1. DBHDS values Direct Support Professionals who:

• A) Communicate clearly, openly and honestly
• B) Work to ensure that people are healthy, safe and valued by others
• C) Use person-centered practices
• D) All of the above

2. All of the following are examples of Virginia's Person-Centered Principles except:

• A) Listening
• B) Community
• C) Productivity
• D) Self-Direction

3. Things that are typically considered 'important to' someone include all except:

• A) Things to do
• B) Rituals and routines
• C) Staying safe
• D) Relationships

4. People with developmental disabilities:

• A) Are all very similar.
• B) Always need assistance with personal hygiene.
• C) Are valuable and contributing members of their communities.
• D) Should be treated like children rather than adults.

5. The concept "dignity of risk" means that the risks that are part of ordinary life:

• A) Are too dangerous for people with developmental disabilities.
• B) Can lead to personal growth, development, and fulfillment for people with developmental disabilities.
• C) Are so great that people with developmental disabilities must live in large institutions to have safer, risk free lives.
• D) Are allowable if the person has signed a release of liability.

6. In following the concept of "dignity of risk" one of the most important staff responsibilities is for staff to:

• A) Get a release of information signed by the person's parent.
• B) Allow the people you support to do anything they choose to do.
• C) Provide the people you support with meaningful information about the possible consequences of their actions so they can make informed choices and decisions.
• D) Tell the people you support what you think is the safest way for them to behave.

7. An example of the principle of "community connection" is:

• A) 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.
• B) Special camps for children and adults with disabilities which create a separate, safe community.
• C) Taking the people in your day support program to see Santa Claus at the mall.
• D) Helping a person you support become a volunteer at a local hospital.

8. Based on the principle of "community presence and participation," people with disabilities lead better lives when they:

• A) Participate primarily in activities with other people with disabilities because they're the only people who really understand them.
• B) Attend special classes which are taught at a slower pace.
• C) Have the chance to experience routine community activities and to interact with others in his or her community who do not have disabilities.
• D) Live and work with other people with disabilities.

9. Employment First means that:

• A) The first option of what to do during the day that is offered to people with disabilities is integrated, community employment.
• B) Because work is so highly valued, all people using Waiver services should work in the community.
• C) People with disabilities should stay at the first job they get.
• D) Those who don't choose work the first time, should not be asked about it again.

10. An example of using "natural supports" is:

• A) 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.
• B) Helping the people you support to join the neighborhood association where they live, so they can meet some of their neighbors.
• C) Leaving the people you support in the van while you run in the convenience store to buy drinks for everyone.
• D) Teaching someone to iron without plugging in the iron.

11. 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.

12. It is important to offer people both immediate choices (such as what to eat for lunch) and long-term choices (such as where and with whom to live).

13. Dignity of risk involves supporting people with developmental disabilities to make informed decisions.

14. One of the reasons adults with developmental disabilities are often not given the respect they deserve is:

• A) A tendency to see the disability rather than the person first.
• B) A lack of experience with or exposure to persons who have disabilities.
• C) A tendency to view adults with developmental disabilities as childlike.
• D) All of the above.

15. Talking about the people you support in their presence is okay if you're certain they don't understand what you're saying.

16. 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.

17. 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.

18. 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).

19. The core of person-centered planning (PCP) is:

• A) To have better paperwork.
• B) To ensure the funding of programs and services.
• C) To empower people using supports to make decisions and choices that direct and shape their own lives.

1. The definition of developmental disability includes:

• A) A severe, chronic disability that is attributable to a mental or physical impairment
• B) Lacking skills such as communication, self-help skills, and economic self-sufficiency.
• C) Onset before age 22
• D) All of the above.

2. People with developmental disabilities:

• A) All need the same things.
• B) Are best supported with the same approach.
• C) All need psychological services.
• D) Have their own goals.

3. Developmental disabilities include the following:

• A) Intellectual disabilities
• B) Autism
• C) Cerebral palsy
• D) All of the above

4. Which of the following is true of intellectual disability?

• A) A cure has not yet been found, although research is getting closer.
• B) The best way to provide services to people with intellectual disability is by grouping them according to level of intellectual functioning.
• C) Supports may be required throughout the lifetime of a person with intellectual disability.
• D) Only doctors who specialize in treating individuals with intellectual disability are capable of providing good medical treatment to people with intellectual disability.

5. 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.

6. 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.

7. A person with developmental disabilities cannot drive a car.

8. 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.

9. A person who suffers brain injury as a result of a car accident at age 25 would receive a diagnosis of intellectual disability.

10. People with developmental disabilities cannot have mental illness.

1. The three DD Waivers pay for:

• A) Services for people who live in nursing homes and ICFS-IID.
• B) Services that are provided to people with developmental disabilities in communities as an alternative to services in institutions.
• C) Services only for children with intellectual disabilities.
• D) Necessary medical services.

2. The choice of which service provider to use for Waiver services is made by:

• A) The person (with assistance if needed) using services.
• B) The psychologist who evaluated the person.
• C) The person's doctor.
• D) Agreement of the above individuals.

3. Services provided through Waivers:

• A) Are built upon the idea of individualized supports.
• B) Might be directed by an agency or the person.
• C) Are provided using person-centered approaches.
• D) All of the above.

