PHA 585 IPPE V: APhA MTM Training (P3) Questions with Verified Answers

PHA 585 IPPE V: APhA MTM Training (P3) Questions with Verified Answers Pre-Assessment Question: Which of the following is an important distinction between MTM services and disease management programs? A. Diet and exercise are never addressed during MTM services. B. Disease management programs focus on a specific disease rather than the patient’s overall health concerns. C. Disease management programs generally are not documented. D. Only MTM services include clinical assessment such as taking a patient’s blood pressure. B. Disease management programs focus on a specific disease rather than the patient's overall health concerns. Pre-Assessment Question: The primary purpose of the patient’s medication-related action (MAP) plan is to: A. Help the pharmacist create a list of therapy goals for the patient. B. Provide the patient with a list of actions that he or she should perform to optimize medication use. C. Be a communication tool for collaborating with other health care providers. D. Act as a tool to report medication changes to third-party payers. B. Provide the patient with a list of actions that he or she should perform to optimize medication use. Pre-Assessment Question: A superbill is best described as: A. A monthly report that the pharmacy generates to track billing for services. B. A bill that pharmacists send to third-party payers requesting payment for all services provided to covered patients over a specified time period. C. A billing mechanism that is used only for self-paying patients. D. A paper summary of all the services provided by the pharmacy that the pharmacist fills out after a visit and provides as a receipt to the patient. D. A paper summary of all the services provided by the pharmacy that the pharmacist fills out after a visit and provides as a receipt to the patient. Pre-Assessment Question: In evaluating results of therapy for a patient who is a young mother with asthma, which of the following is an example of a humanistic outcome? A. Improved pulmonary function. B. Reduced out-of-pocket costs for patient. C. Reduced emergency department visits. D. Improved ability of patient to play with her child. D. Improved ability of patient to play with her child. Pre-Assessment Question: Which of the following outcomes were reported in studies that systematically discontinued medications in older adults to reduce polypharmacy? A. Reduced costs and increased hospitalizations. B. Improved adherence and increased mortality. C. Reduced mortality and improved global health. D. Reduced mortality and increased referrals to acute care. C. Reduced mortality and improved global health. Pre-Assessment Question: Which of the following best describes medication reconciliation? A. Compiling a list of a patient’s medications. B. Performing a drug utilization review. C. Performing a comprehensive evaluation of a patient’s medication regimen any time there is a change in therapy. D. Reviewing a patient’s PMR with all prescribers. C. Performing a comprehensive evaluation of a patient's medication regimen any time there is a change in therapy. Pre-Assessment Question: What does it mean to provide culturally competent health care? A. To be able to provide care in multiple languages. B. To tailor health care delivery to meet a patient’s social, cultural, and linguistic needs. C. To provide care outside the mainstream medical system. D. To have the same cultural background as the patient being treated. B. To tailor health care delivery to meet a patient's social, cultural, and linguistic needs. Pre-Assessment Question: When communicating a recommendation to a prescriber, it is best to: A. Clearly state when a prescribed medication is “wrong” or “inappropriate” for a patient. B. Allow the prescriber to develop a solution to the problem identified by the pharmacist. C. Avoid providing clinical information that will likely be redundant with the prescriber’s records. D. Be succinct and clearly state the recommended course of action. D. Be succinct and clearly state the recommended course of action. Pre-Assessment Question: Which of the following is a benefit of standardizing the patient care process? A. Facilitating development of supporting infrastructure, such as electronic health records (EHR). B. Minimizing the amount of clinical training required for pharmacists. C. Reducing the burden of HIPAA privacy requirements. D. Allowing pharmacists to bill their services at a higher level of complexity. A. Facilitating development of supporting infrastructure, such as electronic health records (EHR). Pre-Assessment Question: In regard to geriatric syndromes, the four functional domains are: A. Cognitive function, motor function, sensory function, and psychosocial function. B. Visual function, auditory function, tactile function, and vestibular function. C. Neurologic function, autonomic function, sensory function, musculoskeletal function. D. Motor function, vestibular function, psychosocial function, activities of daily living functions. A. Cognitive function, motor function, sensory function, and psychosocial function. Which of the following activities is generally associated with the "collect" step of the Pharmacist's Patient Care Process? Compiling a list of the patient's medications Which of the following activities is generally associated with the "implement" step of the Pharmacist's Patient Care Process? Provide education and self-management training to the patient or caregiver. According to the consensus document Medication