Ambulatory Care Health Promotion and Education Flashcards
7 cards from real Ambulatory Care Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Ambulatory Care Health Promotion and Education flashcards as text
A patient with newly diagnosed hypertension asks about the role of sodium restriction. What is the recommended daily sodium intake limit for hypertensive adults?
Answer: Less than 2,300 mg/day, ideally 1,500 mg/day for greatest BP reduction
Current guidelines recommend less than 2,300 mg/day of sodium, with further reduction to 1,500 mg/day associated with the greatest blood pressure reduction in hypertensive individuals.
Which approach is MOST effective when providing health education to a patient with low health literacy?
Answer: Use plain language, limit to 2-3 key messages, and confirm understanding with teach-back
Plain language, limiting key messages, and using teach-back are evidence-based strategies proven most effective for patients with low health literacy.
A 55-year-old male patient has a blood pressure of 136/86 mmHg on two separate visits. Based on current ACC/AHA guidelines (2017), how should this be classified?
Answer: Stage 1 hypertension
The 2017 ACC/AHA guidelines classify BP 130-139/80-89 mmHg as Stage 1 hypertension, warranting lifestyle modification and consideration of pharmacotherapy based on ASCVD risk.
When counseling a patient on smoking cessation, which pharmacotherapy is considered FIRST-LINE and is available over the counter?
Answer: Nicotine replacement therapy (NRT)
Nicotine replacement therapy (patches, gum, lozenges) is FDA-approved, available OTC, and considered first-line therapy for smoking cessation.
A patient asks whether the herpes zoster (shingles) vaccine is appropriate for them. They are 58 years old and immunocompetent. What is the correct recommendation?
Answer: Receive Shingrix (RZV) as a 2-dose series; it is recommended for adults 50 and older
Shingrix is recommended for all immunocompetent adults 50 years and older as a 2-dose series given 2-6 months apart, regardless of prior shingles episode.
Which of the following is an example of a social determinant of health that an ambulatory care pharmacist should assess?
Answer: Patient's ability to afford medications and access to transportation
Social determinants of health include non-clinical factors like financial resources, housing, food security, and transportation that significantly affect health outcomes and medication adherence.
A patient asks about the difference between a food allergy and food intolerance. Which statement BEST distinguishes the two?
Answer: Food allergies involve an immune response and can be life-threatening; food intolerances are non-immune digestive reactions
Food allergies involve IgE-mediated or other immune responses that can cause anaphylaxis, while food intolerances are non-immunologic and typically cause gastrointestinal discomfort.