Adult Protective Service Exam Questions

An allegation is a statement made by a reporter to the Hotline that a specific injury or harm or a reasonable cause to suspect an injury or harm to a vulnerable adult has occurred and constitute abuse, neglect, or exploitation.

A. True

B. False

A. True

The description of injury or harm to a vulnerable adult as a result of abuse, neglect, self neglect, or exploitation is which of the following?

A. Allegation

B. Maltreatment

C. Abuse

D. Neglect

B. Maltreatment

A caregiver must be a relative, household member, or employee.

A. True

B. False

B. False

Mandated reporters are:

A. Adult Day Care Workers

B. Law Enforcement

C. Social Worker

D. All of the above

D. All of the above

Children and Families Operating Procedure (CFOP) 140-2 tells us how to implement requirements found in Florida Statutes

A. True

B. False

A. True

What Code of Ethics does Adult Protective Services (APS) abide by?

A. National Association of Social Workers (NASW) Code of Ethics

B. National Association of Investigators Code of Ethics

C. National Association of Vulnerable Adults Code of Ethics

D. None of the above

A. National Association of Social Workers (NASW) Code of Ethics

Which principle is not listed in the National Adult Protective Services Association (NAPSA)?

A. Adults have the right to be safe

B. Adults are presumed to lack decision-making capacity unless a court confirms otherwise.

C. Adults have the right to accept or refuse services.

D. Adults have the right to make decisions that do not conform with societal norms as long as these decisions do not harm others.

B. Adults are presumed to lack decision-making capacity unless a court confirms otherwise.

Autonomy involves the right of individuals to make choices as long as they have decision-making capacity and cause no harm to others.

A. True

B. False

A. True

Which of the following is the right to expect others to "do no harm" in the maintenance or enhancement of the client's welfare?

A. Beneficence

B. Non-Maleficence

C. Accountability

D. Fidelity

B. Non-Maleficence

To whom are we allowed to release the identity of the reporter?

A. Employees of the department responsible for protective services

B. The Central Abuse Hotline

C. Law Enforcement Agency

D. All of the Above

D. All of the Above

Which of the following parties are entitled to a copy of the final report? (Select all that apply)

A. Vulnerable adult

B. Neighbor

C. Guardian

D. Alleged Perpetrator

A. Vulnerable adult

C. Guardian

D. Alleged Perpetrator

An ethical dilemma presents a choice between two relevant sets of values, two good things.

A. True

B. False

A. True

Which of the following is a value in the Code of Ethics that Adult Protective Services (APS) abides by?

A. Competence

B. Services

C. Integrity

D. Importance of Human Relationships

E. All of the Above

E. All of the Above

Calls to the Hotline are only accepted during normal Adult Protective Investigator (API) working hours (8am - 5pm, 7 days a week)

A. True

B. False

B. False

The following number of attempts must be completed to locate a vulnerable adult within 24 hours:

A. once same day

B. 2

C. 3

D. 4

B. 2

Which of the following would be considered relevant collaterals? (Check all that apply).

A. Neighbor

B. Doctor

C. Salesman

D. Family

A. Neighbor

B. Doctor

D. Family

If an Investigator feels threatened, they must do the following: (Check all that apply)

A. Stay calm

B. Try to reason with the person

C. Leave if you feel threatened

D. Stay aware, even if the situation seems to be stabilizing

A. Stay calm

C. Leave if you feel threatened

D. Stay aware, even if the situation seems to be stabilizing

Section 415.102(28), F.S., defines a vulnerable adult as one who is 18 years of age or older whose ability to perform the normal activities of daily living or to provide for his or her own care or protection is impaired due to a mental, emotional, sensory, short-term physical, or developmental disability or dysfunction, brain damage, or the infirmities of aging.

A. True

B. False

B. False

According to Florida State Statutes, which of the following is NOT considered an ADL?

