1.
What should you do if a family brings in medication that does not have a label from a pharmacy?
Correct Answer
B. Do not use the medication, explain how it must be labeled, and ask the family to return with it properly labeled
Explanation
If a family brings in medication that does not have a label from a pharmacy, the correct course of action is to not use the medication. Instead, explain to the family that the medication must be properly labeled and ask them to return with it labeled correctly. This is important for ensuring the safety and proper administration of the medication.
2.
Are physician orders required to give a medication?
Correct Answer
A. Yes
Explanation
Physician orders are required to give a medication. This is because medications are regulated substances that can have potential risks and side effects. Therefore, a physician's expertise and prescription are necessary to ensure the medication is appropriate for the patient's condition and to provide proper dosage instructions. Over-the-counter medications like Tylenol or aspirin may not require a physician's order, but for most medications, a prescription is needed.
3.
What medications must be written onto the Centrally Stored Medication Record?
Correct Answer
A. Any medication which is centrally stored
Explanation
The correct answer is "Any medication which is centrally stored." This means that any medication that is stored in a central location must be written onto the Centrally Stored Medication Record. This is important for keeping track of all medications in a centralized system and ensuring that they are properly documented and accounted for. It does not matter if the medication is over the counter or prescription, as long as it is centrally stored, it needs to be recorded. The other options provided in the question are incorrect as they do not encompass all medications that should be included in the record.
4.
When a medication is refilled, you should:
Correct Answer
D. All of the above
Explanation
When a medication is refilled, it is important to log it onto the LIC 622 Centrally Stored Medication Record to keep track of the medication usage and ensure accurate documentation. Discussing any changes with the resident is crucial to ensure their understanding and consent regarding the medication refill. Inspecting the container to be sure all information is correct is necessary to avoid any errors or discrepancies in the medication. Therefore, all of the above actions should be taken when a medication is refilled.
5.
Prescription labels may be altered by:
Correct Answer
D. None of the above
Explanation
The correct answer is "None of the above" because prescription labels should not be altered by community staff, the administrator, or the resident. Altering prescription labels can lead to medication errors and jeopardize the safety and well-being of the individual taking the medication. Only qualified healthcare professionals, such as pharmacists or doctors, should make any changes to prescription labels.
6.
When a medication is discontinued permanently, you must have:
Correct Answer
A. A pHysician order
Explanation
When a medication is discontinued permanently, it is essential to have a physician order. This is because only a physician is authorized to make decisions regarding a patient's medication regimen. The physician evaluates the patient's condition, considers the potential risks and benefits, and determines if discontinuing the medication is appropriate. Therefore, a physician order is necessary to ensure that the medication is discontinued safely and under proper medical supervision.
7.
When a medication is discontinued permanently, it must be:
Correct Answer
B. Destroyed or returned to the pHarmacy
Explanation
When a medication is discontinued permanently, it must be destroyed or returned to the pharmacy. This is because medications that are no longer needed or expired can pose risks if they are not disposed of properly. Returning the medication to the pharmacy ensures that it can be disposed of safely according to proper guidelines. Alternatively, destroying the medication ensures that it cannot be misused or accidentally taken by someone else. Giving the medication to a charitable organization, family, or resident is not appropriate as it can lead to potential harm or misuse.
8.
When a medication is temporarily discontinued, it must be:
Correct Answer
D. None of the above
Explanation
When a medication is temporarily discontinued, it does not necessarily need to be destroyed, returned to the pharmacy, or given to the family. The appropriate action depends on the specific circumstances and the instructions given by the healthcare provider. It could involve safely storing the medication at home, bringing it back to the pharmacy for disposal, or following any other specific instructions provided. Therefore, none of the options mentioned in the question are universally applicable when a medication is temporarily discontinued.
9.
What kind of medications has an expiration date?
Correct Answer
A. All medications
Explanation
All medications have an expiration date because over time, the chemical composition of medications can change, making them less effective or potentially harmful. This can be due to factors such as exposure to light, heat, or moisture. Therefore, it is important to check the expiration date on medications and dispose of any that have expired to ensure their safety and effectiveness.
10.
When a resident transfers out of the community:
Correct Answer
C. Whenever possible it should go with the resident or responsible person or authorized representative, according to CCL guidelines
Explanation
When a resident transfers out of the community, it is recommended that the medication goes with the resident or a responsible person or authorized representative. This is in accordance with CCL (Community Care Licensing) guidelines. The medication should not be given to the responsible party to take to the new location or destroyed unless it is necessary.
