MTM Transitions of Care & Reconciliation 4

Question 1

In the Naylor Transitional Care Model, which professional serves as the primary coordinator for high-risk older adults during care transitions?

Accepted Answer

Advanced practice nurse

Answer

The Naylor Transitional Care Model uses advanced practice nurses as dedicated transition coaches for high-risk elderly patients.

Question 2

A patient's BPMH (Best Possible Medication History) reveals they take aspirin 325 mg daily for cardiovascular protection. The hospital discharged them on aspirin 81 mg daily. Without documentation, this change should be classified as:

Accepted Answer

A potential unintentional discrepancy

Answer

Undocumented dose changes between BPMH and discharge medications are considered potential unintentional discrepancies until confirmed by the prescriber.

Question 3

Which organization developed the medication reconciliation standards that accredited hospitals must follow?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission's National Patient Safety Goals (NPSG.03.06.01) require accredited hospitals to maintain and communicate accurate medication lists.

Question 4

A pharmacist calls a patient 48 hours post-discharge per a transitions of care protocol. The patient reports they have not filled their new prescriptions because they cannot afford them. The MOST appropriate immediate action is to:

Accepted Answer

Connect the patient with patient assistance programs or generic alternatives

Answer

Addressing financial barriers proactively through assistance programs and generic alternatives prevents medication non-adherence and potential readmission.

Question 5

A patient with COPD is being discharged on tiotropium inhaler, but the pharmacist notes no one has taught the patient the proper inhalation technique. This represents a gap in which component of discharge counseling?

Accepted Answer

Device training and administration education

Answer

Proper inhaler technique education is essential for COPD patients, and failure to provide it is a gap in device training during discharge counseling.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Transitions of Care & Reconciliation 4