STRTP Medication Management and Psychiatric Services 2

Question 1

Which of the following is a key responsibility of STRTP direct care staff regarding medication side effects?

Accepted Answer

Monitoring residents for side effects and promptly reporting concerns to clinical or medical staff

Answer

Adjusting medication doses based on observed side effects without physician input

Answer

Discontinuing medications if a resident complains of discomfort

Answer

Documenting side effects only in the monthly summary report

Question 2

What action should STRTP staff take if a resident refuses to take a prescribed medication?

Accepted Answer

Document the refusal, notify clinical staff, and attempt to understand and address the resident's concerns

Answer

Force the medication to ensure therapeutic compliance

Answer

Discharge the resident for non-compliance

Answer

Substitute an over-the-counter alternative without physician approval

Question 3

In an STRTP, polypharmacy concerns are addressed by ensuring that:

Accepted Answer

The prescribing psychiatrist regularly reviews the necessity and interactions of each medication in the regimen

Answer

All residents receive a standard medication protocol regardless of individual diagnosis

Answer

Medications from multiple prescribers are combined without cross-checking

Answer

Families select which medications the resident will receive

Question 4

What must an STRTP do with medications when a resident is discharged?

Accepted Answer

Return unused medications to the resident or their authorized representative and document the transfer

Answer

Dispose of all medications regardless of their status

Answer

Keep all medications for future residents with similar diagnoses

Answer

Transfer medications directly to the next placement without notifying the resident

Question 5

Which personnel in an STRTP is legally authorized to administer prescription medications in California?

Accepted Answer

Licensed nurses, physicians, or staff with documented training per a physician's delegation order

Answer

Any adult staff member who has received informal on-the-job training

Answer

Only the program director after reviewing the medication

Answer

Any staff member holding a CPR certification

Question 6

A resident in an STRTP is prescribed a new antipsychotic medication. Which clinical action should occur before the medication is started?

Accepted Answer

Baseline physical and metabolic assessment to identify pre-existing conditions

Answer

A 90-day observation period with no medication

Answer

Approval from the resident's school district

Answer

Review of the medication cost with the county billing department

Question 7

What is the purpose of maintaining a 'controlled substance log' in an STRTP?

Accepted Answer

To track all scheduled (controlled) medications and account for every dose dispensed, administered, or wasted

Answer

To record only medications that residents have refused

Answer

To document the purchase price of medications for billing

Answer

To list medications available for PRN use only