CALA Medication Management & Pharmacy Services 2

Question 1

An assisted living facility must store Schedule II controlled substances in a manner that meets DEA requirements. Which storage condition is mandatory?

Accepted Answer

Double-locked, substantially constructed cabinet

Answer

Refrigerated storage only

Answer

Locked medication cart accessible to all nurses

Answer

Sealed plastic bag in the medication room

Question 2

Which federal agency regulates the registration of assisted living facilities that store and dispense controlled substances?

Accepted Answer

Drug Enforcement Administration (DEA)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Food and Drug Administration (FDA)

Answer

State Board of Pharmacy

Question 3

When a controlled substance is wasted or a partial dose is administered, best practice in assisted living requires:

Accepted Answer

Two authorized staff members to witness and co-sign the waste documentation

Answer

A single nurse to document the waste in the medication administration record

Answer

The administrator to be notified before disposal

Answer

The unused portion to be returned to the pharmacy immediately

Question 4

A resident's physician calls to authorize a new medication verbally. What must assisted living staff do according to standard medication management protocols?

Accepted Answer

Document the verbal order and obtain a written or electronic order within the timeframe specified by state regulations

Answer

Administer the medication immediately without any documentation

Answer

Refuse to administer until a written order is received in advance

Answer

Have a family member sign consent before documenting

Question 5

Which of the following best describes polypharmacy, a major concern for assisted living administrators managing resident health outcomes?

Accepted Answer

The routine use of five or more medications simultaneously by one resident

Answer

The concurrent use of two or more medications from the same drug class

Answer

The administration of any medication without a physician order

Answer

The use of generic drugs instead of brand-name medications

Question 6

An administrator discovers that a staff member has been diverting controlled substances from the facility. The correct immediate action is to:

Accepted Answer

Remove the employee from access, report to law enforcement and the DEA, and cooperate fully with the investigation

Answer

Handle the matter internally through progressive discipline only

Answer

Quietly terminate the employee to avoid negative publicity

Answer

Wait for the next scheduled pharmacy audit to address the issue

Question 7

What is the purpose of a medication administration record (MAR) in an assisted living facility?

Accepted Answer

To provide a legal, chronological documentation of each medication given, refused, or held for each resident

Answer

To serve as the billing document for pharmacy services

Answer

To track pharmacy inventory and reorder points

Answer

To summarize quarterly pharmacist review findings