AMAP Controlled Substances 2 — Questions and Answers
Question 1: What does the DEA schedule of a controlled substance primarily indicate?
- The medication's color and shape
- The drug's potential for abuse and accepted medical use (Correct answer)
- The cost of the medication
- The manufacturer's country of origin
Correct answer: The drug's potential for abuse and accepted medical use
DEA schedules classify controlled substances based on their medical use, potential for abuse, and likelihood of causing dependence.
Question 2: An AMAP must count controlled substances at the beginning of each shift. This process is known as:
- Medication reconciliation
- Narcotic count or controlled substance inventory (Correct answer)
- Medication therapy management
- Formulary review
Correct answer: Narcotic count or controlled substance inventory
The narcotic or controlled substance count verifies that the number of doses on hand matches documented records to detect any discrepancies.
Question 3: Which of the following is classified as a Schedule IV controlled substance?
- Morphine
- Cocaine
- Alprazolam (Xanax) (Correct answer)
- Heroin
Correct answer: Alprazolam (Xanax)
Alprazolam (Xanax) is a benzodiazepine classified as Schedule IV, indicating lower abuse potential than Schedule II or III drugs.
Question 4: When a controlled substance is wasted, what information must be recorded in the controlled substance log?
- Only the nurse's name
- Amount wasted, reason, date, time, and signatures of two witnesses (Correct answer)
- Resident's insurance information
- Pharmacy contact details only
Correct answer: Amount wasted, reason, date, time, and signatures of two witnesses
Complete waste documentation requires the amount, reason, date, time, and two witness signatures to maintain an accurate audit trail.
Question 5: Which agency is responsible for scheduling controlled substances at the federal level in the United States?
- FDA (Food and Drug Administration)
- CDC (Centers for Disease Control)
- DEA (Drug Enforcement Administration) (Correct answer)
- CMS (Centers for Medicare & Medicaid Services)
Correct answer: DEA (Drug Enforcement Administration)
The DEA enforces the Controlled Substances Act and is responsible for classifying drugs into schedules I through V.
Question 6: A resident refuses a scheduled controlled substance. The AMAP should:
- Crush it and mix it in food without telling the resident
- Document the refusal and notify the nurse (Correct answer)
- Administer it anyway since it is prescribed
- Save it and offer it again in an hour without documentation
Correct answer: Document the refusal and notify the nurse
Refusals must be documented in the medication record and the nurse must be notified so the care team can address the resident's needs.
Question 7: Which of the following is an example of appropriate handling of an unused portion of a liquid controlled substance?
- Pour it down the sink without documentation
- Return it to the pharmacy stock bottle
- Waste it per facility protocol with a witness and document the wasting (Correct answer)
- Save it in the medication cart for the next dose
Correct answer: Waste it per facility protocol with a witness and document the wasting
Unused portions of controlled substances must be wasted according to facility policy, with a witness present and documentation completed.
AMAP Controlled Substances 2
What does the DEA schedule of a controlled substance primarily indicate?