Exam 1

Question 1

What are the Components of Medication
Assessment?

Answer 1

Appropriateness
Safety
Effectiveness
Adherence

Question 2

What falls under appropriateness?

Answer 2

Current/valid indications
Duplicate therapy

Question 3

What falls under safety?

Answer 3

Adverse effects
High dose
Allergic reactions

Question 4

What falls under effectiveness?

Answer 4

Is it working?
Is it achieving the desired therapeutic goal?

Question 5

What falls under adherence?

Answer 5

Cost
Complexity
Other barriers

Question 6

What is a drug DRP?

Answer 6

Drug related problems
Any undesireable event associated with or caused by drug therapy which interferes with achieving the desired goals of therapy

Question 7

What are the common causes of DRP?

Answer 7

Unnecessary drug therapy
Ineffective drug
Needs addition therapy
Dosage too low
Adverse drug reactions
Dosage too high
Nonadherence

Question 8

How do you prioritize DRPs?

Answer 8

Urgency
Responsibility
Synergy

U- Which problems must be resolved immediately and what can wait?

R- Which problem can be resolved by the practitioner and patient directly
S- Which problem require interventions by someone else

Question 9

What are the components of stating DRPs?

Answer 9

Description of the patient’s medical condition or clinical state
Drug therapy involved
Specific association between the drug therapy and the patient’s condition

Question 10

What is MTM?

Answer 10

Medication therapy management
Assessment and evaluation of a patient’s complete medication therapy regimine

Question 11

Who usually completes MTMs?

Answer 11

Pharmacists

Question 12

What is the PPCP?

Answer 12

A systemic consistent process for delivering patient-centered care in any setting

Plan
Assess
Implement
Follow up
Collect

Question 13

What should the plan be?

Answer 13

Patient centered
Individualized
Be collaborative

Question 14

What is the PLAN?

Answer 14

This is your course of treatment

Question 15

What questions are asked to develop a patient centered plan?

Answer 15

What are the goals of therapy?
What are you going to do to resolve any DRP?
What interventions are you goind to provide?
When are you going to follow up to determine the actual outcomes?

Question 16

What are the general approaches to problem solving?

Answer 16

Trial and error
Step by step procedure
Self explanation
Brainstormiing
Analongies
Root cause analysis

Question 17

What does SMART mean in terms of goals?

Answer 17

Specific
Measurable
Achievable
Realistic
Time specific

Question 18

What does the S in smart ask?

Answer 18

Specific
What do you want to do?

Question 19

What does the M in SMART ask?

Answer 19

Measurable
How will you know when you’ve reached it?

Question 20

What does the A in SMART ask?

Answer 20

Achievable
Is it in your power to accomplish it?

Question 21

What does the R in smart ask?

Answer 21

Realistic
Can you realistically accomplish it?

Question 22

What does the T in smart ask?

Answer 22

Time specific
When exactly do you want to accomplish it

Question 23

What should you do to resolve DRPs and Optimize therapy?

Answer 23

Consider the clinical goals set by the provider
Consider the patient’s preference
Prioritize the problem list
Establish short and long term goals to optimize therapy

Question 24

What should each plan include in documentation?

Answer 24

Indication
Summary of signs and symptoms
Goals of therapy
Medications and dosage intstructions
Non pharmacologic interventions
Dates for follow up

Question 25

Each care plan is documented _____

Answer 25

separately

Question 26

Each medical condition being managed should have a _____ care plan

Answer 26

Separate

Question 27

What does implement do?

Answer 27

Put the plan into action Collaborate with patient Collaborate with other health care professionals

Question 28

What should you document during implement?

Answer 28

All communication (SBAR, SOAP)

Question 29

What are the questions do ask during the follow up?

Answer 29

How are things going? Is the plan effective? What changes do we need to make?

Question 30

What should be monitored and evaluated?

Answer 30

Medication appropriateness, effectiveness and safety Patient adherence Outcomes of care

Question 31

How can you implement a plan?

Answer 31

Address medication and health related problems and engage in preventative care strategies ## Footnote Do what you said you would do in the plan Initiate modify discontinue or administer med therapy as authorized Schedule follow ups

Question 32

What is the medication use process?

Answer 32

A multistep process in which a drug travels from the pharmacy to the patient

Question 33

What are the 5 key steps of the medication use process?

Answer 33

Prescribing Transcribing/Documenting Dispensing Administering Monitoring

Question 34

What happens during prescribing step of the 5 key steps?

Answer 34

Evaluation of patient Establish need for medicine Select right medicine Determine interactions and allergies Prescribe medicine

Question 35

What happens during the transcribing/document step?

Answer 35

Transcribe prescription/order Transmit to pharmacy

Question 36

What happens during dispensing step?

Answer 36

Review prescription order Confirm transcription Contact prescriber for discrepancies Prepare medicine Distribute medicine

Question 37

What happens during the admistering step?

Answer 37

Review prescription order Confirm transcription Review warnings, interactions and allergies Evaluate patient Administer medicine

Question 38

What happens during monitoring step?

Answer 38

Asses patient's response to medicine Report and document results

Question 39

Who is responsible for patient safety throughout the medication use process?

Answer 39

You, the pharmacist

Question 40

What do centralized systems include?

Answer 40

Traditional manual systems and fixed robotic systems utilizing barcode technology

Question 41

What do decentralized systems include?

Answer 41

Medications dispensed directly to the health care provider via automated dispensing cabinets, satellite pharmacies, or floor stock systems

Question 42

What is the preferred method of dispensing?

Answer 42

Unit dose dispensing - because the medication is in a form ready to administer to the patient with appropriate labeling

Question 43

What do pharmacy techs do?

Answer 43

Support the pharmacist with order fulfillment Manage all tasks not requiring a pharmacist Free time for the pharmacist to perform professional responsibilities Certification and CE may be required

Question 44

What do Pharmacy clerks do?

Answer 44

Manage certain tasks in the store Usually work the cash register in the pharmacy May assist with accepting new prescriptions, triaging customer inquiries and healping to answer general questions

Question 45

What is the ratio of techs to pharmacist?

Answer 45

3:1

Question 46

What can pharmacy techs do?

Answer 46

Prepare prescriptions to be dispensed Attach labels to bottles Obtain and replace meds and supplies Send and recieve prescription RR and PAs Resolve third party insurance claims Transfer and pre package as a unit dose medication in institutional settings

Question 47

What is the NDC?

Answer 47

National Drug Code Universal drug identifier

Question 48

What do the first four numbers of the NDC tell?

Answer 48

The labeler/vender

Question 49

What do the second 4 numbers of the NDC do?

Answer 49

Product code

Question 50

What do the last two numbers of the NDC tell?

Answer 50

The package size

Question 51

Unless requested not to do so, all medicationshall be dispensed in ______ _______ packages.

Answer 51

Child resistant

Question 52

What is transcribing?

Answer 52

Act of writting down or copying from one place to another | Entering prescription information into pharamcy software

Question 53

What is the goal of transcribing?

Answer 53

Transform the prescription into a dispensed medication with correct instructions than can safely be interpreted by patients/caregivers

Question 54

What is required on a prescription?

Answer 54

Patient name Date of issuance Name of prescriber Name, strength, dosage form, and quantity of drug Directions for use Refills Prescriber's signature ## Footnote Control has address and DEA

Question 55

What should you collect when accepting a prescription?

Answer 55

Allergies Comorbidities Indications Duration