4. Plans for Supports are written:

• A) By doctors.
• B) By support coordination supervisors.
• C) By each provider with the person using services.
• D) By Medicaid.

5. The central member of the service planning team is:

• A) The person using services, unless he/she can't talk or communicate with words.
• B) The person using services.
• C) The person's mother.

6. Plans for Supports must be reviewed regularly to determine whether the person's needs require changes to the individual support plan.

1. The only way people can truly communicate is by talking to each other.

2. Some people with developmental disabilities may have trouble communicating because:

• A) They had limited opportunities for language development.
• B) They may have more than one disability.
• C) People don't take the time to communicate with them.
• D) All of the above.

3. People with intellectual disabilities may understand what people say (receptive language) better than they can communicate their own thoughts and feelings (expressive language).

4. People may communicate through:

• A) Spoken or written language.

7. Identify the behavior(s) below which a person may use to communicate information:

• A) shouting
• F) head banging
• B) crying
• G) urinating
• C) biting (self or others)
• H) signing
• D) scratching
• I) laughing
• E) smiling
• J) all of the above

13. 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.

14. We should always listen closely to what people tell with their actions (in addition to what they say).

1. People with developmental disabilities who exhibit challenging behaviors:

• A) May be trying to exercise control over their lives.
• B) May be bored or unhappy.
• C) May be communicating in a non-customary way.
• D) All of the above.

2. Providing positive behavioral support requires:

• A) Treating people with dignity and respect.
• B) Only saying positive statements so you don’t hurt anybody’s feelings.
• C) Enforcing strict rules and control so people know what to expect.
• D) All of the above

8. One way to make it less likely that a person will exhibit negative behaviors is to improve the person’s quality of life.

9. Restrictions on individual rights must comply with human rights policies.

10. DSP observations of behavioral changes and patterns are not important in developing effective behavioral supports.

11. People with developmental disabilities do not want to control their day-to-day lives.

1. 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.

2. Using candy or a tasty snack as a reward for desired behavior is recommended in working with people with developmental disabilities.

3. Intellectual disability is always associated with other medical conditions.

4. You can get information about a person’s medical concerns and general health by:

• A) Reading the person’s medical and social history.
• B) Observing the person in different situations and over time.
• C) Reading the staff log or talking with your co-workers.
• D) All of the above

5. If someone refuses to wash their hair, then he is making a choice, and there is little staff can do.

6. Changes in appearance, behavior, or manner can be symptoms of illness.

10. Healthy nutrition is as important for people with developmental disabilities as it is for anyone else.

11. The following are sign of skin breakdown:

• A) Unusual or abnormal color (pale pink, red, or bluish)
• B) Rashes or lesions
• C) Changes in skin temperature
• D) All of the above

12. The following people are at risk for skin breakdown:

• A) People who are working
• B) People who have an active exercise program
• C) People who use a wheelchair or are in bed a lot of the time
• D) All of the above

13. A strategy to prevent aspiration pneumonia is:

• A) Correct diet texture and fluid consistency
• B) Running prior to eating
• C) Taking medication for anxiety
• D) All of the above

14. Aspiration pneumonia develops from inhaling into the lungs:

• A) Food
• B) Vomit
• C) Liquids
• D) All of the above

15. Which of the following contribute to falls:

• A) Maintaining a...

19. Dehydration symptoms include:

• A) Urine that is more concentrated and more yellow
• B) Dry mouth and nose
• C) Headache and dizziness
• D) All of the above

20. Some signs of constipation include:

• A) Infrequent bowel movements
• B) Difficulty passing stools
• C) Belly pain
• D) All of the above

21. Constipation can always be prevented.

22. 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).

23. People at risk for sepsis include those who have:

• A) Weakened immune systems (children, infants, elderly)
• B) Chronic illnesses (diabetes, AIDS, cancer, kidney/liver disease)
• C) An infection due to damage to internal tissues (such as pneumonia)
• D) All of the above

24. A sign of a seizures is:

• A) ...

1. Increased risk of choking may also be related to:

• A) Alcohol consumption
• E) Loose, missing, or decaying teeth
• B) Certain medications
• F) Poor positioning
• C) Dysphagia
• G) Behavioral concerns
• D) Tardive Dyskinesia
• H) All of the above

2. The risk of choking is multiplied with each additional risk factor.

3. Coughing before, during or shortly after swallowing is sign a person might be choking.

4. A person with Down syndrome does not have an increased risk of choking.

5. Dysphagia is a condition in which a person has difficult or abnormal swallowing.

6. 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.

1. A change in mental status can refer to any changes in brain function resulting in

• A) Confusion
• G) Behavioral changes
• B) Memory Loss
• H) Personality changes
• C) Loss of alertness
• I) A, B, and D
• D) Unusual thinking
• J) All of the above
• E) Poor judgement
• F) Emotional changes

2. A change in mental status could be related to liver failure.

3. A healthcare professional should be contacted following unusual changes in the person speech.

4. Changes in mental status can be sudden or gradual.

5. Dementia is a general term that describes diseases and conditions that lead to loss of memory/learning skills and abilities to perform everyday activities.

6. Alzheimer’s is a condition that doesn’t...