Qualified Medication Aides (QMA) Practice Exam

When starting a resident on a new antipsychotic medication, who is responsible for administering the first dose?

1. The resident themselves

2. The nurse should give the first dose to assess side effects

3. The caregiver should give the first dose

4. Any available staff member

The correct answer is: The nurse should give the first dose to assess side effects

The nurse is responsible for administering the first dose of a new antipsychotic medication to a resident because they are trained to assess and monitor for any immediate side effects or adverse reactions that may occur. This is critical, as antipsychotic medications can have unpredictable effects, and a healthcare professional is best equipped to identify and manage these potential issues. By being present during the administration of the first dose, the nurse can closely observe the resident for any signs of adverse reactions, such as changes in mental status, mood swings, or physical symptoms. Additionally, the nurse can provide immediate intervention if any concerning symptoms arise, ensuring the safety and well-being of the resident. Assigning this responsibility to the nurse, rather than allowing the resident, caregiver, or any available staff member to administer the medication, aligns with best practices in medication management and patient safety protocols. It emphasizes the importance of professional oversight in the management of psychotropic drugs.