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 MMSE and MoCA are widely used standardized tools for screening cognitive impairment in adults, making them common in guardianship assessments.

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

Involving the ward in their own needs planning to the greatest extent possible respects their dignity, supports self-determination, and is a cornerstone of person-centered practice.

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

A guardian must give serious weight to the ward's prior expressed preferences and explore least-restrictive alternatives before consenting to a more restrictive placement.

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

Supported decision-making enables individuals with disabilities to make their own choices with assistance from trusted supporters, preserving autonomy without requiring a substitute decision-maker.

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

Preserving existing relationships and social connections supports the ward's emotional well-being and is consistent with person-centered care principles.

NCG - National Certified Guardian Practice Test

NCG - National Certified Guardian Practice Test

NCG Ward Assessment & Needs Planning 2