MAP Controlled Substance Handling & Counting

Question 1

How should Schedule II controlled medications be stored in a residential program?

Accepted Answer

Under double lock, with access limited to authorized staff

Answer

Controlled substances require secure double-lock storage with restricted access. This helps prevent theft, diversion, and accidental misuse.

Question 2

When does a count of controlled substances typically occur?

Accepted Answer

At every shift change, by two authorized staff

Answer

Counts are done at every change of shift. The outgoing and incoming staff verify the quantity together and document it in the controlled substance log.

Question 3

At shift change, the count of a controlled medication does not match the log. What should staff do?

Accepted Answer

Recount, review recent entries, and if the discrepancy remains, report it immediately per policy

Answer

A discrepancy must be rechecked and, if unresolved, reported at once. It may indicate a documentation error, a medication error, or diversion. Altering the log hides the problem.

Question 4

A resident refuses a controlled medication that was already removed from its container. What is the correct action?

Accepted Answer

Dispose of it per policy with a witness and document the refusal and disposal

Answer

Once removed, a controlled medication must not be returned to stock. It is disposed of as policy directs, usually with a witness, and the refusal and disposal are documented so the count stays accurate.

Question 5

Why are controlled substances tracked more closely than other medications?

Accepted Answer

They have a higher potential for abuse and diversion

Answer

Controlled substances have a recognized potential for misuse, dependence, and diversion. This is why strict counting, storage, and documentation are required.

MAP - Medication Administration Program Certification Practice Test

MAP - Medication Administration Program Certification Practice Test

MAP Controlled Substance Handling & Counting