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DSP I
One characteristic of cerebral palsy is:
A “medical emergency:”
DSP I
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1
A “medical emergency:”
Is when an individual’s doctor calls unexpectedly
Is a serious accident that occurs away from the facility
Is an unexpected event requiring first aid, followed by med
Is an event only to be handled by the home administrator
2
One characteristic of cerebral palsy is:
Involuntary movements
Mental illness
High blood pressure
Weak bones
3
The DSP’s role in risk management is:
Actively promote practices that will keep individuals safe
Hold person-centered planning meetings
Remove all danger from individuals’ lives.
Help people enjoy their lives more
4
After reporting a “special incident” by telephone the DSP must also:
Write down the name of the person they spoke to at the RC
Ask for a written acknowledgment of the report
Send a written report to the regional center within 48 hrs
Send a written report to the police w/in the next 3 days
5
When reporting and documenting changes that may be signs of illness or injury the DSP must rec.
What all the individuals and staff were doing when the Chg
What the individuals said or did that communicated changes
Your opinion about the individual’s behavior
The diagnosis, as you see it
6
Verbal communication has four parts: organizing the msg, sending the msg, receiving the msg and
Sending the message back
Forgetting the message
Repeating the message
Processing the message
7
Which one of the following may be treated at home, using routine treatment
Uncontrolled bleeding
Choking on food
An infection of an injury
A minor cut
8
Who is at risk for skin breakdown?
Individuals who are very active in recreational sports
Individuals who use wheelchairs or who don’t chg positions
Individuals who don’t bathe very often
Individuals who eat unhealthy food
9
Which item below is a principle of good body mechanics
Twist sharply at the waist
Bend from the waist to pick up heavy objects
Reach down into deep tubs and bins
Keep the natural curve of the spine when lifting
10
Why should you not try to feel for an individual’s pulse using your thumb?
You will need your thumb to count the pulse beats
Your thumbs isn’t sensitive enough to feel a pulse
Your thumb could hurt the individual’s wrist
You will feel your own pulse through your thumb
11
Which LA value says that services/supports should be based upon individual’s needs & preference
Relationships
Health and well-being
Choice
Rights and responsibilities
12
An important step in correct tooth brushing is:
Brushing the teeth from side to side
Rinsing with mouthwash twice
Brushing for 30 seconds
Brushing gums and teeth
13
What is the first thing a DSP must do if they think an individual may have been poisoned?
Call the home administrator
Call the Poison Control Center
Make the individual vomit
Ask a neighbor for help
14
When the right dose of medication is taken, the individual receives the correct:
Amount of medication
Category of medication
Side effects of mediation
Brand name of medication
15
If @ any time you see that 1 of the Seven Rights does not match, you should:
Stop and get help from another DSP, supervisor, Dr. or pharm
Changes the Right
Go on to the next Right
Stop and try to assist a different individual instead
16
If a medication error results in a life threatening situation, the DSP should:
Call 911 for assistance immediately
Wait until the individual has difficulty breathing before 91
Speak w/ the facility administrator before taking any action
Speak to the individual’s doctor before taking any action
17
In order to support an individual’s positive behavior, a DSP’s behavior should be:
Commanding
Thoughtful and respectful
Shy and withdrawn
Threatening
18
What is a “healthy history”?
A list of medications taken by all individuals in the home
A story about modern medicine
Documentation fo an indiviaul’s past health and current need
A physician’s report
19
When a mediation error occurs:
Requires special incident report only if it’s life threats
The facility admin decides whether a SIR is needed
The error must be reported to the RC as a Special Incident
Both 911 and the individual’s Dr. must be informed
20
One good way to learn more about a prescription drug is to:
Get a copy of the medication info sheet from pharmacist
Talk w/ other ppl who have used the med to learn more
Watch the drug company’s advertisement on television
Talk w/ the person taking the med to find out what they thin
21
A PRN medication:
is administered whenever the DSP decides
Does not have to be recorded in the individual’s MAR
Must be ordered by a doctor
Is only over-the-counter medication
22
What can a DSP do to prevent drowning?
Allow diving in shallow water
serve alcohol at pool parties
Leave water in open buckets where it can be easily seen
Help individuals learn about water safety
23
What document explains the DSP’s responsibilities in helping individuals maintain best health
California Code of Regulations (CCR)
Physician’s Desk Reference (PDR)
Individual Program Plan (IPP)
Special Incident Report (SIR)
24
An example of a change in a person’s daily routine is:
Being mad about something
Being aggressive to other people
Sleeping much later than usual
Speaking less than usual
25
What should a DSP do if they smell smoke or discover a fire?
