Deck 3: Communicating With Patients About Medications: a Patient-Centered Approach

Question 1

What percentage of patient expectations are not met at a primary care visit?

A)20% to 40%
B)30% to 80%
C)100%
D)0% to 10%

Answer 1

30% to 80%

Question 2

Which option is not a helpful technique to facilitate communication with children and adolescents?

A)Introduce yourself to the child first.
B)Ask some general questions about the child's interests.
C)Ask the child whether he/she has any questions for you.
D)Ask about the child's problem immediately to improve time management.

Answer 2

Ask about the child's problem immediately to improve time management.

Question 3

Which of the following is an example of a personal or emotional barrier to effective communication?

A)White coat syndrome
B)Use of technical phrases when talking with patients
C)Inappropriate space or lighting in the office
D)Lack of provider focus due to a recent divorce

Answer 3

Lack of provider focus due to a recent divorce

Question 4

In a recent study with elderly residents of North Carolina,which condition was treated most frequently with OTC medications?

A)Pain
B)Anxiety
C)Diarrhea
D)Indigestion

Question 5

Which strategy is least effective in assisting patients with the affordability of medications?

A)Considering nonmedical therapeutic lifestyle changes,such as exercise and nutrition
B)Prescribing generic drugs
C)Using the newest drugs on the market
D)Prescribing a higher dose pill and recommending the patient use only half each dose if possible

Question 6

Which statement regarding adverse drug reactions (ADRs)is true?

A)ADRs are the fourth leading cause of death.
B)ADRs are an uncommon cause of hospitalization.
C)Elderly patients have the same risk for ADRs as younger patients.
D)ADRs are not common in patients taking over-the-counter (OTC)medications.

Question 7

Which of the following is the least effective strategy for improving medication adherence?

A)Individualizing medication regimens
B)Regularly inquiring about issues that might interfere with a patient's ability to take medications
C)Developing a follow-up and monitoring plan and sharing it with the patient
D)Using a complex dosing schedule

Question 8

Polypharmacy is best defined as:

A)The concurrent use of several drugs at the same time.
B)Use of many different pharmacies.
C)Use of a drug that causes withdrawal syndrome.
D)Use of expensive,nonformulary drugs.

Question 9

At any given time,an elderly patient takes an average of how many medications?

A)1 prescription drug and 2 OTC drugs
B)2 to 3 prescription drugs and 4 OTC drugs
C)2 to 6 prescription drugs and 1 to 3 OTC drugs
D)7 to 10 prescription drugs and 3 to 4 OTC drugs

Question 10

Which statement regarding patient-centered communication is true?

A)It leads to better compliance with medication regimens.
B)It does not influence the patients' satisfaction with medical care.
C)It is optimal because a large percentage of patients' needs are met in primary care.
D)It does not involve the patient in the decision-making process.

Question 11

You are seeing a Spanish-speaking patient with a chronic skin condition.He speaks little English and gets frustrated when you try to explain how to use the medication you prescribed.Which communication tools would be least effective in this situation?

A)Use simple diagrams if possible.
B)Speak slower and use nonverbal communication.
C)Consider using a translator electronically.
D)Rely on the patient's family members to provide effective translation.

Question 12

Which statement regarding older patients in America is true?

A)They are a more homogenous population than younger patients.
B)They have a higher level of flexible income than younger patients.
C)They visit their health-care providers less frequently than younger patients.
D)They visit their health-care provider more per year than the general population.

Question 13

When a patient and clinician cannot understand each other due to language issues,all of the following are useful and effective means of communication except:

A)Use of relatives as translators.
B)Use of simple written diagrams.
C)Computer translators.
D)Use of bilingual staff to help medical interpretation.

Question 14

Which of the following options is not a key element of active listening?

A)Use body language and gestures to show that you are listening.
B)Provide feedback and paraphrase the patient's concerns.
C)Give the patient time to tell a story without interrupting
D)Use closed questions to open the patient interview.

Question 15

Which of the following is not a useful benefit associated with the use of "I" messages in health-care communication?

A)"I" messages establish boundaries and maintain direction of patient-centered communications.
B)"I" messages encourage open communication between the patient and health professional.
C)"I" messages express a health professional's thoughts and feelings and explain actions that lead to those feelings.
D)"I" messages hold patients accountable for their actions and the effects that those actions have on their condition(s).

Question 16

All of the following statements are benefits of using open-ended questioning in medical interviewing except:

A)Open-ended questions save time.
B)Open-ended questions encourage patients to share information.
C)Open-ended questions add detail to the history.
D)Open-ended questions improve patient satisfaction and adherence to the medication regimen.

Question 17

Which option is an example of a closed question?

A)"Did you understand what I just said?"
B)"I am not certain that I understand.Can you tell me more?"
C)"How can I help you today?"
D)"What brought you in to the office today?"

Question 18

Which drug has a long half-life,with prolonged risk for drug interactions?

A)fluoxetine (Prozac)
B)amoxicillin
C)clonidine
D)captopril (Capoten)

Question 19

All of the following are helpful communication techniques useful for improving patient care and medication management except:

A)Empathic responding.
B)Use of open-ended questions.
C)Use of "I" messages.
D)Early redirecting with short closed questions.

