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

OBRA '87 requires that nursing facility residents be free from unnecessary drugs, defined as those used in excessive dose, duration, or without adequate indication.

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

The Medication Administration Record (MAR) documents scheduled and PRN medication administration and is central to the consultant pharmacist's review.

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

Antipsychotics in LTC require documented clinical justification; CMS regulations target their inappropriate use in residents without qualifying diagnoses.

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

Dispensing a short initial supply reduces medication waste and cost when orders may change during the admission adjustment period.

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

OBRA '87 mandated the Resident Assessment Instrument (RAI), which includes the Minimum Data Set (MDS), for comprehensive resident assessment in nursing facilities.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Long-Term Care Pharmacy Services 2