QMAP Patient Rights and Refusal 2

Question 1

A resident consistently refuses morning medications but accepts evening ones. What should the QMAP document?

Accepted Answer

Each refusal with time, stated reason, and nurse notification

Answer

Every refusal must be individually documented with specific details.

Question 2

Under which circumstance can a QMAP administer medication without consent?

Accepted Answer

Only in a genuine emergency where the resident cannot consent and delay would endanger life

Answer

Only in true emergencies: the resident cannot consent, no guardian is available, and delay would threaten life.

Question 3

A healthcare POA requests withholding medication from a resident with dementia. What should the QMAP do?

Accepted Answer

Follow the POA's direction after confirming with the supervising nurse that the request is documented

Answer

When a resident lacks decision-making capacity, their legally authorized POA has authority over healthcare decisions.

Question 4

Which best describes the right to "informed refusal"?

Accepted Answer

Right to refuse medication after being fully informed about consequences

Answer

Informed refusal means the resident has been told about consequences of not taking medication and still declines.

Question 5

A fully alert resident refuses their prescribed insulin and understands the risks. What is the QMAP's final obligation?

Accepted Answer

Document the refusal, notify the supervising nurse, and monitor for hyperglycemia

Answer

After documenting and notifying the nurse, continue monitoring for complications related to the missed medication.

QMAP - Qualified Medication Administration Person Practice Test