MTM self-study Questions with Complete and Verified Solutions

MTM self-study Questions with Complete and Verified Solutions Which of the following is an open-ended question? "How do you use this medication?" A superbill is best described as: 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. Which of the following best describes medication reconciliation? Wrong answer =Compiling a list of a patient's medications. **The correct answer can be found in "Medication Reconciliation." Module 3 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. 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. To minimize liability for providing patient care services, pharmacists should: Ensure that documentation is clear, concise, and accurate. 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 is a benefit of standardizing the patient care process? The correct answer can be found in "Standardizing the patient care process."MODULE 1 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 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. 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. Which organization has developed pharmacy quality measures that are being used to generate report cards for communicating pharmacy quality? PQA. Which of the following best describes the "teach back" communication strategy? Pharmacists ask patients to explain back the information that the pharmacist just provided. Which one of the following conditions is a common geriatric syndrome? Dementia. 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? Improved ability of patient to play with her child 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. 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 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. 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. The Medication Appropriateness Index is designed to: Wrong answer = Assess the complexity of a patient's medication regimen. ***The correct answer can be found in "Assessing the Medication Regimen." Module 3 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. The Cockcroft-Gault equation for estimating creatinine clearance is: CrClmale = [(140 - Age) (IBW)] / [72 (SCr)] CrClfemale = 0.85 [(140 - Age) (IBW)] / [72 (SCr)] 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 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 a SWOT analysis is true? Strengths and weaknesses assess the internal aspects of the pharmacy or service in relation to its existing services. In regard to geriatric syndromes, the four functional domains are: Cognitive function, motor function, sensory function, and psychosocial function. 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. 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. What is the most frequent medication-related problem associated with hospital admission of elderly adults? Adverse drug events. When communicating a recommendation to a prescriber, it is best to: Be succinct and clearly state the recommended course of action. The primary purpose of the patient's medication-related action (MAP) plan is to: Provide the patient with a list of actions that he or she should perform to optimize medication use. Motivational interviewing is a communication technique that: Is designed to provide patients with opportunities to talk themselves into changing. 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. 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 is a business purpose related to monitoring and evaluating patient outcomes? Demonstration of cost-benefit to payers. Which of the following is specifically required for pharmacists who want to provide point-of-care testing? A CLIA waiver. 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 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. The Beers criteria: List medications that are potentially inappropriate in elderly patients and those with specific medical conditions Which of the following is an important distinction between MTM services and disease management programs? Disease management programs focus on a specific disease rather than the patient's overall health concerns. Which of the following organizations accredits PCMHs? NCQA. What does it mean to provide culturally competent health care? To tailor health care delivery to meet a patient's social, cultural, and linguistic needs. 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. 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. 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). A useful acronym to keep in mind when developing goals is SMART, which stands for: Specific, measurable, achievable, realistic, time-limited. 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. 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. The Transtheoretical Model of Change is used to describe: The stages of change that people pass through as they modify a behavior. 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 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. 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. 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. 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 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 activities is generally associated with the "collect" step of the Pharmacist's Patient Care Process? Compiling a list of the patient's medications. When collecting information for an MTM encounter, the pharmacist should ask the patient about which of the following topics? The patient's expectations for the visit 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 statements is true? 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. 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.