The Role of a Pharmacist on the Home Care Team: A Collaborative Model Between a College of Pharmacy and a Visiting Nurse Agency
* To take the test online, go to our secure Web site at http://www.nursingcenter.com/HHN.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 89. Each question has only one correct answer. You may make copies of these forms.
* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no mini- mum passing grade.
* Registration deadline is February 28, 2015.
DISCOUNTS AND CUSTOMER SERVICE
* Send two or more tests in any nursing journal published by Lippincott, Williams & Wilkins together by mail and deduct $0.95 from the price of each test.
* We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.1 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.1 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
CE TEST QUESTIONS
GENERAL PURPOSE: To provide information on the use of a pharmacist in identifying medication-related problems for home care clients.
LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:
1. Discuss the use of a pharmacist on a home care team.
2. Identify problems with medication use in the home.
1. As noted in the article, a consensus-based guideline for medication use in home care is the
a. Home Health Criteria.
b. Milliman Care Guidelines.
c. New York Personal Care Services Program.
d. Springhouse Home Care Guidelines.
2. Pharmaceutical care services typically include a review of all of the following “high-risk” medications except
a. nonsteroidal anti-inflammatory drugs.
b. cardiovascular medications.
3. The most common problem identified by pharmacists in a study by Hsia Der and colleagues was that clients were taking
a. medications without food.
b. unnecessary medications.
c. friends or family members' medications.
d. doses that were too high.
4. Meredith and colleagues report that medication use improved in how many moreclients who had care from a pharmacist and nurse than from a nurse alone?
5. This pharmacist–nurse collaboration had the greatest impact on
a. therapeutic duplication.
b. improper dosing.
c. ineffective medications.
d. prescription renewals.
6. One of the most common medication problems identified in the study by Vink and colleagues was
a. not understanding how to use a medication.
b. drug side effects.
c. not being able to afford a medication.
d. suboptimal therapy.
7. This research also revealed that the majority of pharmacist recommendations involved
a. encouraging medication compliance.
b. using more over-the-counter medications.
c. discontinuing a drug.
d. assisting patients to get financial aid.
8. A criterion that prompts an offer for a pharmacist home visit is when the client
a. has had a medication-related problem.
b. has recently been hospitalized.
c. is currently undergoing cancer treatment.
d. is taking 9 or more medications.
9. Reasons that clients refused a pharmacist visit included all the following except
a. a perceived lack of benefit.
b. fear of offending their primary care physicians.
c. lack of insurance reimbursement.
d. wanting to limit the number of persons entering their homes.
10. When a medication dose is too low, it is classified as a problem with the medication's
11. If the pharmacist has recommendations for optimizing drug therapy after the home visit, the pharmacist first
a. changes the patient's prescriptions.
b. instructs the patient how to modify his or her medication use.
c. schedules another home visit to assess the effectiveness of the changes.
d. contacts the client's prescriber.
12. A vast majority of clients in the agency noted in this article see the pharmacist
a. only once.
b. once per week.
c. once per month.
d. once per year.
13. According to the data gathered since the inception of the pharmacy program, on average, the agency's clients
a. had 4 medication-related problems.
b. were taking drugs prescribed by 6 different practitioners.
c. had 9 medical conditions.
d. were taking 18 different medications.
14. One of the 10 most common medications implicated in medication-related problems for this agency's clients is
15. One of the most common medication-related problems identified with these clients was
a. not taking albuterol often enough.
b. using acetaminophen at doses that were too high.
c. taking atenolol too frequently.
d. using fluticasone-salmeterol at a dose that was too high.