11.
When a medication is transferred with a resident, the medication should:
Correct Answer
A. Be counted
Explanation
When a medication is transferred with a resident, it is important to count the medication to ensure that the correct amount is being transferred. This helps in maintaining accurate records and preventing any discrepancies. However, there is no requirement to place the medication in a different container or destroy it immediately. Similarly, returning the medication to the family is not necessary unless instructed by the healthcare provider. The focus here is on counting the medication accurately during the transfer process.
12.
If a resident refuses to take his medication
Correct Answer
D. None of the above
Explanation
Forcing medication into a resident's mouth and forcing them to swallow using gentle pressure is not an appropriate or ethical approach. It is important to respect the autonomy and choices of the resident. Instead, if a resident refuses to take their medication, it is recommended to document the refusal, inform the physician, and explore alternative options such as discussing the concerns with the resident, involving their family or caregivers, or seeking advice from a pharmacist or healthcare professional. Therefore, the correct answer is "None of the above."
13.
If a resident continually refuses medication, it may be necessary to:
Correct Answer
B. Reassess the resident
Explanation
If a resident continually refuses medication, it may be necessary to reassess the resident. This means that the healthcare provider should evaluate the reasons behind the resident's refusal and determine if there are any underlying issues or concerns that need to be addressed. By reassessing the resident, the healthcare provider can develop a better understanding of their needs and preferences, and explore alternative methods of medication administration or interventions to ensure the resident's health and well-being. This approach prioritizes the resident's autonomy and promotes person-centered care.
14.
In order to crush a medication, you must have:
Correct Answer
B. A pHysician order
Explanation
In order to crush a medication, a physician order is required. This is because crushing medication can alter its effectiveness and may have adverse effects on the patient. A physician order ensures that the medication is being crushed for a valid medical reason and that the appropriate dosage and administration method are followed. Without a physician order, crushing medication can be unsafe and may lead to potential harm for the patient.
15.
If a resident has provided the community with a signed physician statement indicating his ability to determine his need for PRN medications, can clearly communicate his need for an "as needed" medication, and you have a complete physician order to give the medication, you:
Correct Answer
A. May assist with the medication as ordered
Explanation
If a resident has provided a signed physician statement indicating their ability to determine their need for PRN medications, can clearly communicate their need for an "as needed" medication, and there is a complete physician order to give the medication, the caregiver may assist with the medication as ordered. This means that they can administer the PRN medication without having to call the physician each time prior to giving it.
16.
When a medication is an injectable, like insulin, it may be given by:
Correct Answer
D. None of the above
Explanation
This question is asking who is allowed to administer injectable medications like insulin. The correct answer is "None of the above." This means that none of the options provided - any living relative of the resident, a certified medical assistant, or a currently certified administrator - are allowed to administer injectable medications. This suggests that only qualified medical professionals, such as nurses or doctors, are authorized to administer injectable medications.
17.
Injections are:
Correct Answer
C. Allowed only if the resident can self inject or it is given by a licensed nurse or pHysician
Explanation
Injections in a residential care community are allowed only if the resident is capable of self-injecting or if it is administered by a licensed nurse or physician. This ensures that injections are safely and properly administered to the residents.
18.
Herbal Medications:
Correct Answer
C. Must be centrally stored to the extent that prescription medications are centrally stored
Explanation
Herbal medications must be centrally stored to the extent that prescription medications are centrally stored. This means that if prescription medications are required to be stored in a centralized location, then herbal medications should also be stored in a similar manner. The reason behind this is to ensure proper control, safety, and accessibility of both types of medications. It also helps to prevent unauthorized access and potential misuse of herbal medications.
19.
When assisting a resident with medication, the caregiver:
Correct Answer
B. Is required to verify if the medication was consumed
Explanation
The caregiver is required to verify if the medication was consumed because it is important to ensure that the resident has taken the medication as prescribed. This helps to monitor the resident's health and prevent any potential medication errors or missed doses. Simply handling the medication or leaving it in the resident's room is not enough to fulfill the caregiver's responsibility in assisting with medication administration.
20.
When a resident goes on an outing you may:
Correct Answer
A. Send one dose of the medication
Explanation
When a resident goes on an outing, it is necessary to send one dose of the medication with them. This ensures that the resident has access to their medication while they are away from the facility. Sending one day of medication may not be sufficient if the outing lasts longer than a day, and not sending any medication out of the facility would leave the resident without their necessary medication during the outing.