DSP Orientation Test
Section I: The Values that Support Life in the Community
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Section I: The Values that Support Life in the Community
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
DBHDS values Direct Support Professionals who:
Communicate clearly, openly and honestly
Work to ensure that people are healthy, safe and valued by others
Use person-centered practices
All of the above
All of the following are examples of Virginia’s Person-Centered Principles except:
Listening
Community
Productivity
Self-Direction
Things that are typically considered ‘important to’ someone include all except:
Things to do
Rituals and routines
Staying safe
Relationships
People with developmental disabilities:
Are all very similar.
Always need assistance with personal hygiene.
Are valuable and contributingmembers of their communities.
Should be treated like children rather than adults.
The concept “dignity of risk” means that the risks that are part of ordinary life:
Are too dangerous for people with developmental disabilities.
Can lead to personal growth, development, and fulfillment for people with developmental disabilities.
Are so great that people with developmental disabilities must live in large institutions to have safer, risk free lives.
Are allowable if the person has signed a release of liability.
In following the concept of “dignity of risk” one of the most important staff responsibilities is for staff to:
Get a release of information signed by the person’s parent
Allow the people you support to do anything they choose to do.
Provide the people you support with meaningful information about the possible consequences of their actions so they can make informed choices and decisions.
Tell the people you support what you think is the safest way for them to behave.
An example of the principle of “community connection” is:
Putting signs in front of the group home so the public will understand that people with disabilities have a right to live in the community.
Special camps for children and adults with disabilities which create a separate, safe community.
Taking the people in your day support program to see Santa Claus at the mall.
Helping a person you support become a volunteer at a local hospital.
Based on the principle of “community presence and participation,” people with disabilities lead better lives when they:
Participate primarily in activities with other people with disabilities because they’re the only people who really understand them.
Attend special classes which are taught at a slower pace.
Have the chance to experience routine community activities and to interact with others in his or her community who do not have disabilities
Live and work with other people with disabilities.
Employment First means that:
The first option of what to do during the day that is offered to people with disabilities is integrated, community employment.
Because work is so highly valued, all people using Waiver services should work in the community.
People with disabilities should stay at the first job they get.
Those who don’t choose work the first time, should not be asked about it again.
An example of using “natural supports” is:
Teaching someone who needs transportation to a weekday job to ride the bus at 10:00 a.m. on Saturday instead of rush hour on a weekday because there are fewer passengers.
Helping the people you support to join the neighborhood association where they live, so they can meet some of their neighbors.
Leaving the people you support in the van while you run in the convenience store to buy drinks for everyone.
Teaching someone to iron without plugging in the iron.
People with developmental disabilities cannot indicate choice unless they are verbal, so it is essential that speech therapy be available to all people with developmental disabilities.
True
False
It is important to offer people both immediate choices (such as what to eat for lunch) and longterm choices (such as where and with whom to live).
True
False
Dignity of risk involves supporting people with developmental disabilities to make informed decisions.
True
False
One of the reasons adults with developmental disabilities are often not given the respect they deserve is:
A tendency to see the disability rather than the person first.
A lack of experience with or exposure to persons who have disabilities.
A tendency to view adults with developmental disabilities as childlike.
All of the above.
Talking about the people you support in their presence is okay if you’re certain they don’t understand what you’re saying.
True
False
People with developmental disabilities have the same rights to privacy, due process, speech, and freedom of religion as people without disabilities, however, they don’t have the right to vote or the right to marry.
True
False
As an employee of a Community Services Board or private agency supporting people with disabilities, you will be responsible for respecting the human rights of the people you support and following related agency human rights policies.
True
False
Home and Community-Based (HCB) Waivers allow Medicaid funding of supports to people in their communities instead of in an institution (such as a training center or nursing home).
True
False
The core of person-centered planning (PCP) is:
To have better paperwork.
To ensure the funding of programs and services.
To empower people using supports to make decisions and choices that direct and shape their own lives.
Section II: Introduction to Developmental Disabilities
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Section II: Introduction to Developmental Disabilities
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
The definition of developmental disability includes:
A severe, chronic disability that is attributable to a mental or physical impairment
Lacking skills such as communication, self-help skills, and economic self-sufficiency.
