In what scenario should a QMA withhold medication from a resident?

A Qualified Medication Aide (QMA) is responsible for administering medications to residents, but there are specific situations in which they must withhold medication. One such situation is when a resident refuses to take their medication. In this case, the resident has the right to make choices about their own care, including the decision to refuse medication. It is important for the QMA to respect the resident's autonomy and document the refusal appropriately, following the facility's policies for medication administration.

Considering the other options, withholding medication simply because a QMA feels like it does not adhere to professional standards or regulations. Withholding medication based on a set time, like always before breakfast, is not appropriate unless it directly pertains to the medication's effectiveness; timing should follow specific prescribed instructions. Finally, withholding medication only if it appears expired is insufficient as a reason; other factors, such as the resident's condition or refusal, should also be considered, and any expired medication should be reported and disposed of according to protocols rather than merely withheld.