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
A patient on methadone maintenance therapy asks the pharmacist to provide their dispensing records to their spouse. The pharmacist should:
Answer: Require written authorization from the patient before releasing the records
Substance abuse treatment records are protected by both HIPAA and 42 CFR Part 2, requiring written patient authorization before any disclosure.
During a medication therapy management (MTM) consultation, a pharmacist identifies that a patient is taking a medication for a condition not listed in their medical history. The pharmacist should:
Answer: Document the medication and counsel the patient to ensure safety and comprehensiveness
Comprehensive MTM requires complete medication reconciliation; documenting and counseling ensures patient safety without violating confidentiality.
A pharmacist who fails to offer counseling for a new prescription to a Medicaid patient could face consequences under:
Answer: State Medicaid agency sanctions for violating OBRA '90 participation requirements
OBRA '90 established patient counseling as a condition of Medicaid participation, making violations subject to state Medicaid agency sanctions.
A 16-year-old patient presents a prescription for oral contraceptives. Regarding confidentiality and parental notification:
Answer: State law governs whether minors can consent to and receive confidential reproductive health services
State laws vary widely on minor consent and confidentiality for reproductive health services, and pharmacists must follow their specific state's requirements.
Which element is specifically required when documenting a patient counseling session per best practice standards?
Answer: The date, patient name, medication, information provided, and patient's response or questions
Effective counseling documentation includes the date, patient identification, medication involved, information covered, and any patient feedback or questions raised.
A pharmacy's security camera footage showing a patient picking up a prescription containing PHI. Under HIPAA, this footage is:
Answer: Potentially PHI if it links an identifiable individual to receipt of health services
Video footage can constitute PHI if it contains individually identifiable information related to health services, such as a patient picking up medication.
A pharmacist receives a verbal prescription over the phone and must counsel a caregiver picking up the medication. Who must receive the counseling offer?
Answer: The caregiver picking up the medication, with information appropriate to convey to the patient
When a caregiver picks up medication, the pharmacist should counsel the caregiver and provide information relevant for them to safely assist the patient.