Pharmacy Patient Counseling 3

Question 1

A patient newly prescribed warfarin needs counseling on which of the following?

Accepted Answer

Maintain consistent vitamin K intake and report unusual bleeding

Answer

Avoid all green vegetables permanently

Answer

Take double the dose if a dose is missed

Answer

It is safe to use NSAIDs for pain relief while on warfarin

Question 2

When counseling a patient on a metered-dose inhaler (MDI), which instruction is correct?

Accepted Answer

Shake well, exhale fully, actuate while inhaling slowly, then hold breath for 10 seconds

Answer

Inhale rapidly and shallowly to get the drug deep into the lungs

Answer

Place the inhaler directly in the mouth without a spacer for best delivery

Answer

Take two puffs simultaneously for quicker relief

Question 3

A patient on bisphosphonate therapy (alendronate) should be counseled to:

Accepted Answer

Take it with a full glass of water and remain upright for 30 minutes after

Answer

Take it at bedtime to improve absorption

Answer

Crush the tablet and mix with orange juice if swallowing is difficult

Answer

Take it with calcium and vitamin D supplements simultaneously

Question 4

Health literacy principles recommend using which communication approach with all patients?

Accepted Answer

Plain language, simple terms, and confirmation of understanding

Answer

Medical jargon to appear professional and build trust

Answer

Written materials only to ensure accuracy

Answer

Lengthy verbal explanations covering every possible side effect

Question 5

A patient is starting topical minoxidil for hair loss. Which counseling point is MOST important?

Accepted Answer

Consistent daily application is required; stopping will reverse any gains

Answer

Results appear immediately within the first week

Answer

Apply a thick layer every 3 days for best effect

Answer

If it doesn't work after 2 weeks, double the dose

Question 6

When a patient picks up a new prescription for a statin (atorvastatin), you should specifically ask about:

Accepted Answer

Unexplained muscle pain, tenderness, or weakness (myopathy)

Answer

Their history of shellfish allergies

Answer

Whether they take multivitamins

Answer

Their eye prescription to detect visual side effects