A. Bathing

B. Feeding oneself

C. Paying one's bills

D. Grooming

E. All are ADLs

C. Paying one's bills

The department does not have authority to investigate exploitation reports in which the alleged perpetrator is in a position of trust and confidence and the vulnerable has capacity to consent.

A. True

B. False

B. False

The hotline should not receive reports of abuse, neglect, or financial exploitation if the alleged perpetrator is deceased. Please confirm the statement true or false.

A. True

B. False

A. True

Mr. Cook lives alone in his home. He has physical limitations and needs to use a cane to move around. Last week, an adult protection investigator visited Mr. Smith, who does not have any caregivers. During the visit, Mr. Smith informed the investigator that he can shop, prepare his meals, manage his money and medication, and do some light housekeeping on his own. These skills are commonly known as ?

A. Activity of daily living(ADL's)

B. Instrumental activities of Daily Living(IADL's)

C. Vulnerable, adult activities

D. individual active skills

B. Instrumental activities of Daily Living(IADL's)

In the event an API will need a translator, they may utilize _________

A. A family member who is able to translate

B. A facility staff member who is able to translate

C. A professional interpreter who is able to translate

D. A friend who is able to translate

C. A professional interpreter who is able to translate

What are some of the reasons to establish rapport? (check all that apply)

A. Allows the victim to relax, diminished fear

B. Allows the investigator to get the victim to accept services

C. Allows the victim to trust and therefore disclose

D. All of the above

A. Allows the victim to relax, diminished fear

C. Allows the victim to trust and therefore disclose

____________ statements are statements which demonstrates that you appreciate the vulnerable adult's situation and are supportive of the vulnerable adult as a person as they struggle with a situation.

A. Acceptance

B. Affirmation

C. Confirmation

D. Supportive

B. Affirmation

What question types are preferred in interviewing ?

A. Yes/No questions

B. Open ended questions

C. Multiple choice questions

D. Direct/specific questions

B. Open ended questions

The investigator should always ask "Why" questions to understand the reason for the vulnerable adult's decisions.

A. True

B. False

B. False

Speed and pacing are important both to keep control of the interview and to maintain rapport. Matching the pace of the vulnerable adult helps make them feel understood.

A. True

B. False

A. True

__________ is a type of communication barrier?

A. Echolalia

B. No speech

C. Delusions and Hallucinations

D. All of the above

D. All of the above

"How do you normally get your meals?" is which type of question style?

A. Open-ended

B. Focused

C. Direct/Specific

D. Leading

B. Focused

When interviewing vulnerable adults, the investigator should take special consideration for vulnerable adults with the following: (Select all that apply)

A. Sensory Disabilities

B. Communication Barriers

C. Hostile behavior

D. Live with a roommate

A. Sensory Disabilities

B. Communication Barriers

C. Hostile behavior

Capacity to consent to services means that a vulnerable adult has sufficient understanding to make and communicate responsible decisions regarding the vulnerable adult's person or property, including whether or not to accept protective services offered by the department .

A. True

B. False

A. True

What DCF employee should be consulted when doubt remains after a preliminary assessment ?

A. Adult Protection Investigator Supervisor

B. Senior Human Services Counselor Supervisor

C. Operations Program Administrator

D. Registered Nurse Specialist

D. Registered Nurse Specialist

Which of the following medical conditions does not impact cognition?

A> Dehydration

B. Diabetes

C. Cancer

D. Mini-stroke

C. Cancer

____________ involves a significant, persistent decline in functioning over a period of time. Depending on the type, the patient may lose memory as well as some or all of cognitive functions such as language, motor activities, ability to recognize familiar stimuli, and/or executive functioning.

A. Delirium

B. Depression

C. Dementia

D. Declining

C. Dementia

____________ is an acute, reversible disorder. It occurs suddenly, over a short period of time and fluctuates during the day. The patient report feeling "mixed up".

