CMT Documentation and Reporting 2

Question 1

A resident refuses their scheduled medication. What must the medication technician document?

Accepted Answer

The refusal, reason given, and nurse notified

Answer

Only that the medication was not given

Answer

The refusal and a plan to give it later

Answer

Nothing, since the resident refused

Question 2

Which abbreviation is on the Joint Commission's 'Do Not Use' list due to misinterpretation risk?

Accepted Answer

U (for units)

Answer

mg

Answer

mL

Answer

tab

Question 3

After giving a PRN medication, what additional documentation is required compared to a routine medication?

Accepted Answer

The resident's response or effectiveness must be recorded

Answer

A physician co-signature is required

Answer

The route must be documented twice

Answer

Nothing additional is required

Question 4

A medication technician notices a discrepancy between the MAR and the medication bottle label. What is the correct action?

Accepted Answer

Withhold the medication and report to the nurse immediately

Answer

Give the medication listed on the bottle

Answer

Correct the MAR to match the bottle

Answer

Give whichever dose is lower for safety

Question 5

What does the term 'late entry' mean in medical documentation?

Accepted Answer

A note added after the fact to record information that was omitted at the time of care

Answer

An entry written past the facility's shift-change deadline

Answer

A notation that a medication was given late

Answer

Documentation written by the oncoming shift nurse

Question 6

Which of the following is the correct way to correct a handwritten error on a paper MAR?

Accepted Answer

Draw a single line through the error, initial, and date it

Answer

Use correction fluid to cover the mistake neatly

Answer

Erase the error completely before rewriting

Answer

Cross out with multiple lines so it is unreadable

Question 7

A medication technician administered a medication to the wrong resident. After ensuring the resident's safety, what is the FIRST documentation step?

Accepted Answer

Complete an incident or occurrence report

Answer

Delete the entry from the MAR

Answer

Document on the MAR that no error occurred

Answer

Wait for the nurse to document the event