Therapy Management Services Definition and Program Criteria, which of the following activities would be considered a part of MTM services? Performing a comprehensive medication review for a patient to identify, resolve, and prevent medication-related problems. Which of the following statements about the core elements model framework for MTM services is true? The model is designed to improve the efficiency of MTM services while helping to address medication-related problems. Which of the following statements about a personal medication record (PMR) is true? The PMR is designed as a tool to help patients self-manage their medications When a pharmacist identifies a medication-related problem during the medication therapy review, which of the following actions would be an inappropriate intervention? Providing services outside the scope of pharmacy practice without a physician's approval. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) helped establish MTM services through which of the following actions? Allowing Medicare Part D prescription drug plans to pay pharmacists for providing MTM services. The ACA directed CMS to create a standardized format for which of the following MTM-related documents? Beneficiary cover letter, medication action plan, and personal medication list. A benefit of telephonic patient care services, compared with face-to-face services, is that they: May pose fewer logistical barriers for the patient. Which of the following statements about pharmacist provision of MTM services in patient-centered medical homes (PCMHs) is true? The ACA states that primary care providers in PCMHs should be able to provide access to pharmacist-delivered MTM services. Which of the following accurately describes the distinction between a PCMH and an accountable care organization (ACO)? The ACO is a financing model whereas the PCMH is a care delivery model. The Affordable Care Act of 2010 (ACA) added several requirements for MTM services in Medicare Part D that take effect in 2013. These requirements include: Eligible patients are automatically enrolled in the program and can opt out if they wish, rather than being required to opt in. Which organization has developed pharmacy quality measures that are being used to generate report cards for communicating pharmacy quality? PQA. Which of the following organizations accredits PCMHs? NCQA. Which of the following statements about a SWOT analysis is true? Strengths and weaknesses assess the internal aspects of the pharmacy or service in relation to its existing services. A useful acronym to keep in mind when developing goals is SMART, which stands for: Specific, measurable, achievable, realistic, time-limited. When working to maximize efficiency of patient care services, pharmacists should: Delegate tasks that do not require clinical judgment to technicians and other support staff. When billing health care services, which type of code describes the type of service that was provided? CPT To minimize liability for providing patient care services, pharmacists should: Ensure that documentation is clear, concise, and accurate. Which of the following statements about the physical space for providing patient care services is true? It is necessary to create an area where conversations with patients will be private. Which of the following is specifically required for pharmacists who want to provide point-of-care testing? A CLIA Waiver When signing a contract, what does indemnification describe? Legal responsibilities of each party in the contract to the other. Which of the following statements about implementing patient care services is true? Pharmacists may want to start with a small program and build the service over time. Which of the following is a business purpose related to monitoring and evaluating patient outcomes? Demonstration of cost-benefit to payers. Why are self-insured employers a good marketing target for patient care services? They will directly benefit from the cost-saving benefits of patient care services. When marketing patient care services to patients, it is recommended that pharmacists: Educate patients about the value of patient care services in order to increase demand for the services based on their goals and needs. When marketing patient care services to prescribers, the "asking for the sale" technique means that pharmacists should: Ask the prescriber if he or she can think of a patient to refer to the service. If the pharmacist is unable to identify a specific rationale for a medication in the patient's regimen, the medication-related problem is categorized as: Unnecessary medication therapy. Which of the following actions would likely cause the most harm for a patient experiencing moderate to severe adverse effects from a subtherapeutic dosage of a medication? Contacting the prescriber to recommend a dosage increase. What is a significant drawback to the use of clinical practice guidelines? They often do not comprehensively address the needs of patients with multiple diseases. How do point-of-care testing services relate to MTM services? They can be used to identify patients who are appropriate to be referred for diagnosis, and for ongoing monitoring of patients with chronic conditions. The Medication Appropriateness Index is designed to: Provide a standardized method for medication risk assessment. Which of the following statements about immunizations and MTM services is true? Pharmacists may be able to offer a variety of immunizations during an MTM visit, as allowed by the laws and regulations in their state. In