MTM Patient Assessment & Care Planning 4

Question 1

A pharmacist is assessing a patient with heart failure who is taking an NSAID for arthritis pain. What is the primary concern in the care planning process?

Accepted Answer

NSAIDs reduce the efficacy of ACE inhibitors and promote sodium retention, worsening heart failure

Answer

NSAIDs antagonize the effects of ACE inhibitors/diuretics and promote fluid retention, exacerbating heart failure symptoms.

Question 2

When prioritizing drug therapy problems in a care plan, which factor should be given the highest weight?

Accepted Answer

Severity and immediacy of harm to the patient

Answer

Drug therapy problems should be prioritized based on the potential severity of harm and how urgently intervention is needed.

Question 3

Which of the following is an example of a SMART goal in an MTM care plan?

Accepted Answer

Patient will achieve systolic BP below 130 mmHg within 4 weeks

Answer

SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound; a target BP with a defined timeframe meets all criteria.

Question 4

A pharmacist discovers a patient is taking two different statins simultaneously (atorvastatin and rosuvastatin prescribed by two different providers). Which drug therapy problem category applies?

Accepted Answer

Unnecessary drug therapy — duplicate therapy

Answer

Duplicate therapy occurs when two drugs from the same class are prescribed concurrently without clinical rationale, constituting unnecessary therapy.

Question 5

During a patient assessment, the pharmacist notes the patient has difficulty opening child-proof caps. How should this be addressed in the care plan?

Accepted Answer

Document as a barrier to adherence and recommend easy-open caps or blister packs

Answer

Physical barriers to adherence such as difficulty opening containers should be documented and addressed with practical solutions like easy-open caps.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Patient Assessment & Care Planning 4