Patient Assessment & Care Planning Flashcards
7 cards from real MTM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Care Planning flashcards as text
A pharmacist reviews a patient's medication list and finds she is taking both warfarin and naproxen. In the care planning process, how should this interaction be classified?
Answer: Adverse drug reaction
Concurrent use of warfarin and NSAIDs like naproxen significantly increases bleeding risk, classifying this as an adverse drug reaction (drug interaction).
Which of the following best represents an objective finding documented during a patient assessment?
Answer: Serum creatinine of 1.9 mg/dL obtained from lab report
Objective findings are measurable, verifiable data such as laboratory values, as opposed to patient-reported symptoms.
A patient with CKD stage 3 is prescribed metformin at full dose. Using clinical assessment, why is this a concern?
Answer: Metformin is renally cleared and accumulates in CKD, increasing lactic acidosis risk
Metformin is renally excreted; reduced clearance in CKD leads to drug accumulation and elevated risk of potentially fatal lactic acidosis.
When assessing medication adherence during an MTM visit, which approach provides the most comprehensive picture?
Answer: Use a validated adherence tool, pharmacy refill records, and motivational interviewing
A multi-method approach combining validated tools, refill records, and motivational interviewing yields the most accurate adherence assessment.
Which element is essential to include when documenting a drug therapy problem in a patient care plan?
Answer: The problem, its cause, and the desired therapeutic outcome
A well-documented drug therapy problem includes identification of the problem, the underlying cause, and the specific therapeutic goal to be achieved.
A pharmacist determines a patient does not need a medication currently prescribed (e.g., a proton pump inhibitor with no indication). Which drug therapy problem category applies?
Answer: Unnecessary drug therapy
Prescribing a medication without a valid clinical indication is classified as unnecessary drug therapy.
In MTM practice, what is the purpose of conducting a targeted medication review (TMR) compared to a CMR?
Answer: A TMR addresses specific medication-related concerns identified between CMRs
A TMR is an asynchronous review focused on specific drug therapy problems identified between comprehensive reviews, not a full medication reconciliation.