BCACP Patient Adherence and Education 3

Question 1

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?

Accepted Answer

Contemplation

Answer

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

Question 2

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

Accepted Answer

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

Answer

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

Question 3

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

Accepted Answer

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

Answer

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.

Question 4

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

Accepted Answer

Medication discrepancies and errors that can lead to adverse outcomes

Answer

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.

Question 5

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

Accepted Answer

Use a qualified medical interpreter or translated materials

Answer

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

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP Patient Adherence and Education 3