Failure to provide sufficient , consistent or appropriate services, treatment or care
Illegal or improper use of a person’s resources for monetary or personal gain
Should be completed in the event of a significant event or situation
The intentional or reckless infliction of serious injury
The person chooses not to care for himself or herself
Failure to provide sufficient , consistent or appropriate services, treatment or care
Illegal or improper use of a person’s resources for monetary or personal gain
Should be completed in the event of a significant event or situation
The intentional or reckless infliction of serious injury
The person chooses not to care for himself or herself
Failure to provide sufficient , consistent or appropriate services, treatment or care
Illegal or improper use of a person’s resources for monetary or personal gain
Should be completed in the event of a significant event or situation
The intentional or reckless infliction of serious injury
The person chooses not to care for himself or herself
Failure to provide sufficient , consistent or appropriate services, treatment or care
Illegal or improper use of a person’s resources for monetary or personal gain
Should be completed in the event of a significant event or situation
The intentional or reckless infliction of serious injury
The person chooses not to care for himself or herself
Failure to provide sufficient , consistent or appropriate services, treatment or care
Illegal or improper use of a person’s resources for monetary or personal gain
Should be completed in the event of a significant event or situation
The intentional or reckless infliction of serious injury
The person chooses not to care for himself or herself
True
False
True
False
True
False
True
False
True
False
Nurse
Service Coordinator
Parent/guardian
None of the above
Failure to carry out treatment
Failure to follow recommendations
Failure to provide appropriate supervision
None of the above
Psychological Abuse
Physical Abuse
Sexual Abuse
Self-abuse
Medications the person is taking
History of Serious Reportable Incidents
Behavior Support Plan recommendations, if applicable
All of the above
Those suffering from grief
The mentally impaired
The elderly
None of the above
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