Step 3 UWSA Practice Exam

When adherence to antiseizure medication is the main issue, the most important step is to assess and address barriers to taking the medicine and to optimize the regimen for easier, safer use while reinforcing safety plans. Work with the family to identify why doses are missed—cost, access, complicated schedules, side effects, or forgetfulness—and then simplify the plan: consider once-daily or longer-acting formulations if available, use reminders or pill organizers, and provide clear, practical instructions and education for both the child and caregivers. Pair this with safety planning so the patient has a clear plan for seizures and knows what to do at home or at school, including any rescue medications if prescribed. Changing to a different drug class without tackling adherence, pursuing immediate surgical evaluation, or doing nothing and trial-and-error dosing all fail to address the root issue and can lead to continued seizures and increased risk.