Question 20

Which statement regarding rates of disease in certain ethnic and racial groups is true?

A)Cardiovascular disease is higher in African-American populations.
B)Diabetes rates are highest among Asian Americans.
C)The health-care disparities among different racial or ethnic groups are few.
D)Caucasians have the highest rates of diabetes and hypertension.

Question 21

Which is a clinical consequence of polypharmacy?

A)Decreased office visits
B)Increased risk of hospitalization
C)Lower health-care costs
D)Decreased chances of medical errors

Question 22

Which option is an example of an effective communication technique to perform with a child or adolescent?

A)Address all questions to the parent/guardian
B)Introduce yourself to the child and address questions to them directly
C)Use medical jargon
D)Use closed questions

Question 23

Which statement is not an example of an "I" message?

A)"I feel really upset and concerned when I see that you continue to smoke."
B)"I feel worried when you continue to heavily drink alcohol."
C)"I am worried and concerned that you have continued to gain weight."
D)"I know you are going to do whatever you want anyway,regardless of what I say."

Question 24

Which option is not an effective way to assist a patient who is having trouble remembering to take his/her medications?

A)Take the time to formulate a chart explaining how to take each medication.
B)Tell the patient not to worry because you have a list of medications in the medical chart.
C)Advise the patient to carry a list of current medications in a wallet or purse.
D)Encourage the patient to bring all currently used medication bottles,including those for OTC medications,to every appointment.

Question 25

Which option is an example of an open-ended question?

A)"Can I help you?"
B)"How may I be of help to you?"
C)"You know the side effects,right?"
D)"Do you understand what I just said?"

Question 26

Certain racial and ethnic groups have higher rates of particular diseases.Which of the following statements is true?

A)Cardiovascular disease is lower in African-American populations.
B)Diabetes is lower in Hispanic-American populations.
C)Cardiovascular disease is highest in Caucasian populations.
D)Diabetes is highest in American-Indian and Hispanic-American populations.

Question 27

Which item is an example of a physical barrier to effective communication?

A)Attitude
B)Language
C)Strong lighting in a room
D)Body language

Question 28

What method can be used to identify drug-seeking patients and limit their access to drugs?

A)Assume that all patients asking for pain medication are "drug seekers" until proven otherwise.
B)Send the patient to only one pharmacy.
C)Never ask a patient about their pain level unless they first introduce it into the conversation.
D)Asking patients what medications they are currently taking and documenting their answers is enough.

Question 29

Which option is not one of the maxims from which patient-centered delivery of care is based in the late 20th and early 21st century?

A)The needs of the physician come first.
B)Nothing about me without me.
C)Every patient is the only patient.
D)The needs of the patient come first.

Question 30

Alcohol interacts with what percentage of all medications?

A)25%
B)50%
C)75%
D)100%

Question 31

Which option is not an example of a language barrier to effective communication?

A)Use of medical jargon
B)White coat syndrome
C)Technical phrases
D)English as a second language

Question 32

What is the most efficient and most accurate method of helping older patients keep a record of their medications?

A)Rely on patients to bring in all their medications with them at each visit.
B)Rely on the patient's memory of their medication history.
C)Print a list of all medications the patient is on for them to take with them home and to each health-care provider they see.
D)Rely on caregiver memory of which medications the patient is currently taking.

Question 33

Which method can assist patients with the affordability of medications?

A)Consider nonmedical treatments such as lifestyle changes.
B)Prescribe OTC medications only.
C)Advise patients to share their medications with a spouse.
D)Advise patients to take meications only on an "as needed" basis.

Question 34

Which option is an example of an open-ended question?

A)"What medication information can I provide?"
B)"Are you taking aspirin everyday?"
C)"You are in a lot of pain,right?"
D)"You haven't been taking your medicine as prescribed,have you?"

Question 35

Which method is not effective for identifying drug-seeking patients and limiting their access to drugs?

A)Give patients a few refills so they will not bother you with refills at their next visit.
B)Keep current on drug interactions and signs of toxicity.
C)Have patients sign a consent form for any medication that has potential for abuse.
D)Send patients to only one pharmacy.

Question 36

What percentage of older adults admits to underusing prescribed medications because they cannot afford them?

A)5%
B)18%
C)32%
D)78%

Question 37

Which technique is not an appropriate method for communicating with children and adolescents?

A)Using open-ended question techniques
B)Only addressing the caregiver in the room
C)Asking the child whether he/she has any questions for you
D)Paying attention to nonverbal behavior

Question 38

Which technique is an effective method for building trust between a patient and clinician?

A)Using close questions
B)Using active listening and empathic responses
C)Using medical jargon
D)Continuously interrupting the patient with directed questions

Question 39

One strategy for communicating necessary information and instructions to older patients is to:

A)Allow extra time and schedule older patients early in the day.
B)Tell them from the beginning of the visit you will only address one issue.
C)Assume they will not understand instructions and simplify all instructions and explanations.
D)Refuse to see an older patient unless they come with a caretaker.

Question 40

Which option is not an example of a physical barrier to effective communication?

A)White coat
B)Strong lighting
C)Personal space
D)Use of medical jargon