Help all out of the home; meet in a designated mtg place
Stop and get important papers and personal belongings
Take some individuals out, then go back for others
Leave at once; others will follow the DSP
26
The most important principle of “Risk Management is:
Offer first aid immediately
Keep the floor clean
Stop all high risk activities
Prevention is the number one priority
27
A DSP may assist an individual w/ self-administration of a PRN medication, as long as:
It is not too costly
It will help the individual have better health or comfort
Ordered by a doctor for a specific condition & meets CCL req
The individual asks for the medication by name
28
What can the DSP do to prevent resistance behavior during oral hygiene activity?
Stop the activity immediately
Use positive behavior supports
Complete the activity
Continue the activity for 2 minutes
29
An individual makes loud noises to get attention from the staff. This is an example of
Communicate a need or desire to other people
Insult other people
Having fun when there is nothing else to do
Annoying people
30
Why is it important for DSPs to watch for early signs of aging?
Individuals w/ developmental disabilities don’t know
Individuals w/ developmental disabilities don’t usually have
Treatment of age-related conditions is not included in IPP
Early treatment may add to the individual’s length & QOL
31
Mediation taken away from the care facility must be packaged:
In a box w/ the pharmacy’s name & phone number
W/ instructions for administration
W/ the facility’s name, add & phone #, name, med, & Instruct
W/ the name & phone number of the DSP & med info sheet
32
Which is an example of nonverbal communication?
Talking on a cell phone
Singing out loud at meal time
Naming the days of the week
Using facial expressions and gestures to make a request
33
Which DSP Tool is used when looking/listening for things that affect the individuals health?
Documentation
Observation?
Ethics
Decision Making
34
One way to prevent the spread of germs by staff during oral hygiene sessions is:
Using dental floss
Rinsing after brushing
Wearing disposable gloves
Using fluoride rinse
35
In order to understand what an individual wants to needs, a DSP must:
Meet with the support team
Make a guess
Observe the individual’s behavior
Ask their supervisor
36
A high body temperature (102 degrees above), hot dry skin, and a strong rapid pulse are sympt
Heat cramps
Heat exhaustion
Sunburn
Heat stroke
37
Which is an example of “People First” Language?
Mentally retarded person
Individual with a developmental disability
Handicapped person
Victim of autism
38
According to California state law, a developmental disability:
Always begins before someone is born
Goes away with medication and therapy
Only includes physical challenges
Greatly limits three or more major life activities
39
A standard precaution for infection control is:
Hand washing
Wearing warm clothes
Avoiding crowds
Getting plenty of rest
40
The DSP should use disposable gloves when:
Using the bathroom
Assisting with medication
Coming in contact w/ an individual’s body fluids
Watering the plants
41
The DDS writes and revises Title 17 reg, which are rules guiding the work of:
Hospitals and clinics
Local education agencies
Regional centers and vendors
Homes and work places
42
Describe the DSPs role on the individual’s planning team:
Assesses the individual’s needs and makes recommendations
Provides services & supports to assist achieving goals
Finds and coordinates needed services
Makes decisions for the individuals
43
CCL Reg’s say DSP may only assist with meds prescriptions by a doctor, dentist or a:
DSP with two-years of required training
Parent or other close family member
Nurse practitioner
Facility administrator
44
What is one thing a DSP can do to prevent some falling accident?
Allow spills to air dry
Use a rubber mat or a bench in the shower
Keep wires and hoses along walkways
Leave books and toys on the stairways
45
How can a DSP help an individual participate actively in oral hygiene
By giving the individual choices in the process
By waiting for the individual to ask for tooth brushing
By correcting every mistake they make
By describing steps for brushing teeth
46
The DSP should always wash their hands after:
Setting the table
Writing a report
Taking a shower
Using the bathroom
47
What do swollen and bleeding gums indicate?
Unhealthy gums
Strong brushing habits
Sugar-free diet
Healthy gums
48
The DSS writes and revises Title 22 regs which are rules for:
Education programs
Recreation programs
Regional Centers
Community care licensed homes
49
What is the one reason for the DSP Training?
To help the DSP support individuals to have a better QOL
To make DSPs medical experts
To give the DSP more control over the lives of individuals
To reduce the amount of work DSPs have to do
50
When managing conflict, it is important to:
Separate the person from the problem
Enforce the rules
Win your argument
Separate people who disagree
51
When an individual does not know how to brush or floss, what type of obstacle?
Information obstacle
Physical obstacle
Personal obstacle
Behavioral obstacle
52
Which of the following will usually help reduce a challenging behavior?
Explaining to the individual what you need to make your job
Looking carefully @ environment in which the behavior to id
Using candy as a reward
Give a “time out”
53
A “Special Incident Report” must be filed with the regional center whenever:
An individual is missing
An individual has a minor injury
The DSP is unable to come to work
A meal is missed
54
Dev DisabilityArea Boards are located throughout California to carry out the mission of the:
Department of Developmental Services
State Council on Dev Disabilities
Department of Social Services
Local regional centers
55
When discussing a difficult problem with a co-worker:
Don’t interrupt the person who is talking
Bring up similar problems you have had with the co-worker
Try to make the co-worker angrier
Be sure to get your own way
56
Which of the following must be reported by a “mandated reports”?
