Substituted Consent/ Decision Making Training

1.

DDA has been mandated by the D.C. Council to secure guardians for all of the persons DDA serves.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The statement is false because DDA has not been mandated by the D.C. Council to secure guardians for all of the persons it serves.

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2.

The mental ability to understand the nature and implication of a decision as well as the ability to communicate that decision clearly is:
- A.
  
  An advance health care directive
- B.
  
  Durable power of attorney
- C.
  
  Capacity
- D.
  
  A petition
Correct Answer
C. Capacity

Explanation
Capacity refers to the mental ability of an individual to understand the nature and consequences of a decision. It involves comprehending the information provided, evaluating the options, and communicating the decision clearly. Capacity is important in various contexts, such as healthcare and legal matters, where individuals need to demonstrate their ability to make informed decisions. It ensures that individuals have the necessary cognitive abilities to understand and participate in decision-making processes.

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3.

The psychological assessment should state the psychologist’s opinion regarding the person’s capacity in the following areas: medical treatment, life planning, habilitation, residence, finances and other types of treatment (PT, OT, etc.).
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The correct answer is true because a psychological assessment is a comprehensive evaluation that includes an opinion from the psychologist regarding the person's capacity in various areas such as medical treatment, life planning, habilitation, residence, finances, and other types of treatment like physical therapy and occupational therapy. This assessment helps in determining the individual's abilities and limitations in these areas, which can be used to inform decision-making and provide appropriate support and interventions.

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4.

DDA will review and determine the person’s needs for decision-making during:
- A.
  
  Initial/ new ISP
- B.
  
  Annual ISP
- C.
  
  Immediately for emergencies
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The correct answer is "all of the above" because DDA (Developmental Disabilities Administration) will review and determine a person's needs for decision-making during the initial/new Individual Support Plan (ISP), the annual ISP, and immediately for emergencies. This means that DDA will assess and evaluate the individual's requirements for decision-making in all these situations to ensure their needs are met appropriately.

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5.

Once aware of the need for emergency or urgent care, DDA is responsible for filing emergency or urgent care guardianship petitions with the courts within _____ business days.
- A.
  
  Emergency 3; urgent 3
- B.
  
  Emergency 3; urgent 10
- C.
  
  Emergency 5; urgent 7
Correct Answer
B. Emergency 3; urgent 10

Explanation
The correct answer is "emergency 3; urgent 10". This means that when there is a need for emergency care, the DDA is responsible for filing guardianship petitions with the courts within 3 business days. However, when there is a need for urgent care, the DDA has 10 business days to file the guardianship petitions.

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6.

Upon determining an individual’s need for the assistance of a guardian, the Service Coordinator should immediately begin the guardianship request process by drafting the Routing and Approval Form with the date of identification of the need and emailing it to the SPCD Division Director.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The explanation for the given correct answer is that when an individual's need for the assistance of a guardian is determined, the Service Coordinator should start the guardianship request process immediately. This involves drafting the Routing and Approval Form with the date of identification of the need and emailing it to the SPCD Division Director. Therefore, the statement "Upon determining an individual’s need for the assistance of a guardian, the Service Coordinator should immediately begin the guardianship request process by drafting the Routing and Approval Form with the date of identification of the need and emailing it to the SPCD Division Director" is true.

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7.

The least restrictive decision making alternatives include full and limited guardianship.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The explanation for the given correct answer is that the statement is false. The least restrictive decision-making alternatives do not include full and limited guardianship. In fact, the least restrictive alternatives typically involve granting individuals the maximum amount of autonomy and decision-making power over their own lives, while still providing necessary support and safeguards. Full and limited guardianship, on the other hand, involve a higher level of restriction and control over an individual's decision-making abilities.

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8.

When completing the guardianship application package, the provider should return signed and notarized medical and psychological affidavits to DDA within ten business days.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The correct answer is true because when completing the guardianship application package, the provider is required to return signed and notarized medical and psychological affidavits to DDA within ten business days. This ensures that the necessary documentation is provided in a timely manner and allows for the processing of the application to proceed smoothly.

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9.

All information regarding the substitute consent/ decision-making aspects of the persons served by DDA should be documented in the ISP and MCIS.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is true because the ISP (Individual Support Plan) and MCIS (Multidisciplinary Clinical Information System) are important documents that contain information about the substitute consent and decision-making aspects of the individuals served by DDA (Developmental Disabilities Administration). These documents ensure that the necessary information is recorded and accessible to the relevant parties involved in the care and support of the individuals.

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10.

If a person has the capacity to identify an individual that he/ she would like to serve as his/ her substitute decision maker, DDA should attempt to secure an advance health care directive or a durable power of attorney.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
If a person has the capacity to identify someone as their substitute decision maker, it means they have the ability to understand and make decisions about their own healthcare. In such cases, the DDA (presumably an organization or agency) should try to obtain an advance health care directive or durable power of attorney from the person. This is because having these legal documents in place allows the person to specify their healthcare preferences and ensure that their chosen substitute decision maker can make decisions on their behalf if they become unable to do so. Therefore, the statement "True" is correct.

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Substituted Consent/ Decision Making Training

DDA has been mandated by the D.C. Council to secure guardians for all of the persons DDA serves.

The mental ability to understand the nature and implication of a decision as well as the ability to communicate that decision clearly is:

The psychological assessment should state the psychologist’s opinion regarding the person’s capacity in the following areas: medical treatment, life planning, habilitation, residence, finances and other types of treatment (PT, OT, etc.).

DDA will review and determine the person’s needs for decision-making during:

Once aware of the need for emergency or urgent care, DDA is responsible for filing emergency or urgent care guardianship petitions with the courts within _____ business days.

Upon determining an individual’s need for the assistance of a guardian, the Service Coordinator should immediately begin the guardianship request process by drafting the Routing and Approval Form with the date of identification of the need and emailing it to the SPCD Division Director.

The least restrictive decision making alternatives include full and limited guardianship.

When completing the guardianship application package, the provider should return signed and notarized medical and psychological affidavits to DDA within ten business days.

All information regarding the substitute consent/ decision-making aspects of the persons served by DDA should be documented in the ISP and MCIS.

If a person has the capacity to identify an individual that he/ she would like to serve as his/ her substitute decision maker, DDA should attempt to secure an advance health care directive or a durable power of attorney.