Programs Flashcards
7 cards from real DSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Programs flashcards as text
Which of the following is a key characteristic that distinguishes HCBS settings from institutional settings under CMS's 2014 HCBS Settings Rule?
Answer: HCBS settings must be integrated in and support access to the broader community
The 2014 CMS HCBS Settings Rule requires that waiver settings be integrated in the community and provide access to community life, not isolated or institutional in character.
In a Supported Employment program, 'job carving' means:
Answer: Separating specific tasks from an existing job to create a position that matches an individual's skills
Job carving identifies tasks within an existing job description and creates a new position around those specific tasks that align with the individual's abilities.
An individual in a day program tells their DSP they want to stop attending on Fridays to visit family. The DSP should FIRST:
Answer: Listen to the individual's preference, document it, and communicate it to the supervisor and care team
DSPs should respect self-determination, document the expressed preference, and work with the care team to explore whether the ISP can be adjusted.
What is the primary difference between a Group Home and a Host Home (shared living) program?
Answer: A host home places the individual with a family or individual caregiver in their private residence
In a host home (shared living) model, the individual lives with a trained family or individual caregiver in that caregiver's personal home, rather than in an agency-operated facility.
A DSP working in a crisis stabilization program should prioritize which of the following during an escalating behavioral crisis?
Answer: Ensuring the safety of the individual and others while using de-escalation strategies
Crisis stabilization requires prioritizing safety for everyone while using the least restrictive de-escalation strategies before considering more intrusive interventions.
Under a Consumer-Directed (self-directed) service model, a DSP is hired directly by the individual. Who is legally considered the employer of record for tax and labor purposes?
Answer: The individual or their authorized representative, often through a Fiscal/Employer Agent (FEA)
In self-directed models, the individual (or their authorized rep) is the employer of record, often supported by a Fiscal/Employer Agent that handles payroll and tax compliance.
Which outcome is MOST aligned with the goals of a community integration program for individuals with developmental disabilities?
Answer: The individual develops relationships and participates in activities alongside people without disabilities
Community integration aims for true inclusion — meaningful participation in mainstream community activities alongside people without disabilities.