Assisted Living Medication Training Exam: Questions and Answers, Exams of Training and Development

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Assisted Living Medication Training Exam

Newest GUIDE Questions and Answers

(Verified Answers)

1. what are some important reasons for the training offered by this module Ans>> - -medications can be dangerous -many medications take by individuals may be unfamiliar to you -although most people don't follow formal rules and procedures when taking med- ications, rules are required by law and policy in your agency
2. describe the role that a physician, consultant pharmacist, and the licensed nurse each plays in a medication treatment program Ans>> -Physician prescribes the medication -a consultant pharmacist helps monitor the beneficial effect of medication vs. side effects -licensed nurse monitors the physical/emotional well being of patient

2 / and reports changes to physician

3. who is the only person qualified to dispense drugs to an individual or to a facilisty Ans>> pharmacist
4. who is qualified to prescribe medication Ans>> physician, dentist, or other practiced professionals
5. what are some learning experiences that could be linked to medication and medical issues? list 3 learning experiences Ans>> 1. increase sense of independence and self worth
6. measure of personal outcomes
7. best possible health
8. as a staff member you are not to make about medication. you are to and Ans>> judgements observe and report
9. medication administration is more than simply handing out drugs it should be looked as a cycle that include which 4 areas Ans>> 1. observation- how person acts before/after

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10. according to this module, what is one of the most important lessons for every staff member to learn regarding medication Ans>> the boundaries of authority and responsibility for their position. staff members must never attempt to perform tasks for which they are not trained
11. can an individual in a group home be give over the counter medication without a physicians order? why or why not Ans>> No a physicians order is requires because other persons are involved in the medication administration
12. how does the Food and drug act affect you at work Ans>> -every medication must have a label -look at additional colored labels that indicate a warning statement -if an individual takes the medication at more than one location, both containers must have labels contacting the description of contents, directions for use, quantity and expiration date
13. what are 2 categories of prescription drugs Ans>> -Noncontrolled : those which are considered safe for most people and therefore require a physician's order but are not likely to be addictive -controlled Ans>> those which are most likely to be addictive
14. who doest the controlled substance act of 1970 affect you in your wokr Ans>> -

5 / -controlled medication will have a warning statement on the label -controlled medications have limited refills -schedule II controlled medications require separate double lock storage and sepa- rate medication administration records

15. what are 3 practices to avoid when giving medications Ans>> 1. having people line up to receive medication
16. shouting out the names of individuals to come for medication
17. identification tags or bracelets
18. how does the principle of normalization apply to medication adminis- tration? Ans>> let the individual do as much as possible independently and assist the individual in an age appropriate manner whenever assistance is necessary
19. how does the principle of least restrictive alternative apply to medication administration Ans>> the individual has the right to do as much as possible for him/her self and the staff will assist and teach him/her to do the remainder
20. what do you need to know in order to observe effectively for abnormal symptoms and behaviors Ans>> -how does the individual look and act most of the time -what medication is being take and what is the desire effect -what potential side effects occur with this medication -what can you do to increase the effectiveness of the medication and decrease side effects

7 / aspirin, stomach antacid, cold medicatiosn

21. you as a staff member may be asked to administer medications but only upon delegation by Ans>> licensed nurse at your agency
22. list and explain the 6 R's of medication administration Ans>> RIGHT INDIVIDUAL never give medication to someone who is unfamiliar to you RIGHT DOSE the correct dosage of medication must be given in order to obtain the desired effects RIGHT TIME medications are scheduled at regular times to maintain consistent level of effectiveness RIGHT ROUTE direct service staff must ensure individuals are taking medication by the correct route RIGHT MEDICATION matching the label of the container with the medication administration record and prescription is one way to ensure that the right medication is taken RIGHT DOCUMENTATION each time a medication is administered, it must be documented

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23. what is a therapeutic range Ans>> the range in which a medication is usually effective with minimal side effects. such ranges provide a margin of safety for a person
24. list the speed of absorption for routes Ans>> 1. intramuscular injection
25. subcutaneous injection
26. intravenous injection
27. oral administration
28. anatomy and function of the skeletal system Ans>> bones joints body support, protect organs
29. anatomy and function of muscular system Ans>> muscles body movement
30. anatomy and function of nervous system Ans>> brain, spinal cord control body activity
31. anatomy and function of circulatory system Ans>> heart, blood carry oxygen to cells
32. anatomy and function of respiratory system Ans>> nose, lungs provide air
33. anatomy and function of reproductive system Ans>> ovary, uterus, testes create life
34. anatomy and function of urinary system Ans>> kidneys, bladder removes wastes
35. anatomy and function of gastrointestinal system Ans>> mouth, stomach, bowel digest food, remove wastes

10 / factors in the effect of a particular medication ILLNESS/DISEASE healthy individuals may excrete medications faster while per- sons with diseased organs may build up medications in the body causing overdose

37. what are the 3 broad effects of medication? describe each Ans>> DESIRED EF- FECTS what we want medication to accomplish SIDE EFFECTS effects produced by the medication other than the one for which it was prescribed NO APPARENT DESIRED EFFECTS; some individuals show no effect of medica- tion
38. what is an allergic reaction and what are some of its symptoms Ans>> when an individual is exposed to a foreign substance, the body may develop a reaction. when it occurs with a medication it is called an "allergic reaction" can be skin rash, diarrhea, itching or severe "anaphylactic shock" could be fatal
39. what is potentiation? Ans>> the joint action of 2 or more substances (ex. medications, alcohol, food) in which the total effect of the medication is greater than the effect of each medication acting independently
40. define antagonism Ans>> joint action of 2 or more substances (medications, alcohol, food)

