Regulatory Compliance & Ethical Standards 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 Regulatory Compliance & Ethical Standards flashcards as text
A pharmacist discovers during MTM that a patient is obtaining controlled substances from multiple prescribers without disclosure. What is the most appropriate initial action?
Answer: Counsel the patient about the dangers of the practice and document the interaction
The initial ethical obligation is patient safety through counseling and documentation; mandatory reporting requirements vary by state and circumstance.
The concept of 'therapeutic privilege'—withholding information from a patient because the pharmacist believes it would cause harm—is generally considered:
Answer: Ethically problematic and inconsistent with patient autonomy principles
Therapeutic privilege undermines patient autonomy and is broadly rejected in contemporary healthcare ethics as paternalistic.
Which document must be provided to the patient following a Comprehensive Medication Review per CMS MTM program requirements?
Answer: A personal medication list and medication action plan
CMS requires that patients receive both a personal medication list (PML) and a medication-related action plan (MAP) following a CMR.
A pharmacy chain instructs MTM pharmacists to meet daily quotas for CMRs regardless of clinical need. This practice most directly conflicts with which ethical principle?
Answer: Beneficence — because it prioritizes volume over patient benefit
Beneficence requires actions to benefit the patient; mandating CMRs to meet quotas rather than clinical need prioritizes institutional goals over patient welfare.
Under the Americans with Disabilities Act (ADA), an MTM pharmacy must provide accommodations for patients with disabilities. Which scenario represents an ADA compliance failure?
Answer: Refusing to provide written materials in large print to a visually impaired patient who requests them
Refusing to provide reasonable accommodations such as large-print materials to a person with a visual disability constitutes an ADA violation.
Which of the following best describes the pharmacist's duty under the ethical principle of veracity during MTM?
Answer: Providing truthful, complete, and non-deceptive information to patients
Veracity obligates pharmacists to be truthful and transparent with patients, even when information may be unwelcome.
A pharmacist conducting MTM is also a co-owner of a compounding pharmacy. Which regulatory/ethical issue is MOST likely present?
Answer: Conflict of interest that could bias recommendations toward compounded products
A financial interest in a compounding pharmacy creates a conflict of interest that may bias the pharmacist toward recommending compounded products unnecessarily.