PCA/CFSS WORKER TRAINING
QUESTIONS WITH ACCURATE
SOLUTIONS GRADED A+
1. Which previous program does CFSS replace?
A) HHA
B) PCA ✅
C) Hospice
D) Medicaid Waiver
Explanation: CFSS (Consumer-Directed Family Support Services) replaced
the PCA (Personal Care Assistant) program to offer more flexibility and
choice for consumers in directing their own care.
2. Which of the following are goals of both the PCA and CFSS
programs?
A) Provide hospital care
B) Support people to remain in the community ✅
C) Replace family caregivers
D) Limit independence
Explanation: Both PCA and CFSS focus on helping individuals live safely and
comfortably in their homes or communities rather than in institutional
settings.
3. The PCA and CFSS programs can cover which of the following
services?
A) Driving lessons
B) Assistance with Eating ✅
C) Assistance with Toileting ✅
D) Legal advice
Explanation: PCA and CFSS services include basic personal care, such as
eating, toileting, grooming, and other activities of daily living to help
maintain independence.
4. Where can PCA and CFSS services occur?
A) In hospitals
B) In the Community ✅
C) In the Person’s Home ✅
D) Only in clinics
Explanation: Services can be provided in a person’s home or in community
,settings where the person participates in daily life activities, emphasizing
choice and independence.
5. PCA and CFSS only cover health-related procedures if:
A) The tasks are listed in the Service Delivery Plan ✅
B) The worker feels comfortable
C) The person requests it
D) The task is common knowledge
Explanation: Health-related procedures must be listed in the service plan
and provided by trained individuals to ensure safety and compliance with
regulations.
6. When are sterile procedures a covered PCA or CFSS service?
A) Always
B) Sometimes
C) Never ✅
D) Only for adults
Explanation: Sterile procedures are medical tasks that require licensed
professionals. PCA and CFSS workers are not allowed to perform these to
prevent harm.
7. When are injections a covered PCA or CFSS service?
A) Only with supervision
B) Never ✅
C) Only in clinics
D) Only for children
Explanation: Injections are considered medical procedures, which PCA and
CFSS workers are not trained to perform.
8. When can PCA or CFSS workers use restraints on the person?
A) If the person is aggressive
B) Only in emergencies
C) Never ✅
D) If authorized by family
Explanation: PCA and CFSS workers must never use restraints. Safety
should be maintained through non-restrictive, person-centered methods.
9. How is a person's eligibility for PCA and CFSS determined?
A) Self-assessment
B) A lead agency carries out an assessment using state-set guidelines ✅
C) Family recommendation
,D) Physician referral only
Explanation: Eligibility is determined by formal assessment through lead
agencies following state guidelines, ensuring consistency and fairness.
10. Who can be a CFSS worker that could not be a PCA worker?
A) Anyone over 18
B) A person receiving CFSS services ✅
C) Only licensed nurses
D) A friend of the person only
Explanation: CFSS allows family members, spouses, or the service recipient
themselves to provide care, giving more flexibility in worker selection.
11. In PCA, the Qualified Professional (QP) assists the person with
developing their plan. In CFSS, who performs this task?
A) Family only
B) Consultation services ✅
C) No one
D) The state agency only
Explanation: CFSS provides consultation services to help develop the
service plan, promoting the person’s choice and independence.
12. In PCA, the QP ensures competency, monitors workers, and
ensures health and safety. In CFSS, who performs these tasks?
A) The person or trained individual in the budget model ✅
B) Any worker
C) Only the state agency
D) No one
Explanation: In CFSS, responsibility depends on the service model: in the
budget model, the individual with experience/training supervises; in the
agency model, qualified agency staff perform these tasks.
13. A person uses a wheelchair in some situations and walks in
others. Which is person-centered?
A) Always push them in the wheelchair
B) Ask the person if they want assistance ✅
C) Decide for them
D) Avoid offering help
Explanation: Person-centered care emphasizes asking and supporting the
individual’s decisions regarding mobility and independence.
, 14. A person may be late taking medication while visiting a friend.
True statements?
A) You should enforce the schedule
B) Let the person decide what to prioritize ✅
C) Call emergency services
D) Skip the medication
Explanation: Workers must respect the person’s choices, setting aside their
own opinions to prioritize the individual’s quality of life.
15. Historically, when working with seniors and people with
disabilities, focus has tended to be on:
A) The organization
B) What is important for the person ✅
C) Reducing costs
D) Efficiency only
Explanation: Care approaches emphasize personal needs, preferences, and
quality of life, rather than institutional routines or staff convenience.
16. Which of the following is a key principle of person-centered
care?
A) Making decisions for the person
B) Supporting independence and choice ✅
C) Limiting social interactions
D) Focusing on staff convenience
Explanation: Person-centered care ensures that the individual’s choices,
preferences, and independence guide all aspects of care.
17. Who can direct their own CFSS plan?
A) Only adults
B) The service recipient themselves ✅
C) Only QP
D) Only family
Explanation: CFSS allows the person receiving services to manage their
own care plan, giving control over who provides care and how it is delivered.
18. Which activity is generally NOT covered under PCA or CFSS
services?
