TX LCPAA CERTIFICATION PAPER 2026
FULL SOLUTION GRADED A+
● Where must a child's medication records be maintained? Answer: The
foster parents must maintain at the foster home the child's medication
records for the current month. [Medium-Low] (b) Foster parents must
submit copies of the child's medication records to you each month. You
must file these medication records in the child's record. [Medium-Low]
(c) You must maintain copies of all the child's medication records for the
length of time that you provide services to the child.
● What must a caregiver do if the caregiver finds a medication error?
Answer: ) If a caregiver finds a medication error regarding a prescribed
medication, the caregiver must contact a health-care professional
immediately, unlessA child receives medication at the wrong time; or (5)
A medication dose is skipped or missed.
A caregiver must document the following within 24 hours....
● What must a caregiver do if the caregiver finds a medication label
error? Answer: (1) Report the error to the pharmacist [Medium]; and (2)
Have the label on the medication container corrected as soon as possible
but no later than the next business day
● What must caregivers do if a child has an adverse reaction to a
medication? Answer: Immediately report the reaction to a health-care
,professional and the child's parent, Document in the child's medical
record
● What must a caregiver do if a child experiences side effects from any
medications? Answer: Document the observed and reported side effects
[Medium-High]; (2) Immediately report any serious side effects to the
child's prescribing health care professional and the child's parent
[Medium-High]; and (3) Report any other side effect to the prescribing
health-care professional within 72 hours.
● What are the requirements if a physician orders administration of a
psychotropic medication to a child in an emergency and when must you
notify the parents? Answer: ) If a physician has made a determination
that there is an emergencyand the emergency requires the administration
of a psychotropic medication, then you must follow the physician's
orders and do not have to obtain consent prior to the administration of
the medication.) Within 72 hours after you have administered the
medication, you must notify the parent and the person legally authorized
to give medical consent.The physician's statement regarding the
emergency and the prescription must be documented in the child's record
● If my agency employs or contracts with a health-care professional who
prescribes psychotropic medications to a child in care, what are the
requirements for evaluating whether a child should continue taking a
psychotropic medication? Answer: ) If the health-care professional does
not substantiate the effectiveness of a specific psychotropic medication
within 90 days, the health-care professional must provide a written
rationale for continuing the medication for an additional period. The
, continuation of the medication may not exceed an additional 90 days
(for a total of 180 days) if the health-care professional does not
substantiate effectiveness
● What is a protective device? Answer: Protects a person from
involuntary self-injurious behavior or permits wounds to heal; and (2)
Does not prohibit a person's mobility.Examples of a protective device
are helmets, elbow guards, mittens, and wheelchair seat belts.
● May I use protective devices? Answer: You may use protective
devices if a licensed physician orders their use for a specific child. The
orders must indicate the circumstances under which the protective
device is permitted.You must document the use of protective devices in
the child's record, service plan, and service plan reviews.
● Can a physician provide PRN orders with respect to protective
devices? Answer: A licensed physician ordering protective devices may
use PRN orders. The physician must review PRN orders for protective
devices at least every 90 days
● What is a supportive device? Answer: ) A supportive device used: (1)
To support a person's posture; (2) To assist a person who cannot obtain
and/or maintain normal physical functioning to improve his mobility and
independent functioning; or (3) As an adjunct to proper care and
treatment, for example physical therapy. (b) The purpose of a supportive
device is not to restrict movement.
FULL SOLUTION GRADED A+
● Where must a child's medication records be maintained? Answer: The
foster parents must maintain at the foster home the child's medication
records for the current month. [Medium-Low] (b) Foster parents must
submit copies of the child's medication records to you each month. You
must file these medication records in the child's record. [Medium-Low]
(c) You must maintain copies of all the child's medication records for the
length of time that you provide services to the child.
● What must a caregiver do if the caregiver finds a medication error?
Answer: ) If a caregiver finds a medication error regarding a prescribed
medication, the caregiver must contact a health-care professional
immediately, unlessA child receives medication at the wrong time; or (5)
A medication dose is skipped or missed.
A caregiver must document the following within 24 hours....
● What must a caregiver do if the caregiver finds a medication label
error? Answer: (1) Report the error to the pharmacist [Medium]; and (2)
Have the label on the medication container corrected as soon as possible
but no later than the next business day
● What must caregivers do if a child has an adverse reaction to a
medication? Answer: Immediately report the reaction to a health-care
,professional and the child's parent, Document in the child's medical
record
● What must a caregiver do if a child experiences side effects from any
medications? Answer: Document the observed and reported side effects
[Medium-High]; (2) Immediately report any serious side effects to the
child's prescribing health care professional and the child's parent
[Medium-High]; and (3) Report any other side effect to the prescribing
health-care professional within 72 hours.
● What are the requirements if a physician orders administration of a
psychotropic medication to a child in an emergency and when must you
notify the parents? Answer: ) If a physician has made a determination
that there is an emergencyand the emergency requires the administration
of a psychotropic medication, then you must follow the physician's
orders and do not have to obtain consent prior to the administration of
the medication.) Within 72 hours after you have administered the
medication, you must notify the parent and the person legally authorized
to give medical consent.The physician's statement regarding the
emergency and the prescription must be documented in the child's record
● If my agency employs or contracts with a health-care professional who
prescribes psychotropic medications to a child in care, what are the
requirements for evaluating whether a child should continue taking a
psychotropic medication? Answer: ) If the health-care professional does
not substantiate the effectiveness of a specific psychotropic medication
within 90 days, the health-care professional must provide a written
rationale for continuing the medication for an additional period. The
, continuation of the medication may not exceed an additional 90 days
(for a total of 180 days) if the health-care professional does not
substantiate effectiveness
● What is a protective device? Answer: Protects a person from
involuntary self-injurious behavior or permits wounds to heal; and (2)
Does not prohibit a person's mobility.Examples of a protective device
are helmets, elbow guards, mittens, and wheelchair seat belts.
● May I use protective devices? Answer: You may use protective
devices if a licensed physician orders their use for a specific child. The
orders must indicate the circumstances under which the protective
device is permitted.You must document the use of protective devices in
the child's record, service plan, and service plan reviews.
● Can a physician provide PRN orders with respect to protective
devices? Answer: A licensed physician ordering protective devices may
use PRN orders. The physician must review PRN orders for protective
devices at least every 90 days
● What is a supportive device? Answer: ) A supportive device used: (1)
To support a person's posture; (2) To assist a person who cannot obtain
and/or maintain normal physical functioning to improve his mobility and
independent functioning; or (3) As an adjunct to proper care and
treatment, for example physical therapy. (b) The purpose of a supportive
device is not to restrict movement.