An individual is unhappy because they are too sick to bowl
An individual shows signs of having been physically abused
An individual refuses to eat food that they do want
An individual’s expensive clothing is ruined in the wash
57
A mandated reporter must report abuse or neglect of an adult by telephone immediately, and
Offer first aid immediately
Submit a written report within two working days
Wait for a response before doing anything else
Keep details of the abuse or neglect private
58
Which of the following is an environmental emergency?
Falling from a ladder
Choking
Taking the wrong medication
An earthquake
59
Challenging behavior usually is:
Caused by too much attention
An attempt to communicate
Caused by a lack of discipline
A reaction to a positive environment
60
An “I” statement describes a problem:
With the individual’s behavior
So it is clear who is at fault
From your own point of view
With the individual’s plan
61
An environmental risk is:
A health condition that may cause harm to individuals/friend
An object/activity that may cause harm in the home or work
Found only in nature and wooded areas
A behavior that is aggressive or harmful
62
The LA says that individuals with developmental disabilities have:
Certain rights, if they behave appropriately
The same rights as everyone else
No rights because they need too much support
Special rights that no one else has
63
What is one thing that may get in the way of an individual being understood?
Socializing with other individuals
Having many unmet needs
Television watching
An individual’s hearing loss
64
Which is an example of verbal communication?
An individual is sitting quietly in a chair
An individual shakes a DSP’s hand
An individual responds “Hello” to a greeting
An individual moves away from the person speaking to him
65
To assist an individual who is having a generalized seizure, you should:
Place the individual on their side to prevent choking
Restrain the individual’s movements
Leave the room to give the individual their privacy
Place something in the individual’s mouth to prevent injury
66
Which is the “best practice” standard of medication mgmt for the DSP?
Record med errors that occurs twice or more in 24hrs
Record any medication doses
Record only the 1st and last med dose of each day
Recorded every med dose and ever med error
67
The “communicative intent” of a behavior is:
What the behavior or action tells us
Who the behavior is directed at
What will stop the behavior
Who caused the behavior
68
Which choice below is the best source of information on the side effects of mediation
Television advertisements about the medications
A medication information sheet from the pharmacy or Dr.
The facility administrator and other DSPs
An individual’s parents or family
69
If an individual who has fallen appears to have been seriously injured/is bleeding, what to do?
Tell another DSP; move the individual to a nearby sofa/chair
Ask the individual if they would like some help
Ask the individual how they fell
Call 911 for assistance; do not move the individual
70
One value that guides services in the Lanterman Act is:
Satisfaction
Isolation
Dependence
Obedience
71
Documenting self-administration of medication:
Saves time during doctor visits
Increases medication safety & reduces risk of med errors
Isn’t necessary
Reduces the amount of time needed for administering meds
72
Coughing near another person is an example of:
Biological spread of germs
Droplet spread of germs
Direct spread of germs
Indirect spread of germs
73
Which of these is one of the “Seven Rights” of Assisting with Self-Administration of Mediation
Right Doctor
Right Time
Right Facility
Right DSP
74
What is the Platinum Rule?
Treat others as they would like to be treated
Treat others as you would like to be treated
Treat individuals like your own children
Treat individuals like your friends
75
When a DSP is finding creative & fun ways to help individuals learn meaningful skills, they are
Ambassador
Boss
Teach
Parent
76
An IPP is a written agreement btwn the individual and the RC that:
Developed thru a process of person to vendor planning
Developed by planning team and the vendor
Developed w/o the individual at the IPP meeting
LIst the goals & the services/supports needed to reach goals
77
Why do people communicate?
To give and get information
To isolate themselves
To increase their income
To stay healthy
78
Consistent DSP participate in the Individual’s Oral Health Care Plan:
Is required by law
Is not used for individuals with dentures
Is critical to the individual’s ongoing dental/oral health
Is not necessary
79
Individuals w/ challenging behaviors are in a group of people w/o challenges often improve
No longer need to communicate feelings or needs
Learn how to behave from peers
Are better supervised
Receive more behavior medications
80
What is one way to prevent poisoning from household chemicals:
Tell individuals in the home not to touch poisonous products
Place poisonous products on a shelf
Don’t store ANY poisonous chemicals in the home
Keep all poisonous products in locked cabinet
81
Over-the-counter medications are those that:
Have serious side effects
Are very expensive and require careful monitoring
Must be ordered by a doctor or other licensed professional
May be bought w/o a Dr.’s order, but CCL requires Dr. order
82
Who chooses how the individual’s personal care is provided?