Onset before age 22
All of the above
People with developmental disabilities:
All need the same things.
Are best supported with the same approach.
All need psychological services.
Have their own goals
Developmental disabilities include the following:
Intellectual disabilities
Autism
Cerebral palsy
All of the above
Which of the following is true of intellectual disability?
A cure has not yet been found, although research is getting closer
The best way to provide services to people with intellectual disability is by grouping them according to level of intellectual fun
Supports may be required throughout the lifetime of a person with intellectual disability.
Only doctors who specialize in treating individuals with intellectual disability are capable of providing good medical treatment to people with intellectual disability.
By talking to and treating people with developmental disabilities as equals, staff can assist them to be recognized as capable, productive citizens by members of the community.
True
False
If a person who doesn’t talk frequently points to pictures of airplanes and smiles, some things a “roadblock removing” staff person might do include arranging for a plane ride or helping the individual visit an air show.
True
False
A person with developmental disabilities cannot drive a car
True
False
The best way to support a person with developmental disabilities is to provide opportunities based on the information about past successes and failures that came from records or staff memories.
True
False
A person who suffers brain injury as a result of a car accident at age 25 would receive a diagnosis of intellectual disability.
True
False
People with developmental disabilities cannot have mental illness.
True
False
Section III: Waivers for People with Developmental Disabilities
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Section III: Waivers for People with Developmental Disabilities
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
The three DD Waivers pay for:
Services for people who live in nursing homes and ICFS-IID.
Services that are provided to people with developmental disabilities in communities as an alternative to services in institutions.
Services only for children with intellectual disabilities.
Necessary medical services.
The choice of which service provider to use for Waiver services is made by:
The person (with assistance if needed) using services.
The psychologist who evaluated the person.
The person’s doctor.
Agreement of the above individuals.
Services provided through Waivers:
Are built upon the idea of individualized supports
Might be directed by an agency or the person.
Are provided using person-centered approaches.
All of the above
Plans for Supports are written:
By doctors.
By support coordination supervisors.
By each provider with the person using services.
By Medicaid.
The central member of the service planning team is:
The person using services, unless he/she can’t talk or communicate with words.
The person using services
The person’s mother.
The case manager/support coordinator.
Documentation should:
Be accurate.
Be completed according to agency requirements
Relate to what’s in the individual’s service plan.
All of the above.
Writing objectively means you should write in the records what you observe, not your opinions.
True
False
The standardized assessment for Waivers is called the Supports Magnitude Assessment.
True
False
In the Plan for Supports, person centered instructions provide the information on the way supports are provided to a person.
True
False
The DSP doesn’t need to know the Plan for Supports for the individual he or she supports.
True
False
Providers must maintain documentation showing that services are delivered according to the Plan for Supports.
True
False
Plans for Supports must be reviewed regularly to determine whether the person’s needs require changes to the individual support plan.
True
False
Section IV: Communication
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet
Section IV: Communication
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet
The only way people can truly communicate is by talking to each other.
True
False
Some people with developmental disabilities may have trouble communicating because:
They had limited opportunities for language development.
They may have more than one disability.
People don’t take the time to communicate with them.
All of the above.
People with intellectual disabilities may understand what people say (receptive language) better than they can communicate their own thoughts and feelings (expressive language).
True
False
People may communicate through:
Spoken or written language
Behaviors.
Signs or gestures.
All of the above
_________________ means talking or communicating in any form.
Expressive communication
Symbolic words
Non-verbal speech
As a DSP, you should:
Be convincing the person you understand even if you don’t to avoid hurting his feelings.
Be paying close attention to all forms of communication.
Be teaching the people you support to communicate through language since this is most convenient.
Be making the person you support use signs that everyone else uses
If a person’s speech is difficult to understand, her family cannot provide you with any additional information.
True
False
The best way to communicate with people with disabilities is to talk very loudly and very slowly.
True
False
Using baby talk or a childlike voice when talking to adults with developmental disabilities is inappropriate.
