QMAP Legal and Ethical Responsibilities

Question 1

A QMAP is asked by a resident's visiting family member about the purpose of a new medication the resident started. Which of the following is the QMAP's most appropriate response?

Accepted Answer

"I'm sorry, but due to resident confidentiality and privacy laws like HIPAA, I cannot share that information with you."

Answer

"It's for their blood pressure. We're hoping it helps keep the numbers in a good range."

Answer

"You will have to ask the resident directly if they wish to share that information with you."

Answer

"Let me get the nurse. They are the only one who can legally discuss medications with family."

Question 2

During a medication pass, a QMAP realizes they administered a resident's morning medication to the wrong person. What is the QMAP's immediate legal and ethical responsibility?

Accepted Answer

Immediately report the error to their supervisor or the facility nurse.

Answer

Document the error on the MAR and hope neither resident has an adverse reaction.

Answer

Ask the resident who received the wrong medication if they feel okay.

Answer

Administer the correct medication to the resident who missed it.

Question 3

Which of the following situations would require a QMAP in Colorado to make a mandatory report to law enforcement?

Accepted Answer

A resident has a new, unexplained bruise on their arm and seems fearful of a specific family member.

Answer

A resident complains that their roommate is always stealing their snacks.

Answer

A resident frequently argues with staff about their medication times.

Answer

A resident's family member is upset about the facility's visiting hours.

Question 4

A resident offers a QMAP a $20 bill as a 'thank you' for being so helpful with their medications. What is the most ethical action for the QMAP to take?

Accepted Answer

Politely decline the tip, explaining that it is against facility policy to accept gifts from residents.

Answer

Accept the money, as it is a gift and refusing would be rude.

Answer

Take the money and put it in the staff breakroom fund for everyone to share.

Answer

Suggest the resident give the money to the facility administrator instead.

Question 5

A QMAP is not authorized to make independent judgments about a resident's condition. Which of the following tasks falls outside the QMAP scope of practice for this reason?

Accepted Answer

Deciding to give a resident their prescribed PRN anxiety medication because they seem agitated.

Answer

Administering a pre-filled insulin pen after a nurse has dialed the correct dose.

Answer

Crushing a pill and mixing it with applesauce as directed by the physician's order and facility policy.

Answer

Applying a medicated patch to a resident's back according to the MAR.

Question 6

A resident's physician is on the phone and gives a new telephone order for an antibiotic to the QMAP. What is the legally correct action for the QMAP to take?

Accepted Answer

Politely inform the physician that they are not authorized to take telephone orders and that a licensed nurse must take the order.

Answer

Write the order down, read it back to the physician, and then transcribe it onto the MAR.

Answer

Ask the physician to hold while they find another QMAP to witness and verify the order.

Answer

Tell the physician to send the order via fax or electronic prescription to the pharmacy.

A QMAP is asked by a resident's visiting family member about the purpose of a new medication the resident started.Which of the following is the QMAP's most appropriate response?

A QMAP is asked by a resident's visiting family member about the purpose of a new medication the resident started.
Which of the following is the QMAP's most appropriate response?