Pre-registration Exam Paper 2: Applied Pharmacy Practice within a Clinical Framework

Pre-registration Exam Paper 2:…

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1. The investigation demonstrates that a 58-year-old patient, recently diagnosed with Type 2 Diabetes and hypertension, was counselled by a pharmacist on essential dietary changes and increased physical activity. At a follow-up consultation four weeks later, the patient admits he has made no changes, stating he feels overwhelmed by the advice. He also mentions he is considering trying a \"blood sugar balancing\" herbal tea recommended by a friend because it seems easier. He appears discouraged and questions the value of making significant lifestyle changes. What is the most appropriate initial action for the pharmacist to take to support this patient?

Acknowledge the patient's feelings of being overwhelmed, use motivational interviewing techniques to explore his personal motivations and barriers, and collaboratively set one small, achievable goal for the next two weeks.Reiterate the clinical importance of diet and exercise for managing diabetes and hypertension, providing him with more simplified leaflets and a link to an NHS-approved diet plan website.Advise the patient that the herbal tea is not evidence-based and could be harmful, and strongly recommend he adheres strictly to the originally advised medical and lifestyle plan to avoid complications.Immediately refer the patient back to his GP or a specialist diabetes nurse, explaining that he is non-adherent with the recommended lifestyle interventions.

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