ANSWERS ALREADY GRADED A+. LATEST REAL EXAM
UPDATE.
What are the three principles of medication administration? -
->ANSWER->mindfulness, supporting abilities, communication
Who may act as a map consultant? ->ANSWER->a registered nurse, registered pharmacist, and an
hcp who is an authorized prescriber
What is the first thing you should do if a person refuses to take their medication? ->ANSWER->ask
them why they do not want to take it, then report that to the hcp and your supervisor
How do you correct a documentation error? ->ANSWER->draw a single line through the error, write
"error," and write your initials and document what you meant to write the first time
What are some examples of an identifier for a countable controlled medication? ->ANSWER->c
stamped, rx number starting with a c or n, or color-coded packaging
What type of supplement does not fall under map? -
->ANSWER->nutritional supplements
What type of supplement does fall under map? -
->ANSWER->dietary supplements
What factors may influence how someone responds to a medication? ->ANSWER->age, weight,
gender, general health, medical history, level of physical activity, and use of other medications
What are the sections of a count book? ->ANSWER->index, count sheets, and count signature
sheets
What are the steps for the shoulder-to-shoulder count procedure? ->ANSWER->1. Outgoing staff
holds count book and leads count
Incoming staff locates the corresponding tamper resistant pack of medication
Outgoing staff verifies directions listed on count page as accurate and verifies the amount in the
"amount left" column
Both staff verify number of pills remaining
Both staff inspect integrity of packaging
Steps 1-5 are repeated for each countable medication
Both staff sign the count signature sheet
How can we minimize chances of a medication occurrence involving the wrong time? ->ANSWER-
>use correct time boxes, administer in correct window, maintain frequency between prns, call map
consultant with questions, follow instructions/parameters
, How can we minimize chances of a medication occurrence involving the wrong route? ->ANSWER-
>look at all paperwork, separate medications by route, remain mindful
How do you prepare someone for an hcp appointment? -
->ANSWER->tell them date and time, what will happen, follow any ordered instructions
What should you make sure to bring to an hcp appointment? -
->ANSWER->person's insurance card, copy of medication list, hcp encounter/consult/order form
What should you do during an hcp appointment with a patient?
->ANSWER->assist of need and advocate, encourage participation, and support abilities
What do you do with information for an hcp telephone order? -
->ANSWER->document order word-for-word on telephone order
Form, read it back, transcribe the order, and provide pharmacy contact info
What does exhausting a current supply of medication mean? -
->ANSWER->if there is a change to dose or frequency of medication,
It is acceptable to use up the current supply of medication until new prescription is filled, as long as
that is approved by the pharmacist
What are the ways in which an hcp can provide a prescription to a pharmacy? ->ANSWER-
>electronic, telephone, paper
What should you do if a medication is different in color, shape, size, or markings from the last time it
was filled? -
->ANSWER->contact map consultant before administering
What should you do if the pharmacy will not allow the correct dose to be administered? -
>ANSWER->return the medication to the pharmacy and obtain the correct strength
When should you request a medication refill? ->ANSWER->when there is no less than a seven-day
supply of medication remaining
What should you do when the last refill of a medication is obtained? ->ANSWER->contact the hcp
and request a new prescription
How must countable medication be stored? ->ANSWER->double key locked in tamper resistant
packaging
When and why do you complete an accuracy check? -
->ANSWER->prior to the first medication administration of the new month, two staff (ideally
together) will check the new months med sheets for accuracy and to ensure all ongoing
transcriptions were copied onto the new sheet
When are acceptable medication sheet codes used? -
->ANSWER->when a medication is administered at a location other
Than the home, the person is learning to self-administer their medication, or the person was not