PSI Registration Exam Part 2: Practice of Pharmacy Examination

PSI Registration Exam Part 2: …

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1. Cost-benefit analysis shows that for my father, the spiritual and emotional benefits of this traditional herbal remedy far outweigh the small risks you're describing,\" explains the son of an elderly patient who is a new immigrant. You are the pharmacist counseling them on a new prescription for warfarin. You recognize the herbal remedy he mentions has a well-documented, high-risk interaction that significantly increases the risk of severe bleeding. The son is acting as the translator and is insistent that his father will take both. What is the most appropriate initial action for the pharmacist to take?

Acknowledge the importance of the traditional remedy to the patient and propose working together with the patient and his physician to create a safety plan, such as initiating more frequent INR monitoring.Refuse to dispense the warfarin until the son provides a firm commitment that his father will not take the herbal remedy while on the new medication.Dispense the warfarin with a prominent warning sticker and provide a standard leaflet on drug interactions, but do not challenge the family's decision further to respect their cultural beliefs.Contact the patient's physician immediately to report that the patient is non-compliant with the prescribed therapy due to conflicting cultural health practices.

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