MTM Health Literacy & Patient Counseling 4

Question 1

During an MTM encounter, a patient reports taking their metformin 'when I remember.' What is the pharmacist's BEST initial step?

Accepted Answer

Explore the reasons behind inconsistent adherence without judgment

Answer

Identifying the root cause of non-adherence through motivational interviewing is essential before recommending any solution.

Question 2

Motivational interviewing (MI) in pharmacy practice is BEST characterized by which principle?

Accepted Answer

Eliciting the patient's own motivation to change by exploring their values and goals

Answer

MI is a collaborative, person-centered approach that draws out patients' intrinsic motivation rather than imposing external pressure to change.

Question 3

A patient who reads at a 4th-grade level is given a Medication Action Plan. To best support comprehension, the document should include:

Accepted Answer

Simple sentences, large font, pictures, and white space

Answer

Plain language, visual supports, and uncluttered formatting are evidence-based design elements that improve comprehension for patients with low literacy.

Question 4

Which of the following BEST describes the 'transtheoretical model' (stages of change) as applied to medication adherence?

Accepted Answer

A model describing patient readiness to change behavior across five sequential stages

Answer

The transtheoretical model identifies stages (precontemplation, contemplation, preparation, action, maintenance) that reflect a patient's readiness to adopt healthy behaviors.

Question 5

A patient declines to take a newly prescribed statin because they heard 'statins destroy your liver.' The pharmacist should FIRST:

Accepted Answer

Acknowledge the patient's concern and ask where they heard that information

Answer

Acknowledging concerns and exploring their source builds trust and is the foundation of effective motivational dialogue before providing corrective information.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Health Literacy & Patient Counseling 4