Elena Vasquez's primary language is Spanish, and
she speaks very limited English. Which technique
would be appropriate to use in teaching her about a
new drug you have just
prescribed?
1. Use correct medical terminology because Spanish
has a Latin base.
2. Use a family member who speaks more English to
act as an interpreter.
3. Use a professional interpreter or a reliable staff
member who can act as an interpreter.
4. Use careful, detailed explanations.
3. Use a professional interpreter or a reliable staff
member who can act as an interpreter.
,Rod, age 68, has hearing difficulty. Which of the
following would NOT be helpful in assuring that he
understands teaching about his drug?
1. Stand facing him and speak slowly and clearly.
2. Speak in low tones or find a provider who has a
lower voice.
3. Write down the instructions as well as speaking
them.
4. If he reads lips, exaggerate lips movements when
pronouncing the vowel sounds.
4. If he reads lips, exaggerate lips movements when
pronouncing the vowel sounds.
Which of the following factors may adversely affect a
patient's adherence to a
therapeutic drug regimen?
1. Complexity of the drug regimen
2. Patient perception of the potential adverse effects
of the drugs
3. Both 1 and 2
4. Neither 1 nor 2
3. Both 1 and 2
The health-care delivery system itself can create
barriers to adherence to a treatment regimen. Which
of the following system variables creates such a
barrier?
,1. Increasing copayments for care
2. Unrestricted formularies for drugs, including
brand names
3. Increasing the number of people who have access
to care
4. Treating a wider range of disorders
1. Increasing copayments for care
Ralph's blood pressure remains elevated despite
increased doses of his drug. The NP is concerned
that he might not be adhering to his treatment
regimen. Which of the following events would
suggest that he might not be adherent?
1. Ralph states that he always takes the drug "when I
feel my pressure is going up."
2. Ralph contacts his NP to discuss the need to
increase the dosage.
3. Ralph consistently keeps his follow-up
appointments to check his blood pressure.
4. All of the above show that he is adherent to the
drug regimen.
1. Ralph states that he always takes the drug "when I
feel my pressure is going up."
Nonadherence is especially common in drugs that
treat asymptomatic conditions, such as
hypertension. One way to reduce the likelihood of
, nonadherence to these drugs is to prescribe a drug
that:
1. Has a short half-life so that missing one dose has
limited effect
2. Requires several dosage titrations so that missed
doses can be replaced with lower doses to keep
costs down
3.Has a tolerability profile with fewer of the adverse
effects that are considered "irritating," such as
nausea and dizziness
4. Must be taken no more than twice a day
3.Has a tolerability profile with fewer of the adverse
effects that are considered "irritating," such as
nausea and dizziness
Factors in chronic conditions that contribute to
nonadherence include:
1. The complexity of the treatment regimen
2. The length of time over which it must be taken
3. Breaks in the usual daily routine, such as
vacations and weekends
4. All of the above
4. All of the above
While patient education about their drugs is
important, information alone does not necessarily
lead to adherence to a drug regimen. Patients report
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