Module 10

1. Answer: What A.C.T.I.O.N.
means:
A: Assess/observe the situation
C: Contact your supervisor
T: Talk to family members if present
I: Identify how you can help O: Open the chart and document
N: Note to follow-up If a problem is identified on the screening tool, go to the corresponding section
and follow the A.C.T.I.O.N. plan
2. For each situation below, answer the following questions:
a. In your own words, explain the main problem/challenge faced in this situation. (2 marks for each
situation)
Section A: Problems taking medication correctly “apply 5 right”. Have you noticed any of the following
behaviors that might suggest that the client has not taken his/her medication correctly?
Right Patient: Client is taking medication prescribed for someone else
Right Medication: Client took the wrong medication
Right Dose: Client took the wrong dose e.g. too little/too much medication or no medication taken
Right Time: Client took the medication at the wrong time
Right Route: Client used the wrong method/way to take medication If you have noticed any of the
following behaviors follow ACTION plan and contact the supervisor immediately.
b. What section in the “Medication Problem A.C.T.I.O.N. Plan” resource would you turn to when
addressing the situation? (1 mark for each situation)
Client has difficulty taking and preparing medication
Client has difficulty opening medication bottles
Client has difficulty remembering
Client does not understand If you have noticed any of the following problems, follow A.C.T.I.O.N
c. What action would you take to assist your client? Record your answer for part “c” as if you are
documenting in the client’s record. (3 marks for each situation)
Barriers and other problems.
Client unwilling to take medication as prescribed

Client has financial difficulty paying for prescriptions
Client physically unable to leave home or has no transportation
Client needs more caregiver support with medication
Client keeps old or expired bottles of medication
Client has poor storage conditions of medication If you have noticed any of the following problems,
follow A.C.T.I.O.N
Situations: 1. Your client has Parkinson’s disease. He tries to administer his own oral medication. His
wife, who usually helps him, is often not home for his afternoon dose because your visit is her respite
time.
In this scenario, the client has Parkinson’s disease, so it is difficult for him to locate and take his
medications. His wife is frequently unable to administer his afternoon dose, so he may miss it or, even if
he does, may administer the incorrect prescription or dose.
2. Your client is 84 and has rheumatoid arthritis. Each week the RN distributes her medication for
each day in a docette. Today your client’s joints seem very inflamed and she asks you to open
her docette for her.
In this case, the client has rheumatoid arthritis and is taking medications for it. However, his
joints are now very inflamed, indicating a change in his health condition that necessitates
consultation with a physician and document.
3. According to the care plan for a new client, he is on an anti-inflammatory medication that has
been prescribed to be taken bid. When you try to remind him to take his medication, he refuses,
claiming he is fine.
In this case, the client was given a prescription anti-inflammatory drug twice a day, which he
refused to take and claiming that he is fine. However, the question is whether he is truly fine or
whether this is just an excuse to avoid taking the medication. If it's an excuse, his problem, for
which the anti-inflammatory medicines have been prescribed, will only get worse. Document
and inform the nurse.
4. While reading the label on your client’s medication, you notice that the strength of the
medication is different from the care plan. Your client claims that his meds were changed over
the weekend after visiting the medical clinic.
In this scenario, the medication strength does not match the care plan, and I was unaware that
the medications had been changed after a recent visit to the clinic, as the client claimed, but the
most recent care plan is not available, so there is some uncertainty about the correct strength to
be administered so document and report to the nurse.

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Module 10

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1. Answer: What A.C.T.I.O.N.

A: Assess/observe the situation

C: Contact your supervisor

T: Talk to family members if present

2. For each situation below, answer the following questions:

Right Patient: Client is taking medication prescribed for someone else

Right Medication: Client took the wrong medication

Right Time: Client took the medication at the wrong time

Client has difficulty taking and preparing medication

Client has difficulty opening medication bottles

Client has difficulty remembering

Barriers and other problems.

Client unwilling to take medication as prescribed

Client physically unable to leave home or has no transportation

Client needs more caregiver support with medication

Client keeps old or expired bottles of medication

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