Client Advocacy Flashcards

A person under guardianship is seriously ill and has an advance directive, signed before the guardianship, refusing mechanical ventilation. What should the guardian generally do?

Answer: Respect the directive as the clearest evidence of the person's wishes unless a court orders otherwise

NGA standards direct guardians to honor a person's previously expressed health care wishes, including advance directives.

When a guardian disagrees with a treating physician's recommendation, what is the most appropriate advocacy step?

Answer: Ask questions, look for a second opinion if needed, and decide based on the person's values and interests

Informed consent requires the guardian to understand the options and may involve a second opinion before deciding.

An agency proposes cutting a person's day program because of budget limits, even though the person's assessed needs haven't changed. How should the guardian advocate?

Answer: Ask for a written notice and the basis for the cut, cite the person's assessed needs, and use available appeal rights

Guardians should demand due process and challenge cuts that don't match the person's documented needs.

Which situation calls for the guardian to report to Adult Protective Services or law enforcement?

Answer: There is a reasonable suspicion that a caregiver is abusing, neglecting, or exploiting the person

Guardians must act to protect the person and report suspected abuse, neglect, or exploitation to the proper authorities.

A person under guardianship from a different cultural background asks for food and religious practices that match their faith. What is the guardian's advocacy duty?

Answer: Advocate for reasonable accommodation of the person's cultural and religious practices

NGA standards call on guardians to respect and promote the person's cultural values and religious beliefs.

When should a guardian push for a less restrictive arrangement, such as a limited guardianship or supported decision-making?

Answer: Whenever the person's abilities improve or less restrictive supports become available

Guardians have an ongoing duty to look for the least restrictive alternative and to seek changes as circumstances change.

A person under guardianship has a complaint about the guardian's own decisions. What is the right practice?

Answer: Tell the person they have the right to raise concerns with the court and to have a lawyer, and help them do so if they ask

People under guardianship have the right to be heard by the court and to have a lawyer, even about their own guardian.