PHR 915 Final Exam Questions With Complete Solutions

What is the difference between an attorney at law and a power of attorney? correct answer: an attorney at law is someone who is a lawyer and is qualified to represent someone in court a power of attorney is someone that you grant authority to serve in your place for decision making, etc. as specified in a document What are the four required rotations that must be completed during fourth year APPE rotations? correct answer: • acute care • hospital • ambulatory care • advanced community must also complete 3-4 elective rotations of your choice What does OBRA '90 stand for? correct answer: the Omnibus Budget Reconciliation Act of 1990 What are the three main things that OBRA '90 did? correct answer: • mandated that pharmacists do a prospective DUR (Drug Utilization Review) • established standards for patient counseling • established affirmative duty for pharmacists to counsel How did drug utilization reviews change once OBRA '90 was put in place? correct answer: until OBRA '90 drug utilization reviews were done retrospectively and concurrently once OBRA '90 was enacted, pharmacists were required to do prospective DURs (before ever dispensing the med to the patient) OBRA '90 requires that prospective DURs be completed on which type(s) of prescriptions? correct answer: applies to ALL medications - new, original, and refill prescriptions What should be assessed in a prospective DUR? correct answer: • assessment of current therapy and new Rx order - are these okay to take together? • known allergies • rationale for drug therapy - is this necessary? • negative synergies • proper dose and route of administration • interactions - Drug-Drug interactions and Drug-Food interactions • proper utilization of meds - compliance • clinical misuse and abuse The first change to OBRA '90 required that Rx management systems be changed to a _________. correct answer: The first change to OBRA '90 required that Rx management systems be changed to a comprehensive patient record system. What were the requirements for comprehensive patient record systems as outlined in the first change to OBRA '90? correct answer: record system must possess these qualities: • records must be readily retrievable • show previous and current drug therapy • allow determination of impact of new therapy records must include the following patient information: • name • address • telephone # • DOB/age • gender