Patient Counseling and Confidentiality Flashcards
7 cards from real MPJE 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 Counseling and Confidentiality flashcards as text
Under OBRA '90, which patients are specifically entitled to pharmacist counseling offers for new prescriptions?
Answer: Medicaid outpatients receiving new prescriptions
OBRA '90 mandated that pharmacists offer counseling to Medicaid outpatients for new prescriptions as a condition of Medicaid participation.
A pharmacist discovers during counseling that a patient is taking an OTC drug that causes a significant interaction with their new prescription. The pharmacist's BEST action is to:
Answer: Counsel the patient on the interaction and advise them to consult their physician
Counseling the patient on the drug interaction and advising physician consultation fulfills the pharmacist's duty while respecting patient autonomy.
Which HIPAA provision specifically allows a pharmacist to discuss a patient's prescription information with the patient's adult child who is present at the counter?
Answer: The patient's implied authorization based on the circumstances
HIPAA allows disclosure when a patient's conduct implies authorization, such as bringing a family member to the pharmacy counter.
A pharmacy receives a subpoena for a patient's prescription records. The appropriate response is to:
Answer: Contact the pharmacy's legal counsel before releasing records
A subpoena is not a court order, and pharmacies should consult legal counsel to determine the appropriate response and protect patient rights.
When counseling a patient on a new antihypertensive medication, which component is MOST critical to include per standard counseling guidelines?
Answer: Signs and symptoms of adverse effects requiring medical attention
Informing patients about adverse effects requiring medical attention is essential for patient safety and is a core counseling element.
A pharmacist receives a prescription for a controlled substance for a patient known to have recently completed a drug rehabilitation program. The pharmacist should:
Answer: Evaluate the prescription's legitimacy and counsel the patient appropriately
A pharmacist must evaluate each prescription on its merits and provide appropriate counseling without discriminating based on a patient's medical history.
Under the HIPAA Privacy Rule, a covered entity may disclose PHI for public health activities to:
Answer: Public health authorities authorized by law to collect or receive such information
HIPAA permits disclosure of PHI to public health authorities legally authorized to collect or receive information for public health purposes.