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Developing and Maintaining Therapeutic Compliance
JOYCE BLACK
NOTE: This chapter corresponds to Chapter 35 in Fundamentals of Sleep Technology, 2nd edition.
1. Patient education is best described as the process that evolves from:
A. A physician telling a patient what to do
B. A team of health professionals telling a patient what to do
C. An exchange between health professionals and patients
D. An afternoon searching health-related Internet Web sites
2. The educational plan must include:
A. Results of the sleep study
B. Specific goals and outcomes
C. The type of device the patient will use
D. A schedule for payment for treatment devices
3. Asking the patient “What can you tell me about your condition?” is important and allows the technologist to assess the patient’s:
A. Basic knowledge and level of understanding
B. Family resources available to support treatment
C. Severity of sleep disorder
D. Motivation for improvement and treatment adherence
4. Asking the patient “What are your expectations?” is important and allows the technologist to:
A. Predict future compliance with treatment
B. Remind the patient to expect minimal improvement with his or her disorder
C. Set realistic goals
D. Limit the discussion to what the patient expects to discuss
5. Social factors that influence patient learning and adherence to treatment include religious beliefs, cultural values, employers, and:
A. Medications
B. Preexisting medical conditions
C. Family
D. A ramp option on the patient’s PAP device
6. Patient educational opportunities:
A. Begin when the patient receives his or her PAP device
B. Are limited to the clinic visits
C. Are available only when the physician is available
D. Begin with the initial clinic visit
7. Information overload may occur during the sleep test or provision of durable medical equipment (DME) such as PAP equipment. A good way to begin to alleviate the overload is to:
A. Motivate the patient by instilling a sense of fear if the device is not used
B. Speak loudly so the patient knows the information is important
C. Ask the patient to look at the technologist when the technologist is speaking
D. Provide written material for the patient to review when the patient gets home
8. Studies have shown that the most critical period for long-term treatment adherence is:
A. The first 24 to 72 hours after initiation of treatment
B. The first 3 months of treatment
C. The “7-month itch”
D. After the patient has discontinued treatment for a week or more
9. The most frequently used definition of PAP compliance is:
A. At least 2 hours per night on 50% of nights
B. At least 4 hours per night on 70% of nights
C. At least 7 hours per night on 90% of nights
D. All night every night
10. A “true” compliance meter on a CPAP device:
A. Is not really necessary
B. Measures how long the machine has been running
C. Measures the time the patient breathes on the machine
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