True
False
Examples of phrases which devalue (or lessen the worth or value) of the people we support:
�those DDs”
�he’s a Down’s”
�deaf and dumb”
All of the above
When working with people with developmental disabilities, it is most effective to use the following tone of voice:
Parental
Pleading
Respectful
Threatening
Identify the behavior(s) below which a person may use to communicate information:
Shouting
Crying
Biting (self or others)
Scratching
smiling
Head banging
Urinating
Signing
Laughing
All of the above
As a DSP is important to help the people you support to find appropriate ways to express themselves and deal with stresses that frustrate them.
True
False
We should always listen closely to what people tell with their actions (in addition to what they say).
True
False
Section V: Positive Behavioral Support
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Section V: Positive Behavioral Support
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
People with developmental disabilities who exhibit challenging behaviors:
May be trying to exercise control over their lives.
May be bored or unhappy
May be communicating in a non-customary way.
All of the above.
Providing positive behavioral support requires:
Treating people with dignity and respect.
Only saying positive statements so you don’t hurt anybody’s feelings.
Enforcing strict rules and control so people know what to expect.
All of the above.
A behavior support plan:
Never needs to be changed if it is well written.
Is designed to help DPSs and others to act in the same way in supporting the person.
Outlines what changes are needed in the person so that he may better fit into society.
Will generally use food as a reinforcer
In order to support people effectively:
Each DSP should try support in a different way.
The behavior plan should only be used by a supervisor
The same (consistent) teaching strategies must be used by all staff.
Behavior plans should be the same for each person.
To help a specialist determine the purpose of a challenging behavior, you may be asked to document:
What is going on around the person at the time of the behavior
Who else is present.
What happens immediately after the behavior,
All of the above.
If someone exhibits challenging behavior they should live in an institution until the behavior is eliminated.
True
False
Paid staff and the people they support often communicate through behavior(s)
True
False
One way to make it less likely that a person will exhibit negative behaviors is to improve the person’s quality of life.
True
False
Restrictions on individual rights must comply with human rights policies.
True
False
DSP observations of behavioral changes and patterns are not important in developing effective behavioral supports.
True
False
People with developmental disabilities do not want to control their day-to-day lives.
True
False
Section VI: Health and Safety
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Section VI: Health and Safety
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
As a DSP in a community program for people with developmental disabilities, one of your responsibilities is to ensure the health and safety of the people you support.
True
False
Using candy or a tasty snack as a reward for desired behavior is recommended in working with people with developmental disabilities
True
False
Intellectual disability is always associated with other medical conditions.
True
False
You can get information about a person’s medical concerns and general health by:
Reading the person’s medical and social history.
Observing the person in different situations and over time.
Reading the staff log or talking with your co-workers.
All of the above
If someone refuses to wash their hair, then he is making a choice, and there is little staff can do
True
False
Changes in appearance, behavior, or manner can be symptoms of illness
True
False
Observing changes in a person’s appearance or behavior is only the responsibility of residential staff and not the responsibility of day support or other program staff.
True
False
It is essential that people with developmental disabilities:
Have regular medical and dental care.
Only see a doctor when they ask for one
Go to a pediatric dentist.
Are able to bathe themselves.
The USDA Choose My Plate recommends a healthy eating style for adults that:
Focuses on variety, amount, and nutrition from all five food groups
Includes foods and beverages with less saturated fat, sodium, and added sugars
Eating the right amount of calories based on age, sex, height, weight, and physical activity level
All of the above
Healthy nutrition is as important for people with developmental disabilities as it is for anyone else.
True
False
The following are sign of skin breakdown:
Unusual or abnormal color (pale pink, red, or bluish)
Rashes or lesions
Changes in skin temperature
All of the above
The following people are at risk for skin breakdown:
People who are working
People who have an active exercise program
People who use a wheelchair or are in bed a lot of the time
All of the above
A strategy to prevent aspiration pneumonia is:
Correct diet texture and fluid consistency
Running prior to eating
Taking medication for anxiety
All of the above
Aspiration pneumonia develops from inhaling _____________ into the lungs:
Food
Vomit
Liquids
All of the above
Which of the following contribute to falls:
Maintaining a healthy lifestyleCluttered rooms, area rugs, wet or slick surfaces
Cluttered rooms, area rugs, wet or slick surfaces
Having appropriate adaptive equipment
All of the above
Symptoms of a urinary tract infection (UTI) include pain or burning during urination and increased frequency and urgency of urination.
