CMT Exam Study Guide

CMT Exam Study Guide List the 4 reasons that medications are used - ✔✔ 1. to cure 2. to prevent 3. to manage 4. to relieve/reduce List the 4 basic rules - ✔✔ 1. Attend an MTTP class and be certified by the Marylan ...

CMT Exam Study Guide List the 4 reasons that medications are used - ✔✔ 1. to cure 2. to prevent 3. to manage 4. to relieve/reduce List the 4 basic rules - ✔✔ 1. Attend an MTTP class and be certified by the Maryland Nursing Board 2. Only a DN can delegate to CMT's 3. All prescription meds must have a Dr. order and a label 4. All Over the Counter Meds must have a Dr. Order and a Label List 8 components of the Medication Cycle - ✔✔ 1. Observe the person 2. Report Observations 3. assist in Dr. visits 4. Obtain Meds from pharmacy 5. Store meds safely 6. Administer meds correctly 7. Ensure meds are taken 8. Document correctly List 4 guidelines for ensuring an individuals rights - ✔✔ 1. Address the individual by name 2. Offer privacy during medication administration 3. Keep meds in a secure non public area 4. Do not hang medication records on wall List 3 effects of medication and give an example - ✔✔1. Desired- cough medicine relieves cough 2. Unwanted - cough medicine relieves cough but gives the pt diarrhea 3. No apparent- give cough medicine no effect Define an "objective sign" and give an example - ✔✔something measurable or observable with the pt; the pt has high blood pressure Define a "Subjective Symptom" and give an example - ✔✔Something the pt reports to us; abdominal pain List 3 examples of physical changes - ✔✔1. Weight Loss 2. Loss of appetite 3. fever List 3 examples of behavioral examples - ✔✔1. agitation 2. change in sleep pattern 3. changes in activity How frequently must non-psychotropic medications be reordered? - ✔✔90 days How frequently must psychotropic medications be reordered? - ✔✔90 days List 3 categories of changes that must be reported - ✔✔1. physical and behavioral changes 2. emergency 3. non-emergency List 4 conditions that are always considered emergency medical conditions - ✔✔1. uncontrollable bleeding 2. seizures that last longer than 5 minutes 3. seizures in water 4. one seizure after another List 3 physical conditions that are considered non emergency medical conditions - ✔✔1. fever greater than 101 degrees 2. 2 episodes of diarrhea in a 24 hr period 3. new onset of rash List 3 behavioral conditions that are considered non emergency medical conditions - ✔✔1. increase in behaviors 2. changes in sleep habits 3. scratching List 6 pieces of information that must be provided to the Dr. at the time of the appointment - ✔✔1. Insurance Card 2. Photo ID 3. Labs that the Dr. ordered 4. List of all the meds 5. Allergies 6. Diet List 6 questions to ask the Dr. when a new medication is prescribed - ✔✔1. What are the side effects 2. What is it for 3. How long before it works 4. Are there any special instructions 5. Are there any drug interactions 6. How is it to be administered What 2 documents must you receive from the Dr. when a new medication is prescribed - ✔✔1. Prescription 2. Medical appt sheet List 3 factors that affect how an individual responds to medication - ✔✔1. age 2. weight 3. health condition True or False: Enteric Coated Tablets may be crushed to ease swallowing - ✔✔False Define Local action of medication - ✔✔It works where it is put Define General/Systemic action of medication - ✔✔It gets absorbed into the blood stream and works everywhere Define Controlled Substances - ✔✔a substance deemed to have a higher risk of abuse How must controlled substances be stored - ✔✔double locked; a locked box inside of a locked cabinet True or False: Vitamins or Herbal supplements may be given without a Dr. order - ✔✔False List 4 possible unwanted effects of medication - ✔✔1. Medication Allergy 2. Cumulative Effect 3. Tolerance 4. Addiction True or False: Medications must be dispensed in bubble packagin unless otherwise specified in the clients IP - ✔✔False True or False: The MAR is a legal document - ✔✔True True or False: It is OK to erase or use whiteout on the MAR to correct errors - ✔✔False True or False: The administration of Schedule II/ Controlled substances must be documented only on the MAR - ✔✔False True or False: The RN may direct you to alter the pharmacy label - ✔✔False True or False: All medications must be stored in a locked area - ✔✔True True or False: Disposal of Schedule II/ Controlled substances may only be done by the House Manager - ✔✔False List the "six rights of medication" - ✔✔1. Right Person 2. Right Medication 3. Right Dose 4. Right Method/Route 5. Right Time 6. Right Charting List 5 additional safety principles - ✔✔1. Hand Washing 2. Full attention 3. Never pre-pour meds 4. Administer meds that have been prepared by me only 5. Chart immediately after I give each dose of medicine True or False: You must wash your hands before you administer medicine to an individual - ✔✔True True or False: A guideline for how long to wash your hands is to sing Happy Birthday Twice - ✔✔True True or False: Check for drug allergies before administering medications to an individual - ✔✔True True or False: It is OK to mix medicines with applesauce to encourage compliance - ✔✔False List 3 reasons NOT to give medications - ✔✔1. If meds are expired 2. if meds are contaminated 3. If the individual exhibits behavioral and/or physical changes True or False: Only the Nurse can authorize the administration of a PRN medication - ✔✔True True or False: PRN orders may be written for medications to control behaviors - ✔✔False True or False: A CMT may take a telephone order from a Dr. - ✔✔False True or False: A CMT may fill a Medi-Planner for a clients LOA - ✔✔False