general, a specialty medication can be best described as one that: Requires additional attention and processes to ensure that the product is managed appropriately. In elderly patients with reduced total body water, which medications will have a larger volume of distribution, compared with healthy younger adults? Lipid-soluble medications. Regarding pharmacodynamics in elderly patients, which of the following statements is true? Adverse events in elderly patients may be due to increased sensitivity to a medication. Which one of the following conditions is a common geriatric syndrome? A. Diabetes B. Congestive Heart Failure C. Hypertension D. Dementia D. Dementia What is the most frequent medication-related problem associated with hospital admission of elderly adults? Adverse drug events The Beers criteria: List medications that are potentially inappropriate in elderly patients and those with specific medical conditions. Why is the Cockcroft-Gault equation used more frequently than the Modification of Diet and Renal Disease study formula to determine dosage adjustments for renally cleared drugs? Because the U.S. Food and Drug Administration has adopted this as the standard to use for all for renal adjustment recommendations in drug monographs. An 80-year-old female patient has a serum creatinine of 1.0 mg/dL and her ideal body weight equals 110 lb. What is this patient's estimated creatinine clearance using the Cockcroft-Gault equation? 35 mL/min Ideal body weight is calculated as follows: Men: 50 kg + [2.3 kg × (height in inches − 60)] Women: 45.5 kg + [2.3 kg × (height in inches − 60)] (1 kg = 2.2 lb) What is the ideal body weight for a man who is 5'9"? 70.7 kg (155.5 lb). The Cockcroft-Gault equation for estimating creatinine clearance is: CrClmale = [(140 - Age) (IBW)] / [72 (SCr)] CrClfemale = 0.85 [(140 - Age) (IBW)] / [72 (SCr)] Using this equation, what would be the creatine clearance for a 68-year old woman who is 5'11" and has a serum creatinine of 1.3 mg/dL? Note: ideal body weight (IBW) for a woman is 45.5 kg + [2.3 kg × (height in inches − 60)] 46.3 mL/min. Which of the following is an open-ended question? "How do you use this medication?" The best time to use a closed-ended question is when seeking information about: Clarification of a specific detail regarding the patient's medication use. Which of the following strategies is intended to create an environment where patients feel safe and welcome? Greeting patients with a smile and making eye contact. Which of the following statements about health literacy is true? Patients who are having difficulty with reading materials may state that they forgot to bring their reading glasses. Which of the following best describes the "teach back" communication strategy? Pharmacists ask patients to explain back the information that the pharmacist just provided. The Transtheoretical Model of Change is used to describe: The stages of change that people pass through as they modify a behavior. Motivational interviewing is a communication technique that: Is designed to provide patients with opportunities to talk themselves into changing. Using motivational interviewing, how might a pharmacist respond to a patient who rates his or her confidence in ability to change a behavior as a 2 on a 10-point scale? "What would it take to increase this rating to a 5?" Which of the following documents would pharmacists most likely want to include in a welcome packet sent to patients prior to their first MTM visit? A medication history form for the patient to fill out. When collecting information for an MTM encounter, the pharmacist should ask the patient about which of the following topics? A. The patient's level of health literacy. B. The patient's cognitive function. C. The patient's expectations for the visit D. The patient's plans for follow-up visits. C. The patient's expectations for the visit Asking a patient to complete a medication history form best aligns with which of the following steps from the Pharmacist-Centered Collaborative Care Process developed by JCPP? Collect Which of the following statements is TRUE? A. All of a patient’s medication-related problems should be resolved during a medication therapy review. B. The level of follow-up that a pharmacist expects to have with a patient may influence the interventions that the pharmacist provides. C. Immunizations should not be given during the medication therapy review unless there are no other medication-related problems. D. A patient’s readiness to change has no impact in the interventions used to improve medication adherence. B. The level of follow-up that a pharmacist expects to have with a patient may influence the interventions that the pharmacist provides. In the patient case presented in Module 4, which of the following issues was identified as a medication-related problem for the patient "RC"? Needs additional therapy—symptoms of depression. After identifying medication-related problems, the next step the pharmacist should take is: Create a problem list and prioritize the problems. Which of the following instructions would be most appropriate to list on a patient's medication-related action plan? Use a pillbox to organize medications. Which of the following statements would be best for objectively documenting a report from an obese patient who says she eats a lot of unhealthy comfort food when she feels upset? Patient reports overeating when upset. As a general rule, a SOAP note should include which of the following pieces of information? A description of the plan for managing the patient.