ALF Medication Management Principles 2

Question 1

A resident's medication label reads 'Take 1 tablet by mouth twice daily.' The resident asks the med aide to crush the tablet into applesauce. What must be verified FIRST?

Accepted Answer

That the pharmacist or prescriber has confirmed the medication is safe to crush

Answer

Some formulations, such as extended-release or enteric-coated tablets, must never be crushed, so pharmacist or prescriber confirmation is required first.

Question 2

Which of the following is an example of a medication error that must be documented and reported in an assisted living facility?

Accepted Answer

A dose is given two hours after the scheduled time, outside the facility's allowable window

Answer

A dose administered outside the facility's acceptable time window is a wrong-time error requiring documentation and reporting.

Question 3

Under most state regulations, who may perform the initial assessment to determine whether a resident can safely self-administer medications?

Accepted Answer

A licensed health care professional, such as a nurse or physician

Answer

Determining self-administration capability is a clinical judgment that must be made by a licensed health care professional.

Question 4

A medication administration record (MAR) shows initials in a time slot but the medication cart count reveals the dose was never removed. This discrepancy is BEST described as:

Accepted Answer

A documentation error suggesting the dose was charted but not given

Answer

Initialing the MAR without administering the dose is a documentation/omission discrepancy that must be investigated.

Question 5

Which practice BEST reduces the risk of medication diversion of controlled substances in an assisted living facility?

Accepted Answer

Shift-to-shift counts of controlled substances by two staff members with documented reconciliation

Answer

Two-person shift counts with documented reconciliation create accountability that deters and detects diversion.

(ALF) Assisted Living Facility Administrator Certification Practice Test

(ALF) Assisted Living Facility Administrator Certification Practice Test

ALF Medication Management Principles 2