CCP Long-Term Care Pharmacy Services 2

Question 1

Under OBRA '87, a nursing facility must ensure that each resident's drug regimen is free from what?

Accepted Answer

Unnecessary drugs

Answer

Generic substitutions

Answer

Over-the-counter medications

Answer

Polypharmacy with fewer than 5 drugs

Question 2

Which documentation is the primary tool a consultant pharmacist uses to track medication therapy changes in a long-term care facility?

Accepted Answer

Medication Administration Record (MAR)

Answer

Pharmacy benefit manager (PBM) claim log

Answer

Patient financial statement

Answer

Hospital discharge summary only

Question 3

A resident in a SNF is prescribed haloperidol for 'agitation.' The consultant pharmacist should first assess whether the resident has a documented diagnosis of what?

Accepted Answer

A specific psychiatric or behavioral condition justifying antipsychotic use

Answer

Hypertension

Answer

Diabetes mellitus

Answer

Osteoporosis

Question 4

A long-term care pharmacy dispenses medications in 30-day cycles. When a resident is newly admitted, what is the standard approach for the initial supply?

Accepted Answer

Dispense a short supply (e.g., 3–7 days) to minimize waste if therapy changes

Answer

Dispense a full 30-day supply immediately

Answer

Dispense a 90-day supply to reduce dispensing frequency

Answer

Hold all medications pending physician confirmation

Question 5

Which federal regulation requires long-term care facilities to conduct a comprehensive assessment of each resident using the MDS?

Accepted Answer

OBRA '87

Answer

HIPAA

Answer

Medicare Part D

Answer

FDCA

Question 6

When performing a drug regimen review (DRR), the consultant pharmacist identifies a potential drug interaction. The appropriate next step is to:

Accepted Answer

Document the finding and communicate it to the attending physician and nursing staff

Answer

Immediately discontinue the suspect medication

Answer

Notify the state pharmacy board only

Answer

File a report with the FDA MedWatch program

Question 7

A skilled nursing facility resident receives a prescription for a controlled substance. Under federal law, how must this medication be stored at the facility?

Accepted Answer

In a locked cabinet or safe separate from other medications

Answer

In the resident's personal dresser drawer

Answer

In an unlocked medication cart during the day shift

Answer

Refrigerated with other Schedule III drugs