NUR 607 FINAL EXAM STUDY GUIDE (Mods 1,2,8 only)
Questions and Answers 100% Solved
What factors affect medication compliance? - correct answer ✔ ✔
complex medication regimens, cost of the drug, side effects of the
drug, ease of administration and/or drug form (e.g., large tablets or
capsules), education and communication between provider and patient,
perceived side effects not truly related to the medication, functional
and/or mental deficits (eg. vision changes, dementia, arthritis of hands),
provider approachability, perception of patient respect, belief that the
therapy is beneficial and outweighs the risks or side effects, the degree
to which the patient participates in the development of the treatment
regimen, degree to which patient believes that expectations and concerns
are being met, degree to which the practitioner motivates the patient to
adhere to the regimen, degree to which the regimen is compatible with
the patient's busy lifestyle, medication taste.
What are important aspects of patient teaching to consider? - correct
answer ✔ ✔ Clear verbal instructions with readable written
instructions to take home if indicated. Educating regarding side effects
in advance and instructing patient to report to clinic with symptoms in
order to prevent early discontinuation of drug. Instill the belief in the
patient that the drug will work for them in order to maintain adherence,
, advise patient to use only one pharmacy in order to reduce drug to drug
interactions.
Causes of poly-pharmacy in the elderly. - correct answer ✔ ✔ Varied
symptoms and complaints associated with chronic illnesses; when a drug
doesn't work, another is prescribed (known as the prescribing cascade);
stockpiling discontinued medications due (primarily due to the cost);
placing prescriptions in different bottles; sharing of medications between
family members; seeing "polyproviders": seeing multiple specialists for
various chronic diseases; failure of providers to fully review the patient's
other medications before prescribing; lack of primary care provider;
Risks associated with polypharmacy in the elderly: - correct answer ✔
✔ Drug overuse and complications; ADRs; creation of avoidable side
effects and related complications
How do you address medication compliance issues? - correct answer ✔
✔ Consider the cost of the drug; give a written list and instructions
to the patient after each office visit of the medications to be taken; give
written instructions in large, easy to understand instructions to the
elderly; explain and document both the brand and generic names of the
drug with the patient to avoid confusion and explain the important
reason for taking the medication; review medication changes with
family/caregivers (especially for those with cognitive impairments);
recommend or provide medication planners or weekly/daily dosage
containers to improve compliance and promote safe administration;
schedule timely follow-ups and check for adherence at each visit.
Questions and Answers 100% Solved
What factors affect medication compliance? - correct answer ✔ ✔
complex medication regimens, cost of the drug, side effects of the
drug, ease of administration and/or drug form (e.g., large tablets or
capsules), education and communication between provider and patient,
perceived side effects not truly related to the medication, functional
and/or mental deficits (eg. vision changes, dementia, arthritis of hands),
provider approachability, perception of patient respect, belief that the
therapy is beneficial and outweighs the risks or side effects, the degree
to which the patient participates in the development of the treatment
regimen, degree to which patient believes that expectations and concerns
are being met, degree to which the practitioner motivates the patient to
adhere to the regimen, degree to which the regimen is compatible with
the patient's busy lifestyle, medication taste.
What are important aspects of patient teaching to consider? - correct
answer ✔ ✔ Clear verbal instructions with readable written
instructions to take home if indicated. Educating regarding side effects
in advance and instructing patient to report to clinic with symptoms in
order to prevent early discontinuation of drug. Instill the belief in the
patient that the drug will work for them in order to maintain adherence,
, advise patient to use only one pharmacy in order to reduce drug to drug
interactions.
Causes of poly-pharmacy in the elderly. - correct answer ✔ ✔ Varied
symptoms and complaints associated with chronic illnesses; when a drug
doesn't work, another is prescribed (known as the prescribing cascade);
stockpiling discontinued medications due (primarily due to the cost);
placing prescriptions in different bottles; sharing of medications between
family members; seeing "polyproviders": seeing multiple specialists for
various chronic diseases; failure of providers to fully review the patient's
other medications before prescribing; lack of primary care provider;
Risks associated with polypharmacy in the elderly: - correct answer ✔
✔ Drug overuse and complications; ADRs; creation of avoidable side
effects and related complications
How do you address medication compliance issues? - correct answer ✔
✔ Consider the cost of the drug; give a written list and instructions
to the patient after each office visit of the medications to be taken; give
written instructions in large, easy to understand instructions to the
elderly; explain and document both the brand and generic names of the
drug with the patient to avoid confusion and explain the important
reason for taking the medication; review medication changes with
family/caregivers (especially for those with cognitive impairments);
recommend or provide medication planners or weekly/daily dosage
containers to improve compliance and promote safe administration;
schedule timely follow-ups and check for adherence at each visit.
