PPCC Midterm Exam 100 Questions and Answers.
5 principles of patient centered care? - Correct Answer respect, choice and
empowerment, patient involvement in health policy, access, support and information
How does IOM define patient-centered care? - Correct Answer care that is respectful and
responsive to individual patient preferences, needs and values ; ensuring that pt values
guide all clincial decisions
Pharmacists must be able to do what? - Correct Answer Understand illness experience of
pt, perceive each pt's experience as unique, foster a more egalitarian relationship with pts,
build a therapeutic alliance with pts to meet mutually understood goals of therapy develop
self-awareness of personal effects on pts
4 dimensions of pt illness experience and behavior - Correct Answer pt's ideas about their
illness, pt's feelings, pt's expectations of clinician, effects of illness on function
the sum of all the events a patient has in his lifetime that involve drug therapy; pt's
personal experience with medications; shapes attitudes, beliefs and preferences about
drug therapy - Correct Answer patient's medication experience
the decisions a patient makes and acts upon related to the use of drug products and
dosage regimens - Correct Answer patient's medication taking behavior
relationship that develops between the pt and the practitioner; a partnership or alliance
between the practitioner and the patient formed for the purpose of optimizing the pt's
medication experience - Correct Answer therapeutic relationship
Objectives of beneficent care - Correct Answer 1. Not to inflict harm 2. to prevent harm 3.
to remove harm 4. to promote good
ADRs are _____________ leading cause of death - Correct Answer between the 4th and
6th leading causes of death
what percentage of ADRs are preventable? - Correct Answer 50%
, normal part of care process that should be recognized and resolved; patient and time
specific circumstance that may not lead to optimal outcome from drug therapy - Correct
Answer Drug Therapy Problem (DTP)
an outcome; an actual problem in the patient that is A. severe, dangerous, injurious or
disabling beyond the normal process of care AND B. is not correctable or requires
significant additional medical care to correct AND has a scientifically plausible relationship
to "drug therapy" - Correct Answer Drug Related Morbidity (DRM)
what percentage of DRMs are preventable? - Correct Answer 50%
Criteria for preventability of DRMs? - Correct Answer recognizable (the DTP was
recognizable), foreseeable (the DRM was foreseeable), identifiable (cause of DTP was
identifiable), controllable (cause was controllable)
7 categories of DTPs - Correct Answer Indication (unnecessary drug therapy and needs
additional therapy), effectiveness (ineffective drug or dosage too low), safey (adverse
drug reaction, dosage too high), adherence
Examples of Indication - unnecessary drug therapy - Correct Answer duplicate therapy
(multiple drugs being used for condition that requires only a single drug); no medical
indication requiring drug thearpy, nondrug therapy more appropriate,
addiction/recreational drug use, treating avoidble adverse reaction (drug therapy is being
taken to treat avoidable ADR associated with another med)
Examples of Indication - needs additional therapy - Correct Answer preventative therapy
(required to reduce risk of developing new condition), untreated conditions, synergistic
therapy (medical condition requires additional pharmacotherapy to attain synergistic or
additive effects)
Examples of Effectiveness - ineffective drug - Correct Answer more effective drug
available, condition refractory to drug, dosage form inappropriate, contraindication
present, drug not indicated for this condition
Examples of Effectiveness - dosage too low - Correct Answer ineffective dose (too low),
needs additional monitoring, frequency inappropriate (too infrequent), incorrect
aministration (not appropriate route), drug interaction (interaction reduces amount of
active drug available resulting in lack of effectiveness), incorrect storage (stored
incorrectly and lost potency), duration inappropriate (too short)
5 principles of patient centered care? - Correct Answer respect, choice and
empowerment, patient involvement in health policy, access, support and information
How does IOM define patient-centered care? - Correct Answer care that is respectful and
responsive to individual patient preferences, needs and values ; ensuring that pt values
guide all clincial decisions
Pharmacists must be able to do what? - Correct Answer Understand illness experience of
pt, perceive each pt's experience as unique, foster a more egalitarian relationship with pts,
build a therapeutic alliance with pts to meet mutually understood goals of therapy develop
self-awareness of personal effects on pts
4 dimensions of pt illness experience and behavior - Correct Answer pt's ideas about their
illness, pt's feelings, pt's expectations of clinician, effects of illness on function
the sum of all the events a patient has in his lifetime that involve drug therapy; pt's
personal experience with medications; shapes attitudes, beliefs and preferences about
drug therapy - Correct Answer patient's medication experience
the decisions a patient makes and acts upon related to the use of drug products and
dosage regimens - Correct Answer patient's medication taking behavior
relationship that develops between the pt and the practitioner; a partnership or alliance
between the practitioner and the patient formed for the purpose of optimizing the pt's
medication experience - Correct Answer therapeutic relationship
Objectives of beneficent care - Correct Answer 1. Not to inflict harm 2. to prevent harm 3.
to remove harm 4. to promote good
ADRs are _____________ leading cause of death - Correct Answer between the 4th and
6th leading causes of death
what percentage of ADRs are preventable? - Correct Answer 50%
, normal part of care process that should be recognized and resolved; patient and time
specific circumstance that may not lead to optimal outcome from drug therapy - Correct
Answer Drug Therapy Problem (DTP)
an outcome; an actual problem in the patient that is A. severe, dangerous, injurious or
disabling beyond the normal process of care AND B. is not correctable or requires
significant additional medical care to correct AND has a scientifically plausible relationship
to "drug therapy" - Correct Answer Drug Related Morbidity (DRM)
what percentage of DRMs are preventable? - Correct Answer 50%
Criteria for preventability of DRMs? - Correct Answer recognizable (the DTP was
recognizable), foreseeable (the DRM was foreseeable), identifiable (cause of DTP was
identifiable), controllable (cause was controllable)
7 categories of DTPs - Correct Answer Indication (unnecessary drug therapy and needs
additional therapy), effectiveness (ineffective drug or dosage too low), safey (adverse
drug reaction, dosage too high), adherence
Examples of Indication - unnecessary drug therapy - Correct Answer duplicate therapy
(multiple drugs being used for condition that requires only a single drug); no medical
indication requiring drug thearpy, nondrug therapy more appropriate,
addiction/recreational drug use, treating avoidble adverse reaction (drug therapy is being
taken to treat avoidable ADR associated with another med)
Examples of Indication - needs additional therapy - Correct Answer preventative therapy
(required to reduce risk of developing new condition), untreated conditions, synergistic
therapy (medical condition requires additional pharmacotherapy to attain synergistic or
additive effects)
Examples of Effectiveness - ineffective drug - Correct Answer more effective drug
available, condition refractory to drug, dosage form inappropriate, contraindication
present, drug not indicated for this condition
Examples of Effectiveness - dosage too low - Correct Answer ineffective dose (too low),
needs additional monitoring, frequency inappropriate (too infrequent), incorrect
aministration (not appropriate route), drug interaction (interaction reduces amount of
active drug available resulting in lack of effectiveness), incorrect storage (stored
incorrectly and lost potency), duration inappropriate (too short)