An individual’s parent
The individual
The DSP
A home administrator
83
The first step in risk assessment and planning is to:
Remove the risk
Identify the risk
Get more information about the risk
Get help from the planning team
84
A social setting that can lead to more positive behaviors includes:
Bossy support staff
Activities that are available only in special settings
Overcrowding
Same-age peers and support for positive interaction
85
Which activity will help prevent injury from fires?
Check smoke detectors monthly and replace batteries annually
Keep extra wood and paper in the fireplace
Place all cardboard boxes in a pile in the garage
Allow smoking anywhere in the house
86
A report shall be made to the licensing agency whenever there is:
Damage to an appliance that requires immediate repair.
The death of an individual, regardless the cause
A special event involving more than 20 participants
An exchange of bodily fluids between individuals
87
When you see a compass in the SRG, it tells you to use this DSP tool:
Decision Making
Ethics
Observation
Communication
88
To understand what an individual engaged in challenging behaviors is trying to communicate, DSP
Offer the individual different rewards
Punish the individual for communicating in an unpleasant way
Think about what happened before & after the behavior
Ignore the challenging behavior & ask the individual to talk
89
Disinfecting a surface requires:
Hand sanitizer
Hot water
A solution of bleach and water
A solution of soap and water
90
Used disposable gloves must be:
Thrown away
Washed
Recycled
Stored safely
91
CCL regulations require that all drugs in the home must be:
Bought at a local pharmacy
Carried by the DSP responsible for their administration
Located near the individual for whom they are presecribed
Logged in a mediation record
92
The org known as DRC, The SCDD & DDS:
Fund generic service for individuals w/ dev disabilities
Send reps to participate on each IPCPT during the IPP
Make up the leaderships and staff of each regional ctr.
Work with the RCs to ensure quality services...under the LA
93
The MAR must be updated:
As soon as a new DSP comes on duty
At least one hour before each mediation
Whenever a prescription is changed
As indicated by directions on the medication label
94
Regional centers provide a variety of services to individuals, including:
Coordination of services identified in an IPP
Routine medical treatment
Local Transportation services through SVN
BAsic household utilities
95
Ways to support communication during daily routines include:
Not understanding the individual’s needs
Sitting and speaking with an individual after dinner
Talking only when the individual asks a question
Creating more opportunities for quiet time
96
Prescription medications are those that:
Must be ordered by a doctor, dentist, or nurse practitioner
May be purchased in a store with out a doctor’s order
Are very expensive and require careful monitoring
Have a serious side effects
97
In order to recognize a change that may be a sign of illness, the DSP must:
Take the individual’s temperature
Know the individual and what is normal for them
Know if there are any other sick individuals in the home
Take the individual’s blood pressure
98
When an individual refuses to open her mouth for tooth brushing, what kind of obstacle is this?
Physical obstacle
Personal obstacle
Informational obstacle
Behavioral obstacle
99
If an individual has poor muscle control, how might it affect their speech?
They may be very loud
They may only speak when spoken to
They may make sounds that are not clear
They may not be able to hear
100
A mandated reporter must report incidents of abuse of an adult living in a licensed facility to
CCL and regional center
Facility administrator and 911
Local radio or TV station
Doctor or hospital
101
California People First helps individuals learn about:
Person-centered planning and service coordination
Legal counseling and representation
Services and supports that are vendored by the regional ctr.
Self-advocacy, their rights, & how to speak up for themselve
102
Which one of the following would be most likely to require an urgent care call to the doctor?
Uncontrolled bleeding
Minor cut
Infection of an injury
Choking
103
Drug interactions can occur between:
Two different people
Alcohol and food
Two or more drugs
Drugs and water
104
A vendor is an individual or agency
Has a special product to sell
Has a contract w/ a regional center to provide services/supp
Has a copy of the LA and the Title 17 regulations
Has made a commitment to volunteer their time to support
105
In order to encourage positive behavior, the physical setting of an environment should be:
Dark
Organized for easy access
Strictly monitored
Cold
106
When you assist someone who is not physically able to brush her teeth, you should:
Help her only with what she cannot do
Offer her rewards for brushing
Show her the proper way to brush
Use behavioral techniques to changer her behavior
107
When an individual’s medication is discontinued:
The facility must follow the CCL Reg’s for med destruction
It may be given to another individual
It may not be returned to the pharmacy
It should be stored in a locked cabinet
108
When an individual’s mediation dosage has increase, the MAR must be:
Initialed
Left unchanged
Thrown out and stared on a new sheet
Updated to record to change
109
The goal of the oral hygiene session is:
To make sure an individual can select the correct toothpaste
To help the individual become as independent as possible
To make the individual’s teeth as white as possible
To cut down on the amount of candy an individual eats
110
One example of a healthy habit is:
Getting little sleep
Drinking soda
Daily exercise
Smoking