True
False
Prevention of urinary tract infection (UTI) include the following:
Drinking plenty of liquids
Wiping from front to back
Keeping genital areas dry and clean
All of the above
Dehydration occurs when we lose more fluids than we take in and vomiting and diarrhea are the most common reasons why someone loses excess fluid.
True
False
Dehydration symptoms include:
Urine that is more concentrated and more yellow
Dry mouth and nose
Headache and dizziness
All of the above
Some signs of constipation include:
Infrequent bowel movements
Difficulty passing stools
Belly pain
All of the above
Constipation can always be prevented.
True
False
Sepsis is a serious medical condition caused by an overwhelming immune response to infection and is caused by an infection (such as pneumonia or a urinary tract infection).
True
False
People at risk for sepsis include those who have:
Weakened immune systems (children, infants, elderly)
Chronic illnesses (diabetes, AIDS, cancer, kidney/liver disease)
An infection due to damage to internal tissues (such as pneumonia)
All of the above
A sign of a seizures is:
A rash or lesion
Drinking several cups of water
Shaking of the body
All of the above
If a person has a seizure, you should:
Put something in their mouth
Hold them down
Provide a cushion for their head
All of the above
Supplemental Section: Choking Risk
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Supplemental Section: Choking Risk
Please circle the correct answers for the following multiple choice and true/false questions on the test answer sheet.
Increased risk of choking may also be related to:
Alcohol consumption
Certain medications
Dysphagia
Tardive Dyskinesia
Loose, missing, or decaying teeth
Poor positioning
Behavioral concerns
All of the above
The risk of choking is multiplied with each additional risk factor.
True
False
Coughing before, during or shortly after swallowing is sign a person might be choking.
True
False
A person with Down syndrome does not have an increased risk of choking
True
False
Dysphagia is a condition in which a person has difficult or abnormal swallowing.
True
False
Rumination Disorder is a condition that involves eating items that are not typically thought of as food and that do not contain significant nutritional value, such as hair, dirt, and paint chips.
True
False
Aspiration pneumonia is caused by food or liquids entering the lungs
True
False
Behavioral specialists can help address choking risks related to eating
True
False
A health care professional should be contacted
When the first signs of choking are observed
After one week of monitoring for increased symptoms
Within 3 days of a choking episode
Tilting a person’s head back when drinking increases the risk of choking and aspiration.
True
False
Supplemental Section: Change in Mental Status
Please circle the correct answers for the following multiple choice and true/false questions on the test answer
sheet
sheet
Supplemental Section: Change in Mental Status
Please circle the correct answers for the following multiple choice and true/false questions on the test answer
sheet
sheet
A change in mental status can refer to any changes in brain function resulting in
Confusion
Memory Loss
Loss of alertness
Unusual thinking
Poor judgement
Emotional changes
Behavioral changes
Personality changes
Poor judgement
All of the above
A change in mental status could be related to liver failure.
True
False
A healthcare professional should be contacted following unusual changes in the person speech.
True
False
Changes in mental status can be sudden or gradual.
True
False
Dementia is a general term that describes diseases and conditions that lead to loss of memory/learning skills and abilities to perform everyday activities.
True
False
Alzheimer’s is a condition that doesn’t get worse over time.
True
False
A professional assessment can include.
Formal assessment tools
Physical exam
History and social factors
Diagnostic tests
B and D
All of the above
In supporting someone with dementia, it can be helpful to schedule events earlier in the day.
True
False
Doing this is not helpful for a person with dementia.
Using clear labels
Painting the doors one color and the walls a very different color.
Keep noise levels high with music and conversation
Increase access to natural light
A Life Story book can help the person recall past events, which may improve his mood.
True
False
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