11 / in which the total effect o the medications is less than the effect of medications independently

41. describe what is meant by "unique effect" of medication Ans>> 2 or more medica- tions given together may have an effect different than either one of them alone
42. list and describe 3 names a medication might have Ans>> BRAND the same mediation may have several trade or brand names depending on the companies selling the medication CHEMICAL the name by which a chemist can precisely identify the components o the medication GENERIC common name give to the medication before trade names are adopted. this name remains the same no matter which company sells it
43. what is the primary goal of infection control practices Ans>> to prevent illness or disease by preventing the infectious disease chain of events from continuing
44. the most important technique for infection control is thorough and fre- quent Ans>> hand washing
45. hand washing should occur for at least being sure to apply friction to all surfaces of the hands Ans>> 10-
46. standard precautions apply to Ans>> -blood -all body fluids, secretions, and excretions -nonintact skin

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47. list 4 general standard precautions Ans>> -protective barriers -hand washing -avoiding accidental cuts -cleaning and disinfecting
48. list the 3 main forms of protective barriers to utilize when you anticipate contact with blood or body fluids Ans>> -gloves -protective face or eye wear -gowns, aprons, or other protective clothing
49. list the 4 step procedure to be used when disinfecting and cleaning a contaminated surface Ans>> -wear household gloves -place paper towels over spill and wip hit up -fresh prepare bleach solution (1/4 c bleach & 1 gal water) -wash hands after
50. T/F standard precautions are used to decrease the possibility of exposure to blood borne pathogens Ans>> T
51. T/F the two main blood borne pathogen and hemophilia and sickle cell anemic Ans>> F - HIV and HBV
52. T/F standard precautions apply only to body fluids that are blood or blood stained Ans>> F

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53. T/F standard precautions are intended to supplement, not replace, routine infection control practices Ans>> T
54. T/F vinyl, latex gloves must be changed between person to contact, and should never be washed for reuse Ans>> T
55. what is negligence according to this module Ans>> negligence is the failure to give any care (omission) and/or the giving of poor care (comission_
56. medication policies and procedure are established to protect the , the and the Ans>> individual staff, member, agency
57. why must great care be taken to ensure the accuracy of the medication administration record? Ans>> because the records can be admitted into a court of law as evidence
58. what should you do if a physician calls you at your facility to give a verbal order? Ans>> refer him/her to the agency nurse or consultant pharmacist
59. what do staff need to know about medications they are administering? Ans>> - -what is the purpose and desired effect of the medication?

16 / -are there special storage or administrative procedures? -is it a controlled substance?

60. how do you verify that the medication label and the physician's order are the same Ans>> -by comparing the label directly to the physicians order -calling the agency nurse to verify the order if it doesn't accompany the medication
61. what information from the pharmacy label or the physicians order is tran- scribed onto the MAR Ans>> medication name, dose, when and how the medication is to be taken
62. what does PRN mean? Ans>> only as needed
63. describe procedures for giving over the counter medication Ans>> -check the standing order from the physician to see if the individual can take a medication for the symptom mentioned -follow outlined steps for oral/external medication -chart info on the MAR
64. what should be charted onto the MAR Ans>> medication, does, time taken, route, reason it was requested, effect the medication had
65. list at least 4 techniques you may use to achieve successful swallowing of medication Ans>> -have individual in sitting position -have imdivid take small sip of water before medication to moisten

17 / throat -if several tablets, have them take them one at a time -take sips of water after each tablet -have individual rest a minute or 2 after each tablet

66. list at least 3 techniques you could use to assist an individual who refuses to take medication Ans>> -accept the refusal initially and wait approximately 10 min to see if the imdivid. will independently decide to come for the medication -offer choices -repeat the offer of choices within the hr time span allotted for the medication -use the sandwich technique -use the premack principle
67. if the approaches or techniques you have used failed to convince the individual to take medication, what additional steps will you take? list at least 2 Ans>> -notify the nurse/supervisor per agency policy -chart medication that was refused -call team meeting to address the refusals -consider why individual in refusing? explain the importance and purpose of med- ication, and allow the individual time to think
68. what steps will you take as a staff member if you realize that you have committed a medication error? Ans>> notify the nurse/supervisor/pharmacist/physician according to agency policy and fill out a medication error report

19 / Ans>> wrong time

79. what are some considerations we may consider before medications to modify behavior are used Ans>> -is medication a first choice -is medication a permanent solution -is medication a complete solution
80. what is a "complete" solution to most challenging behaviors Ans>> a complete solution to most challenging behaviors is the learning of new, more adaptive patterns of behavior through as systematic teaching program
81. antibiotic are usually prescribe for 4-10 days to treat infections. ben re- ceived a prescription for amoxicillin for 10 days to treat a sore throat. while at his parent's home for the weekend, he did not take any. when he returned to the group home you would? Ans>> -continue the medication until all capsules are taken -put the capsules not taken over the weekend in a marked container to be destroyed by the pharmacist -notify the nurse/supervisor/pharmacist according to agency policy
82. you are joe's crew supervisor. today you notice several bruises on his arm you asked joe what happened but he doesn't know. this could be a possible side effect of which medication categories Ans>> anticonvulsant and steroids
83. when observing for effects of cardiovascular medication, you

20 / would? Ans>> - contact your agency nurse/supervisor before giving medication if pulse is below 60

84. relieve upset stomach Ans>> antacid
85. relieve constipation Ans>> laxative
86. reduce inflammation Ans>> steroids
87. control seizure Ans>> anticonvulsant
88. treat infection Ans>> antibiotic