CALA Medication Management & Pharmacy Services

Question 1

In an assisted living facility, who is ultimately responsible for ensuring that medication administration policies comply with state regulations?

Accepted Answer

The Licensed Administrator

Answer

The Licensed Administrator bears ultimate accountability for all facility operations, including ensuring medication policies meet state regulatory requirements.

Question 2

What term describes the process of comparing a resident's medication orders against all medications the resident is actually receiving to identify discrepancies?

Accepted Answer

Medication reconciliation

Answer

Medication reconciliation is the formal process of comparing medication orders against what a resident is receiving to catch omissions, duplications, or dosing errors.

Question 3

Under the Controlled Substances Act, which DEA schedule includes medications with the highest accepted medical use but also high potential for abuse, such as hydrocodone combinations?

Accepted Answer

Schedule III

Answer

Hydrocodone combination products are classified as Schedule III substances, which have accepted medical use and moderate-to-low potential for physical dependence.

Question 4

A resident refuses to take a prescribed medication. What is the legally and ethically correct first action for facility staff to take?

Accepted Answer

Document the refusal and notify the prescribing physician

Answer

Respecting resident autonomy requires documenting the refusal and notifying the physician so the care plan can be updated; covert administration is illegal and unethical.

Question 5

Which type of medication order authorizes staff to administer a drug only when a specific condition or symptom occurs, rather than on a fixed schedule?

Accepted Answer

PRN order

Answer

PRN (pro re nata) orders direct staff to administer medication 'as needed' when a defined condition, such as pain above a threshold, is present.

(CALA) Certified Assisted Living Administrator Practice Test

(CALA) Certified Assisted Living Administrator Practice Test

CALA Medication Management & Pharmacy Services