A. Depression

B. Delirium

C. Dementia

D. Declining

B. Delirium

Which of the following areas should be addressed by the investigator when assessing capacity and completing a capacity to consent assessment in the SAFE system? (Check all that apply)

A. Oriented to person, place, and time

B. Knowledge of resources and how to utilize

C. Able to comprehend mental, physical, and environmental limitations

D. Able to provide income and source of income

A. Oriented to person, place, and time

B. Knowledge of resources and how to utilize

C. Able to comprehend mental, physical, and environmental limitations

Domestic violence only occurs between a client and their partner/spouse

A. True

B. False

B. False

Which of the following is not likely linked to domestic violence later in life?

A. Retirement

B. Disability

C. Changing roles of family members

D. Diet changes

D. Diet changes

Power and Control wheel graph shows which of the following escalating patterns of violence or intimidation?

A. Using Isolation

B. Using Economic Abuse

C. A and B are correct

D. Using children

E. All of the above

E. All of the above

One sign that could indicate emotional abuse is when a family member does not give an elder access to others.

A. True

B. False

A. True

For the maltreatment code of Abuse to be investigated by the Department of Children and Families, the alleged perpetrator must be a :

A. relative

B. caregiver

C. household member

D. A or B

E. Any of the above

E. Any of the above

Caregiver means a person who has been entrusted with or has assumed the responsibility for frequent and regular care of or services to a vulnerable adult on a temporary or permanent basis and who has a commitment, agreement, or understanding with that person or that person's guardian that a caregiver role exists.

A. True

B. False

A. True

Tactics used by abusers are

A. Targeting vulnerabilities

B. Denying access to spiritual traditions

C. Psychological/emotional abuse

D. A and C

E. All of the above

E. All of the above

A vulnerable adult might stay with their abuser or refuse help because of lack of resources.

A. True

B. False

A. True

Which of the following is not a physical injury maltreatment?

A. Internal Injuries

B. Asphyxiation/Suffocation/Drowning

C. Sexual Battery

D. Burn/Scald

C. Sexual Battery

Sexual abuse is maltreatment defined in CFOP 140-2

A. True

B. False

A. True

Potential warnings signs of Sexual abuse: (Select all that apply)

A. Poor Physical Health

B. Lack of Control

C. Loss of sense of time

D. Allowed small breaks at work

A. Poor Physical Health

B. Lack of Control

C. Loss of sense of time

Common Barriers for Sexual abuse reporting

A. embarrassment and shame

B. Frequent accompaniment/guard

C. use and threat of violence

D. All of the above

D. All of the above

Which of the following situations is NOT considered sexual abuse?

A. Oral or anal penetration

B. Fondling

C. Inappropriate touching

D. A caregiver removing a vulnerable adult's clothes for a shower

D. A caregiver removing a vulnerable adult's clothes for a shower

Sexual abuse can occur with a spouse, partner, child, grandchild or other relatives.

A. True

B. False

A. True

Sexual abuse includes any act that might occur in the provision of normal caregiving or appropriate display of affection.

A. True

B. False

B. False

A physical Injury is required to verify Sexual Abuse maltreatment.

A. True

B. False

B. False

__________ questions should be used to elicit sexual abuse details.

A. Direct

B. Yes/No

C. Multiple Choice

D. Open-ended

D. Open-ended

Factors which may affect mental capacity regarding exploitation:

A. Dehydration

B. Not having proper living arrangements

C. Depression

D. A and C

E. All of the above

D. A and C

The endeavor (attempt or effort) by a person who stands in a position of trust and confidence through deception or intimidation to obtain or use a vulnerable adult's fund is not a form of exploitation.

A. True

B. False

B. False

Which of the following are vulnerable adult's barriers to reporting financial exploitation?

A. Protecting the Abuser

B. Mental Impairments

C. Fear

D. All of the above

D. All of the above

Undue influence is the persuasion, pressure, or influence short of actual force, but stronger than mere advise, that so overpowers the dominated party's free will or judgment that he or she cannot act intelligently and voluntarily, but acts, instead, subject to the will or purpose of the dominating party

A. True

B. False

A. True

Which of the following are vulnerable adult risk factors associated with elder financial exploitation?

