NCG Ward Assessment & Needs Planning 2

Question 1

Which of the following tools is most commonly used to assess cognitive functioning in adults under guardianship?

Accepted Answer

The Mini-Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA)

Answer

The Beck Depression Inventory (BDI)

Answer

The Vineland Adaptive Behavior Scales

Answer

The Hamilton Anxiety Rating Scale

Question 2

A guardian is developing a needs plan for a ward with an intellectual disability. Which consideration is especially critical?

Accepted Answer

Including the ward in the planning process to the greatest extent possible

Answer

Focusing exclusively on medical needs rather than social or recreational needs

Answer

Maximizing financial savings by minimizing service expenditures

Answer

Delegating all planning decisions to residential care staff

Question 3

A ward's care team recommends placement in a skilled nursing facility, but the ward has previously expressed a strong desire to remain at home. How should the guardian respond?

Accepted Answer

Carefully weigh the ward's expressed preference against the clinical recommendation and explore home-based alternatives before consenting to placement

Answer

Immediately arrange for skilled nursing placement based on the care team's clinical judgment

Answer

Defer the decision entirely to the ward's family

Answer

File a motion to terminate guardianship so the ward can decide independently

Question 4

Which of the following best describes 'supported decision-making' as an alternative or supplement to guardianship?

Accepted Answer

A process in which a person with a disability is assisted by trusted supporters to understand information and make their own choices

Answer

A legal arrangement where the guardian makes all decisions on behalf of the ward

Answer

A court-ordered mediation process for disputed guardianship cases

Answer

A financial management tool used by conservators to manage a ward's assets

Question 5

When assessing a ward's social needs, a guardian should prioritize which of the following?

Accepted Answer

Maintaining the ward's existing relationships and social connections whenever possible

Answer

Limiting social interactions to reduce the risk of undue influence

Answer

Encouraging the ward to form new relationships with other guardianship wards

Answer

Delegating social planning entirely to the residential facility

Question 6

A guardian is reviewing a ward's individualized service plan (ISP) prepared by a residential care provider. What is the guardian's role in this process?

Accepted Answer

The guardian should review the ISP to ensure it reflects the ward's needs and preferences, and advocate for changes if necessary

Answer

The guardian must accept the ISP as drafted by the care provider without modification

Answer

The guardian's role is limited to signing the ISP as a formality

Answer

The guardian should develop a separate plan that supersedes the provider's ISP

Question 7

How frequently should a guardian conduct a reassessment of the ward's needs and care plan?

Accepted Answer

At least annually, or whenever there is a significant change in the ward's condition or circumstances

Answer

Only when the court orders a reassessment

Answer

Once every five years, or when the ward's condition changes significantly

Answer

Reassessment is the responsibility of the ward's care providers, not the guardian