical Model, a patient who acknowledges their non-adherence is a problem and is considering changing within the next 6 months is in which stage?

Answer: Contemplation

The contemplation stage is characterized by awareness of the problem and considering change within the next 6 months but not yet committed to action.

A patient on warfarin frequently misses INR appointments. Which pharmacist-led intervention has the STRONGEST evidence for improving monitoring adherence?

Answer: Point-of-care INR testing at the pharmacy with immediate results and counseling

Pharmacist-managed anticoagulation clinics with point-of-care testing reduce barriers to monitoring and have demonstrated improved adherence and outcomes.

Which of the following is an example of 'intentional non-adherence'?

Answer: A patient decides to stop a statin because they read online it causes muscle damage

Intentional non-adherence occurs when a patient makes a conscious decision not to take medication, often based on beliefs, concerns, or perceived risk-benefit assessment.

What does medication reconciliation at care transitions primarily aim to prevent?

Answer: Medication discrepancies and errors that can lead to adverse outcomes

Medication reconciliation compares a patient's medication orders to all medications the patient has been taking to avoid omissions, duplications, dosing errors, or drug interactions.

A pharmacist is counseling a Spanish-speaking patient with limited English proficiency. What is the MOST appropriate approach?

Answer: Use a qualified medical interpreter or translated materials

Qualified medical interpreters or professionally translated materials ensure accurate communication and meet legal and ethical standards for patients with limited English proficiency.

Which patient characteristic is MOST strongly associated with poor medication adherence in chronic disease management?

Answer: Asymptomatic disease combined with complex medication regimens

Asymptomatic diseases remove the reinforcement of symptom relief, and complex regimens increase the burden of adherence, combining to create significant non-adherence risk.

Motivational interviewing (MI) is an evidence-based counseling technique. Which of the following BEST describes MI?

Answer: A collaborative, goal-oriented communication style that elicits patient motivation for change

Motivational interviewing is a patient-centered counseling approach that helps patients explore and resolve ambivalence to promote behavior change.