Ch60 - Test bank PDF

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Chapter 60. Integrative Approaches to Pharmacotherapy – A look at Complex Cases MULTIPLE CHOICE 1. Patients with chronic illness may struggle with adherence to their treatment regimen. Intelligent

non-adherence occurs when the patient: A.

May not understand the specifics of his or her medication regimen

B.

Cannot afford to pay for all the medications in his or her regimen

C.

Occasionally misses doses of medications due to forgetfulness

D.

Chooses to discontinue or alter his or her medication regimen

ANS: D

PTS: 1

2. Steps the provider can take to improve medication adherence in the chronically ill patient

include: A.

Tell the patient to take the medications as prescribed for optimum health

B.

Assess adherence either through self-report or laboratory values

C.

Encourage the patient to take the medications regularly

D.

If noncompliant with the medication regimen, ask if the patient values good health

ANS: B

PTS: 1

3. The Beers Criteria is used to: A.

Determine appropriate prescribing in the elderly

B.

Set guidelines for prescribing sedatives for the elderly

C.

Assess potentially inappropriate medications in the elderly

D.

Provide regulation in the prescribing of potentially dangerous medications

ANS: C

PTS: 1

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4. The Beers Criteria recommend which muscle relaxant for use in the elderly? A.

Methocarbamol (Robaxin)

B.

Carisoprodol (Soma)

C.

Cyclobenzaprine (Flexeril)

D.

None of the above

ANS: D

PTS: 1

5. According to the Beers Criteria list, the elderly should be cautiously prescribed fluoxetine

(Prozac) due to: A.

Excessive drowsiness

B.

Long half-life

C.

Dry mouth and constipation

D.

Decreased renal excretion

ANS: B

PTS: 1

6. The Beers Criteria states mineral oil is not recommended to be used in the elderly due to: A.

Lack of efficacy in this age group

B.

Concern for oil leakage from the anus

C.

Potential for aspiration of oil

D.

Concern for CNS and extrapyramidal effects

ANS: C

PTS: 1

7. Many elderly patients use diphenhydramine (Benadryl) as a sleep aid. The Beers Criteria

recommends against the use of diphenhydramine in the elderly due to: A.

Lack of efficacy in the elderly

B.

It may cause confusion

C.

It may induce depression

D.

Orthostatic hypotension

ANS: B

PTS: 1

8. The most common prescribing error in long-term care facilities is: A.

The wrong drug is prescribed

B.

The wrong dose of medication is prescribed

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C.

Medications are administered at the wrong time

D.

Drugs with known interaction are prescribed

ANS: B

PTS: 1

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