A. The vulnerable adult home address

B. Social isolation

C. Severe mental illness

D. B and C only

E. All of the above

D. B and C only

There are several prevention methods available to prevent financial exploitation from occurring such as legislation, public education, and mandated reporter education and training.

A. True

B. False

A. True

Which of the behaviors below can indicate self-neglect /VAINS maltreatment?

A. Refusing to take prescribed medication.

B. Refusing services which would benefit their quality of life

C. Drinking excessively every night and then

D. All of the above

D. All of the above

As long as a vulnerable adult (with capacity) understands the risks they are taking and making the choices voluntarily, their wishes must be respected.

A. True

B. False

A. True

Self-neglect is any action or lack of action by the vulnerable adult that results in the failure to provide for his or her basic needs and thereby produces or could reasonably be expected to result in serious physical or psychological injury or a substantial risk of death to the vulnerable adult.

A. True

B. False

A. True

Which of the following isnot a ytpe of intervention for Self-Neglecting adults?

A. Supportive Services

B. Money

C. Mental Health Treatment

D. Monitoring

B. Money

An elderly gentleman can no longer manage his medical needs as he has blood sugars over 200 due to no longer taking his insulin. He is not taking calls from family that want to assist. This is an example of self-neglecting.

A. True

B. False

A. True

Bob & Shirley in the "Who is Normal Anyway" video acknowledged that there were safety concerns in their home. What concerns were observed in the home?

A. Fire Hazards

B. Fall Risks

C. Health Problems for the victims

D. All of the above

D. All of the above

Reports alleging second party neglect must include an alleged perpetrator who is the caregiver of the vulnerable adult(s). vulnerable adult spouse should not be automatically assumed to be in a caregiving role.

A. True

B. False

A. True

Define relationship requirements for alleged perpetrators for maltreatment of neglect.

A. Caregiver

B. Relative

C. Household member

D. Power of Attorney

A. Caregiver

Which of the following are not a type of neglect?

A. Isolation

B. Not bringing cookies over to the house

C. Lack of medical treatment

D. Lack of appropriate clothing

B. Not bringing cookies over to the house

Informal caregivers have a set of clear, written expectations about what duties they are expected to perform.

A. True

B. False

B. False

Characteristics of avulnerable adult of neglect include which of the following?

A. Diarrhea/urine burns

B. Lack of assistive devices

C. Problems with orientation and memory

D. A and C

E. All of the above

E. All of the above

Which of the following is not an activity of daily living (ADL)?

A. Grooming

B. Transferring

C. Oral Care

D. Shopping

D. Shopping

All of the following are contributing factors of caregiver neglect except which caregiver condition?

A. Dementia

B. Age

C. Mental Illness

D. Frailty

B. Age

Neglect may occur because the caregiver lacks understanding of the vulnerable adult needs.

A. True

B. False

A. True

Which fo the following is not a maltreatment of neglect?

A. Malnutrition/Dehydration

B. Exploitation

C. Inadequate Supervision

D. Medical Neglect

B. Exploitation

The level of risks are low, intermediate, high, and no risk.

A. True

B. False

A. True

When should the initial Safety Assessment Plan submitted?

A. Within 24 hours of face-to-face interview with the vulnerable adult

B. Within 6 calendar days of the face-to-face interview with the vulnerable adult

C. Within 4 days of receipt of the report

D. Within 6 days of commencement of the report

B. Within 6 calendar days of the face-to-face interview with the vulnerable adult

Risk Assessments are conducted:

A. During commencement activities

B. During initial contact with the vulnerable adult

C. At case closure

D. All of the above

D. All of the above

The API will assess the vulnerable adult's capacity to consent to or refuse services, and assess the threat/risk level using the APS Safety Assessment and Plan.

A. True

B. False

A. True

How does a risk assessment help investigators?

