MPJE Patient Counseling and Confidentiality 2

Question 1

Under OBRA '90, which patients are specifically entitled to pharmacist counseling offers for new prescriptions?

Accepted Answer

Medicaid outpatients receiving new prescriptions

Answer

OBRA '90 mandated that pharmacists offer counseling to Medicaid outpatients for new prescriptions as a condition of Medicaid participation.

Question 2

A pharmacist discovers during counseling that a patient is taking an OTC drug that causes a significant interaction with their new prescription. The pharmacist's BEST action is to:

Accepted Answer

Counsel the patient on the interaction and advise them to consult their physician

Answer

Counseling the patient on the drug interaction and advising physician consultation fulfills the pharmacist's duty while respecting patient autonomy.

Question 3

Which HIPAA provision specifically allows a pharmacist to discuss a patient's prescription information with the patient's adult child who is present at the counter?

Accepted Answer

The patient's implied authorization based on the circumstances

Answer

HIPAA allows disclosure when a patient's conduct implies authorization, such as bringing a family member to the pharmacy counter.

Question 4

A pharmacy receives a subpoena for a patient's prescription records. The appropriate response is to:

Accepted Answer

Contact the pharmacy's legal counsel before releasing records

Answer

A subpoena is not a court order, and pharmacies should consult legal counsel to determine the appropriate response and protect patient rights.

Question 5

When counseling a patient on a new antihypertensive medication, which component is MOST critical to include per standard counseling guidelines?

Accepted Answer

Signs and symptoms of adverse effects requiring medical attention

Answer

Informing patients about adverse effects requiring medical attention is essential for patient safety and is a core counseling element.

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE Patient Counseling and Confidentiality 2