RCFE - Residential Care Facility for the Elderly Medication Management Procedures Questions and Answers

Question 1

A staff member at a 20-bed RCFE discovers they gave a resident the wrong dosage of their morning medication. What is the MOST critical immediate action for the staff member to take?

Accepted Answer

Immediately notify the resident's physician and the facility administrator, and monitor the resident for any adverse reactions.

Answer

Document the error in the resident's file and on the Centrally Stored Medication and Destruction Record (LIC 622).

Answer

Wait to see if the resident shows any adverse effects before reporting the incident to avoid unnecessary alarm.

Answer

Ask the resident to take the correct dosage immediately to counteract the error.

Question 2

According to California's Health & Safety Code, what are the initial medication training requirements for a new staff member hired at an RCFE licensed for 12 residents?

Accepted Answer

6 hours of hands-on shadowing and 4 hours of other instruction within the first two weeks.

Answer

16 hours of hands-on training and 8 hours of instruction within the first four weeks.

Answer

8 hours of preparatory training and 8 hours of hands-on training within the first two weeks.

Answer

4 hours of instruction and passing an exam before handling any medications.

Question 3

Which of the following is a requirement for assisting a resident with a PRN (as-needed) non-prescription medication if the resident cannot determine their own need for it?

Accepted Answer

A written order from the physician must be on file, and staff must contact the physician before each dose.

Answer

The administrator can give verbal approval based on the resident's described symptoms.

Answer

The resident's family member can provide authorization for the staff to administer the medication.

Answer

As long as the instructions are on the product label, staff can assist the resident.

Question 4

A resident's prescription medication is discontinued by their physician. The medication is centrally stored at the facility. According to Title 22, what is the proper procedure for handling the discontinued medication?

Accepted Answer

The medication must be destroyed by the administrator and one other adult witness, with the event documented on a form like the LIC 622.

Answer

The medication should be immediately returned to the resident for them to dispose of.

Answer

The medication can be used for another resident if they have the same prescription.

Answer

The medication should be flushed down the toilet to ensure it cannot be misused.

Question 5

Under what circumstances must medications be centrally stored in a locked location within an RCFE?

Accepted Answer

When a physician determines a medication is hazardous if kept in the resident's possession.

Answer

Only when the medication is a controlled substance.

Answer

When the resident prefers the staff to manage their medications.

Answer

All medications for all residents must always be centrally stored.

Question 6

Which of the following actions is considered permissible "assistance with self-administration" of medications by RCFE staff?

Accepted Answer

Reminding a resident to take their medication and handing them the pre-filled container.

Answer

Crushing a tablet and mixing it into a resident's food without their knowledge to ensure they take it.

Answer

Administering an injection as long as the staff member has been trained by a nurse.

Answer

Altering a prescription label to make the instructions clearer for the resident.