A. Plans Interviews/Investigations

B. Detects changes over time

C. Develops plans to ensure client's immediate safety and reduce future risk.

D. All the above

D. All the above

What factors are used for assessment of risk and safety?

A. Vulnerable Adult's capacity to consent to or refuse services

B. Caregiver(s) residing with the vulnerable adult, or working with the vulnerable adult (institutional)

C. Services currently involved (formal and informal)

D. All the above

D. All the above

The 3 components of Protective Intervention are Placement, Supportive Services, and Short-Term Case Management.

A. True

B. False

A. True

What are the goals of Supportive Services? (Select all that apply)

A. Prevent abuse, neglect, exploitation (ANE)

B. Assist the individual to remain in the least restrictive environment while maintaining independence.

C. Prevent the recurrence of ANE or to delay placement.

D. Supervise court ordered services

A. Prevent abuse, neglect, exploitation (ANE)

B. Assist the individual to remain in the least restrictive environment while maintaining independence.

If no responsible party is available, the investigator can authorize the provision of protective services.

A. True

B. False

B. False

Chapter 415.101 F. S. Adult Protective Services Act provides the legislative intent for the detection and correction of abuse, neglect, and exploitation through social services and criminal investigations and to establish a program of protective services for all vulnerable adults in need of them.

A. True

B. False

A. True

Which fo the following roles does not pertain to both APS and the criminal justice system?

A. Testify in court as a witness

B. Report abuse to the Hotline

C. Welfare checks

D. Initiate involuntary mental health commitment

D. Initiate involuntary mental health commitment

An API can release reporter information to law enforcement at any time.

A. True

B. False

B. False

Which of the following burdens of proof would be needed to substantiate an investigation?

A. Clear and convincing

B. Preponderance of evidence

C. Beyond a reasonable doubt

B. Preponderance of evidence

Which type of evidence is the most reliable?

A. Confessions

B. Witnesses

C. Physical Evidence

C. Physical Evidence

True or False: Chapter 415.1045(4), Florida State Statute gives an API access to inspect and copy records or documents.

A. True

B. False

A. True

If a vulnerable adult sustains a fracture at a facility, an x-ray of the fracture is one of the documents the API needs to obtain for the RNS to review.

A. True

B. False

A. True

If an API receives an institutional investigation with a vulnerable adult that has a bruise, the API should take pictures for the RNS which provide the following:

A. Location

B. Size

c. Color

D. All of the above

D. All of the above

If a vulnerable adult alleges that the facility is not giving them their medication, what is one of the documents you would need to obtain for an RNS review?

A. Treatment Administration Records

B. Medication Administration Records

C. Face sheet

D. Health surrogacy paperwork

B. Medication Administration Records

If a facility resident has a decubitus wound and it is alleged that wound care is not being provided, which documents would be important for RNS to review?

A. Wound care notes

B. TARS/MARS

C. Skin Sweeps

D. All of the above

D. All of the above

Who can provide an official determination of a vulnerable adult's capacity to consent on an investigation? (select all that apply)

A. Registered Nurse Specialist

B. Licensed Practical Nurse (LPN)

C. Primary Care Physician

D. Neurologist

A. Registered Nurse Specialist

C. Primary Care Physician

D. Neurologist

The common documents to obtain from a facility for an RNS review are all of the following except

A. Face sheet

B. Recent History and Physical

C. Confirmation of bills paid

D. Incident reports

C. Confirmation of bills paid

The level of supervision in a facility is the same as an in-home setting.

A. True

B. False

B. False

Which of the following facilities has the highest level of care?

A. Adult Family Care Homes

B. Assisted Living Facilities

C. Skilled Nursing Facility

D. Private Hospitals

D. Private Hospitals

Abus driver who is an employee of the group home or day program is not in a caregiving role for inadequate supervision.

A. True

B. False

B. False

The Entrance Interview should be conducted with the administrator or their designee

A. True

B. False

A. True