QMAP The Seven Rights 1 — Questions and Answers
Question 1: A QMAP is preparing to administer 9:00 AM medications. They notice the physician's order for a resident's medication does not specify the route of administration. Which of the 'Seven Rights' is missing and requires clarification before proceeding?
- Right Dose
- Right Time
- Right Route (Correct answer)
- Right Medication
Correct answer: Right Route
The 'Right Route' is a critical component of the Seven Rights, specifying how the medication is to be given (e.g., by mouth, topically). Without this information, the QMAP cannot safely administer the drug and must seek clarification.
Question 2: Which of the following actions best demonstrates the 'Right Documentation' principle of medication administration?
- Asking the resident for their full name and date of birth before giving the medication.
- Signing off on the Medication Administration Record (MAR) immediately after the resident has taken the medication. (Correct answer)
- Checking the medication label against the MAR three times before administration.
- Informing the resident about the medication they are about to receive.
Correct answer: Signing off on the Medication Administration Record (MAR) immediately after the resident has taken the medication.
The 'Right Documentation' right requires the QMAP to accurately record the medication administration immediately after it has occurred. This ensures the record is timely and reflects the action taken, preventing errors like double-dosing.
Question 3: A resident, who is alert and oriented, tells the QMAP, 'I don't want to take that pill today, it makes me feel dizzy.' Which of the 'Seven Rights' must the QMAP respect in this situation?
- Right to Refuse (Correct answer)
- Right Dose
- Right Person
- Right Time
Correct answer: Right to Refuse
A competent individual has the 'Right to Refuse' medication. In this scenario, the QMAP must respect the resident's decision, document the refusal according to facility policy, and report it to their supervisor or the appropriate healthcare professional.
Question 4: Before administering a medication, a QMAP checks the resident's wristband, asks for their name and date of birth, and compares this information to the Medication Administration Record (MAR). This process is a crucial step in ensuring which of the 'Seven Rights'?
- Right Dose
- Right Person/Client (Correct answer)
- Right Time
- Right Documentation
Correct answer: Right Person/Client
Verifying a resident's identity using at least two identifiers (like name and date of birth) and comparing it to the MAR is the correct procedure for ensuring you are administering medication to the 'Right Person/Client'.
Question 5: A physician's order reads: 'Lisinopril 20 mg by mouth daily'. When the QMAP prepares the medication, they find that the only available tablets are 10 mg. To administer the correct dose, the QMAP gives two 10 mg tablets. This action directly fulfills which of the 'Seven Rights'?
- Right Route
- Right Medication
- Right Dose (Correct answer)
- Right Documentation
Correct answer: Right Dose
The 'Right Dose' refers to administering the specific amount of medication prescribed by the physician. By calculating and providing the correct number of tablets to equal the ordered 20 mg, the QMAP is correctly adhering to the 'Right Dose'.
Question 6: The 'Seven Rights' of medication administration are a set of safety checks designed to prevent errors. Which of the following is NOT one of the standard 'Seven Rights' for a QMAP?
- Right Time
- Right Medication
- Right to Prescribe (Correct answer)
- Right to Refuse
Correct answer: Right to Prescribe
QMAPs are trained and qualified to administer medications, but they are not authorized to prescribe them. Prescribing medication is the role of a licensed practitioner like a doctor or nurse practitioner. The other options are all part of the standard 'Seven Rights'.
QMAP The Seven Rights 1
A QMAP is preparing to administer 9:00 AM medications.
They notice the physician's order for a resident's medication does not specify the route of administration.
Which of the 'Seven Rights' is missing and requires clarification before proceeding?