QMAP Patient Rights and Refusal

Question 1

An alert and competent resident tells the QMAP, "I don't want to take my blood pressure pill today, it makes me feel dizzy." What is the QMAP's most appropriate initial action?

Accepted Answer

Respect the resident's decision, document the refusal on the MAR, and report it to the supervisor.

Answer

Tell the resident they must take it because the doctor ordered it.

Answer

Crush the pill and mix it into their applesauce to make sure they get it.

Answer

Wait one hour and try to administer the medication again without discussion.

Question 2

Which of the following best describes a resident's 'right to be informed' regarding their medications?

Accepted Answer

The right to know the name of a medication and its purpose before it is administered.

Answer

The right to have a complete list of all other residents' medications.

Answer

The right to change the dose of their medication as they see fit.

Answer

The right to receive a detailed chemical breakdown of each medication.

Question 3

A QMAP who forces a competent resident to take medication against their express will could be committing which of the following?

Accepted Answer

Battery

Answer

Malpractice

Answer

Negligence

Answer

A HIPAA violation

Question 4

A resident has a history of sometimes hiding pills in their mouth and spitting them out later. This behavior is an example of:

Accepted Answer

Passive refusal

Answer

Active refusal

Answer

Implied consent

Answer

Medication diversion

Question 5

After a resident refuses their morning medication, what is the most critical documentation task for the QMAP?

Accepted Answer

Circle their initials on the MAR, and write the reason for the refusal on the back or in the notes section as per facility policy.

Answer

Write a detailed note in the facility's communication log about the resident's mood.

Answer

Call the resident's family to inform them of the refusal.

Answer

Ask the resident to sign a special refusal form for every dose they skip.

Question 6

Under Colorado regulations, a resident's right to refuse medication is guaranteed unless:

Accepted Answer

A physician or court has determined the resident lacks the capacity to make safe decisions.

Answer

The medication is for a life-threatening condition.

Answer

The resident's family provides written consent to administer it.

Answer

The medication is a simple over-the-counter remedy like aspirin.