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Personal Care Assistance (PCA) and Community First Services and Supports (CFSS), Exams of Nursing

Personal Care Assistance (PCA) and Community First Services and Supports (CFSS)

Typology: Exams

2024/2025

Available from 06/20/2025

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PCA/CFSS Worker Training
PCA ✔✔Which previous program does CFSS replace?
To support people so they can remain in the community. ✔✔Which of the following are goals of
both the PCA and the CFSS programs?
- Assistance with Eating
- Assistance with Toileting ✔✔The PCA and CFSS programs cana cover which of the following
services?
- In the Community
- In the Person's Home ✔✔Where can PCA and CFSS services occur?
- The tasks are listed in the Service Delivery Plan
- The tasks are covered services according to the laws governing CFSS and PCA
- An experienced individual trains the worker ✔✔PCA and CFSS only covers health-related
procedures and tasks if:
Never ✔✔When are sterile prcedures a covered PCA or CFSS service?
Never ✔✔When are injections a covered PCA or CFSS service?
Never ✔✔When can PCA or CFSS workers use restraints on the person?
A lead agency carries out an assessment process using state-set guidlines. ✔✔How is a person's
eligibilty for PCA and CFSS determined?
- A person receiving CFSS services
- The parents of a minor person
- The person's spouse ✔✔Who can be a CFSS worker that could not be a PCA worker?
Consultation services is available to assist with the development of the plan ✔✔In PCA, the QP
assists the person with developing their plan. in CFSS, who performs this task?
- In the budget model, the petrson or individual with the training or experience performs these
tasks.
- In the agency model, one or more agency employees with the training or experience performs
these tasks. ✔✔In PCA, the Qualified Professional ensures the competency of the worker,
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PCA/CFSS Worker Training

PCA ✔✔Which previous program does CFSS replace?

To support people so they can remain in the community. ✔✔Which of the following are goals of both the PCA and the CFSS programs?

  • Assistance with Eating
  • Assistance with Toileting ✔✔The PCA and CFSS programs cana cover which of the following services?
  • In the Community
  • In the Person's Home ✔✔Where can PCA and CFSS services occur?
  • The tasks are listed in the Service Delivery Plan
  • The tasks are covered services according to the laws governing CFSS and PCA
  • An experienced individual trains the worker ✔✔PCA and CFSS only covers health-related procedures and tasks if:

Never ✔✔When are sterile prcedures a covered PCA or CFSS service?

Never ✔✔When are injections a covered PCA or CFSS service?

Never ✔✔When can PCA or CFSS workers use restraints on the person?

A lead agency carries out an assessment process using state-set guidlines. ✔✔How is a person's eligibilty for PCA and CFSS determined?

  • A person receiving CFSS services
  • The parents of a minor person
  • The person's spouse ✔✔Who can be a CFSS worker that could not be a PCA worker?

Consultation services is available to assist with the development of the plan ✔✔In PCA, the QP assists the person with developing their plan. in CFSS, who performs this task?

  • In the budget model, the petrson or individual with the training or experience performs these tasks.
  • In the agency model, one or more agency employees with the training or experience performs

these tasks. ✔✔In PCA, the Qualified Professional ensures the competency of the worker,

monitors and evaluates the worker and ensures the person's health and safety needs are met. In CFSS, who performs these tasks?

  • Ask the person if they would like you to push when they're using the wheelchair.
  • Support the person's decision about when to use their wheelchair. ✔✔A person uses a wheelchair in some situations, and walks in others. Which of the following represents a person- centered approach?

it is your responsibility as the worker to set your oponions aside and let the person decide what to

prioritize. ✔✔A person had expected to be home in time to take their medication, but they're really enjoying the company of a friend they rarely see, and now they might be late. Which statements are true?

What is important for the person. ✔✔Historically, when working with seniors and people with disabilites, people have tended to focus on:

Supporting the person's decisions about what is important to them and what is important for

them. ✔✔As a worker, you should focus on:

The person is responsible for balancing the risk of doing something with the benefits of doing it.

✔✔Which statement about managing risk is true?

  • Clothing Preferences
  • How comfortable you feel talking to strangers
  • Reactions to anger
  • Food Preferences
  • How close people want to stand to each other ✔✔Which of these are influenced by culture?
  • Children
  • PCA and CFSS workers
  • DHS employees
  • People recieiving services ✔✔Who sometimes exhibits challenging behaviors?
  • Avoid something a person does not like
  • Communicate
  • Gain access to something a person wants or needs ✔✔The best way to interpret a challenging behavior is to see it as an attempt to:
  • Be honest and follow through on promises
  • Respect their control over decisions
  • React calmly to thwat they say ✔✔What are ways to create an environment where a person feels comforable communicating openly instea of resorting to challenging behaviors?

