Abuse and Neglect Training (4 CEU) Exam

User ID: Date:01/20/2019

  1. Check the best definition of abuse
    The harmful physical or mental treatment of a person
    The failure of a caregiver to provide proper care of an individual
    The obtaining of a thing of value from an unwilling or reluctant person.
  2. Check the best definition of neglect
    The obtaining of a thing of value from an unwilling or reluctant person.
    The desertion or willful forsaking of an adult.
    The failure of proper care to be given to an individual
  3. Match the letter of the "Types" of abuse/neglect to the "Definitions" and also to the "Red Flag Behavior" listed below. Follow the sample provided for A. Neglect.
    Types Definitions Red Flag Behavior
    A. Neglect Unwanted sexual activity such as: kissing, hugging, stroking, fondling, exposing self, using sexual language bruises, welts, burns, cuts, fractures, sprains, abrasions, wounds, blood
    B. Emotional Taking money or property from a consumer, forcing a consumer to do something not in their plan. poor hygiene, dirty clothes, soiled bedding, lacking medication, lacking needed medical attention
    C. Sexual Failure to provide food, clothing, health care, a safe environment, supervision to a consumer sad, crying, unusually quiet, withdrawn, vague or unwilling to discuss an incident or situation
    D. Physical Hitting, slapping, pinching, choking, kicking, scratching someone exposing oneself, flirtatious behavior, fondling self or others
    E. Exploitation An individual choosing to not eat or not take their medication, a person with disabilities not taking care of themselves sudden weight loss, inadequate clothing, lacking necessities like food, utilities, adequate furniture
  4. Choose three (3) characteristics of an individual that might make them vulnerable to or at risk of being abused or neglected:
    behavior problems smoking disabling medical condition
    lack of family concern good looks overweight
  5. Choose three (3) factors that make it "more likely" a caregiver or support worker could become abusive or neglect someone in their care:
    lack of training stress weather
    inadequate communication well written plan of care
  6. Louisiana Law requires that abuse/neglect of persons with disabilities be reported. Who is required to report incidents of suspected abuse?
    Only your supervisor Anyone who witnesses or learns of abuse First cousins
    His/her mother Only Social Workers Second cousins
  7. If you as a Louisiana resident fail to report abuse/neglect; what can happen to you? Choose three (3) correct answers.
    you may be imprisoned you may have to stop smoking you may have to leave town
    you may lose your job you may have to go on a diet you may be fined
  8. How soon should the suspected abuse or neglect be reported? Choose (1) correct answer:
    At end of your shift when you see your supervisor never
    turn in with time sheets Immediately upon discovery timing is not important
  9. There are specific agencies that abuse/neglect can be reported to. Please choose two (2) of those agencies from the list below:
    Child Protection Department of Labor Food Stamp Office
    Internal Revenue Service Adult/Elderly Protective Services
  10. On the following page there are four case situations. Read each situation and answer:
       1) Is it something that needs to be reported? and if yes,
       2) What agency should it be reported to?


    A. You are working in the home of a consumer who is 11 years old and has a developmental disability. The consumer sometimes becomes angry and throws things. His plan of care calls for him to be sent to "time out" in his room when he does this. While you are on duty, he becomes angry, throws a glass and breaks it. His mother tells him he has done wrong and that he must go to "time out". She takes hold of his arm and slowly guides him to his room.

    Is this reportable as abuse/neglect/exploitation? Yes No
    If it is reportable, what agency would you call?
    Child Protection Department of Homeland Security
    Adult/Elderly Protective Services DHH Health Standards Section
    B. You are working in a day program that supports persons with disabilities. One of the consumers is a 33-year-old woman. For the past two weeks, she has been coming to the day program poorly dressed, sometimes in the same clothes for 2 or 3 days in a row. Her personal hygiene has been poor. Sometimes she has body odor as if she has not bathed. She has been very hungry, asking for second helpings of food. She has also seemed upset about something, not wanting to join in the activities and keeping to herself. However, when asked, she denies there is any problem at home.

    Is this reportable as abuse/neglect/exploitation? Yes No
    If it is reportable, what agency would you call?
    Child Protection Attorney Generalís Office
    Adult/Elderly Protective Services DHH Health Standards Section
    C. You are working in the home of an elderly woman. She lives with her adult son, who is unemployed. One day you overhear the son shouting at his mother, cursing at her, demanding money and threatening to "put her in a home".

    Is this reportable as abuse/neglect/exploitation? Yes No
    If it is reportable, what agency would you call?
    Child Protection Medicaid Fraud Unit
    Adult/Elderly Protective Services DHH Health Standards Section
    D. You are working in the home of a 47-year-old man with a physical disability who lives alone. Shortly after you arrive for work, you notice he has a red mark on his cheek. When you asked him about it, he says it's nothing, but he seems angry and upset. You ask him again if everything is all right. He tells you no, but he doesn't want to talk about it. Later in the shift, he admits to you that he got into an argument with the worker on the previous shift. He says he called her a name and she slapped him.

    Is this reportable as abuse/neglect/exploitation? Yes No
    If it is reportable, what agency would you call?
    Child Protection Better Business Bureau
    Adult/Elderly Protective Services DHH Health Standards Section
  11. Mark each situation (Yes) if it is an appropriate situation that should be reported as possible abuse/neglect/exploitation and (No) if it need not be reported.

    A. A mother and daughter who has mild MR got into an argument because the mother is upset that the daughter wants to date someone she met at her job at Wal-Mart. Daughter cursed mother and mother slapped daughter.

    Yes No

    B. You arrive at work at the consumer's home and find him locked in his room alone. No one else is home. When his mother returns, she says she did it to keep him from wandering the neighborhood while she went to the grocery store. The consumer has moderate/severe MR.

    Yes No

    C. A consumer with moderate MR arrives at the day program with 2 black eyes and a broken nose. When asked what happened he states, "he did it" and comments "I don't know what happened".

    Yes No

    D. A consumer who has paraplegia due to a recent auto accident comments to a worker that he wants to kill himself. The worker knows there is a gun in the house.

    Yes No

    E. An elderly man gave a power of attorney to his nephew while he was in the hospital to have heart surgery. After the man returns home, he tells you the nephew withdrew $21,000 from the uncle's savings account and is unable to account for the money. The nephew tells you his uncle told him he could have it while he was in the hospital.

    Yes No

    F. You assist a consumer with paying bills. You notice on the phone bill that there are a number of long distance phone calls out of state. The consumer tells you she didn't make the phone calls, but you know one of your co-workers has relatives in that state.

    Yes No

    G. You are supporting a consumer who has 24 hour paid support and needs assistance with transferring and toileting. You arrive for duty and find the previous shift worker has already gone. You find the consumer is in bed and has soiled herself. The bed is wet and the consumer says she's been this way for a couple of hours.

    Yes No