Abuse ✔✔physical, emotional, or sexual

Neglect ✔✔the failure to provide for food, clothing, shelter, medical care and/or supervision

Financial Exploitation ✔✔is the misuse of a funds, assets or property or the failure to use the vulnerable adult's financial resources to care for the vulnerable adult, which results in or is likely to result in detriment to the vulnerable adult

  • Yes, the incident needs to be reported to the the Minnesota Adult Abuse Reporting Center(MAARC/CEP) by the physician.
  • Yes, the incident needs to be reported to the the Minnesota Adult Abuse Reporting Center(MAARC/CEP) by the staff person accompanying Jane to the appointment. ✔✔Jane is 30 years old and lives in an adult foster care facility. Jane is diagnosed with a traumatic brain injury and insulin dependent diabetes. An adult foster care staff person brings Jane to see her physician for a routine check-up. During the visit to her physician, Jane's blood sugar levels are noted to be very high. The physician asks Jane about the high blood sugar levels. Jane tells the physician that she ran out of insulin three days ago and that the person in charge of refilling her prescriptions at the facility said that they were "working on" getting her some more. The physician asks the staff person accompanying Jane about Jane not having any insulin, but the staff person has no knowledge.

Yes, the situation should be reported to the the Minnesota Adult Abuse Reporting

Center(MAARC/CEP). ✔✔Marvel is a 90 year old woman who is living alone since the death of her husband Bill, approximately one month ago. Bill had managed the finances, done the grocery shopping and maintained the yard. You have not seen Marvel in over a week and you are concerned that she may not have the ability to get to the grocery store. Marvel does not have a driver's license and her children live in other states. No one has picked up her mail and it is starting to pile up on her front step. Her yard has become overgrown and her plants have died.

Yes, the incident should be reported to the Minnesota Adult Abuse Reporting

Center(MAARC/CEP). ✔✔A resident's care plan indicates that the resident is not to be left unsupervised on the side of the bed because of her poor sitting balance. The resident is left sitting on the side of the bed while the nursing assistant left the room quickly to get a clean towel and washcloth. The resident falls and sustains a fracture of her humerus.

Yes, the game disk is the property of Robert and the staff person "willfully withheld" the disk

without legal authority. ✔✔Robert is 18 years old and lives in an adult foster care home. Robert enjoys playing video games and owns all of the latest games. One evening while talking with a staff person named Jeff, Robert says that he sure wishes he could get his video golf game disk back from the staff person who works on the weekend. Jeff asks Robert some questions and Robert says that he "loaned" the game disk to a weekend staff person two weeks ago. Robert tells

Jeff that he did not really want to loan the game to the weekend staff person and told him so, but the staff person took the game anyway and said he would return it in two weeks when he worked again. As they are talking, the weekend staff person comes into work, gives Robert his game disk, and tells Robert "thanks."

Yes, this situation should be reported to the Minnesota Adult Abuse Reporting

Center(MAARC/CEP). ✔✔Joel is a young man who is diagnosed with bipolar disorder. He attends an adult day program where he met a new friend, Jill. Jill also attends the same day program and is diagnosed with depression. You are the facilitator of a group session at the day program. After group, Joel tells you that Jill has been "borrowing" money from him and now he is not able to pay his rent. Joel stated when he asks Jill for his money back, she gets upset with him and calls him names. This is very upsetting to Joel because he likes Jill. You're not sure how much money Jill has borrowed, but you are concerned about Joel and his ability to say "no" to Jill the next time she asks for money. You are also concerned about Joel's inability to pay his rent and fear he may get evicted.

Yes, this situation should be reported tothe Minnesota Adult Abuse Reporting Center(MAARC/CEP). ✔✔A resident's family member alleges that her mother's money has been stolen. According to the family member, she gave her mother, who is a resident of the facility, $50 one week ago so that her mother would have money to get her hair done. However, the money is no longer in the drawer and her mother has not had her hair done.

Nothing, unless you lied on purpose ✔✔Suppose you think someone is abusing the person you work with and report it. Then, a government worker investigates and does not agree. What will happen?

Anyone receiving PCA or CFSS services ✔✔PCA and CFSS workers legally must report suspected maltreatment of:

report it immediately ✔✔If you suspect abuse of a person you're providing services for, but are not completely sure:

  • You might not be allowed to do similar work in the future
  • The person could be harmed
  • You could be sued ✔✔If you do not report suspected maltreatment of a person you're providing services for, what might happen?

The person's plan ✔✔The most important thing to reference about what to do in case of an emergency is:

As soon as possible, before an emergency occurs ✔✔When should you find out what to do in case of an emergency while working?

Complete a new one and get it signed again ✔✔If you discover an error on your time card, you should:

In CFSS or PCA ✔✔Workers cannot work more than 310 hours per month:

  • Work 10 extra hours in the future and put them on your time card then
  • Never work those 10 hours ✔✔Suppose you were schduled to work 30 hours this week and ended up working 20. What are the possible options if you, the person you support, and the agency (if applicable) agree?

False ✔✔Because fraud requires intent, nothing bad will happen if you make mistakes on your time card.

  • DHS might take the money back
  • You might not be eligible for housing assistance
  • You might be prosecuted
  • You might not be able to get any job funded by Medicaid or Medicare ✔✔If you commit fraud, what might happen?

Take the money back from the provider ✔✔If DHS discovers you make an unintentional error on your time card, what does the law require DHS to do?

It can only be fraud if it's intentional ✔✔What is the difference between a time card error and fraud?

15 minutes ✔✔How many hours do you have to falsely claim as a PCA or CFSS worker for it be a crime?