A) Bathing
B) Grocery shopping
C) Surgery ✅
D) Dressing
Explanation: Medical procedures like surgery require licensed healthcare
QUESTIONS WITH ACCURATE
SOLUTIONS GRADED A+
1. Which previous program does CFSS replace?
A) HHA
B) PCA ✅
C) Hospice
D) Medicaid Waiver
Explanation: CFSS (Consumer-Directed Family Support Services) replaced
the PCA (Personal Care Assistant) program to offer more flexibility and
choice for consumers in directing their own care.
2. Which of the following are goals of both the PCA and CFSS
programs?
A) Provide hospital care
B) Support people to remain in the community ✅
C) Replace family caregivers
D) Limit independence
Explanation: Both PCA and CFSS focus on helping individuals live safely and
comfortably in their homes or communities rather than in institutional
settings.
3. The PCA and CFSS programs can cover which of the following
services?
A) Driving lessons
B) Assistance with Eating ✅
C) Assistance with Toileting ✅
D) Legal advice
Explanation: PCA and CFSS services include basic personal care, such as
eating, toileting, grooming, and other activities of daily living to help
maintain independence.
4. Where can PCA and CFSS services occur?
A) In hospitals
B) In the Community ✅
C) In the Person’s Home ✅
D) Only in clinics
Explanation: Services can be provided in a person’s home or in community
,settings where the person participates in daily life activities, emphasizing
choice and independence.
5. PCA and CFSS only cover health-related procedures if:
A) The tasks are listed in the Service Delivery Plan ✅
B) The worker feels comfortable
C) The person requests it
D) The task is common knowledge
Explanation: Health-related procedures must be listed in the service plan
and provided by trained individuals to ensure safety and compliance with
regulations.
6. When are sterile procedures a covered PCA or CFSS service?
A) Always
B) Sometimes
C) Never ✅
D) Only for adults
Explanation: Sterile procedures are medical tasks that require licensed
professionals. PCA and CFSS workers are not allowed to perform these to
prevent harm.
7. When are injections a covered PCA or CFSS service?
A) Only with supervision
B) Never ✅
C) Only in clinics
D) Only for children
Explanation: Injections are considered medical procedures, which PCA and
CFSS workers are not trained to perform.
8. When can PCA or CFSS workers use restraints on the person?
A) If the person is aggressive
B) Only in emergencies
C) Never ✅
D) If authorized by family
Explanation: PCA and CFSS workers must never use restraints. Safety
should be maintained through non-restrictive, person-centered methods.
9. How is a person's eligibility for PCA and CFSS determined?
A) Self-assessment
B) A lead agency carries out an assessment using state-set guidelines ✅
C) Family recommendation
,D) Physician referral only
Explanation: Eligibility is determined by formal assessment through lead
agencies following state guidelines, ensuring consistency and fairness.
10. Who can be a CFSS worker that could not be a PCA worker?
A) Anyone over 18
B) A person receiving CFSS services ✅
C) Only licensed nurses
D) A friend of the person only
Explanation: CFSS allows family members, spouses, or the service recipient
themselves to provide care, giving more flexibility in worker selection.
11. In PCA, the Qualified Professional (QP) assists the person with
developing their plan. In CFSS, who performs this task?
A) Family only
B) Consultation services ✅
C) No one
D) The state agency only
Explanation: CFSS provides consultation services to help develop the
service plan, promoting the person’s choice and independence.
12. In PCA, the QP ensures competency, monitors workers, and
ensures health and safety. In CFSS, who performs these tasks?
A) The person or trained individual in the budget model ✅
B) Any worker
C) Only the state agency
D) No one
Explanation: In CFSS, responsibility depends on the service model: in the
budget model, the individual with experience/training supervises; in the
agency model, qualified agency staff perform these tasks.
13. A person uses a wheelchair in some situations and walks in
others. Which is person-centered?
A) Always push them in the wheelchair
B) Ask the person if they want assistance ✅
C) Decide for them
D) Avoid offering help
Explanation: Person-centered care emphasizes asking and supporting the
individual’s decisions regarding mobility and independence.
, 14. A person may be late taking medication while visiting a friend.
True statements?
A) You should enforce the schedule
B) Let the person decide what to prioritize ✅
C) Call emergency services
D) Skip the medication
Explanation: Workers must respect the person’s choices, setting aside their
own opinions to prioritize the individual’s quality of life.
15. Historically, when working with seniors and people with
disabilities, focus has tended to be on:
A) The organization
B) What is important for the person ✅
C) Reducing costs
D) Efficiency only
Explanation: Care approaches emphasize personal needs, preferences, and
quality of life, rather than institutional routines or staff convenience.
16. Which of the following is a key principle of person-centered
care?
A) Making decisions for the person
B) Supporting independence and choice ✅
C) Limiting social interactions
D) Focusing on staff convenience
Explanation: Person-centered care ensures that the individual’s choices,
preferences, and independence guide all aspects of care.
17. Who can direct their own CFSS plan?
A) Only adults
B) The service recipient themselves ✅
C) Only QP
D) Only family
Explanation: CFSS allows the person receiving services to manage their
own care plan, giving control over who provides care and how it is delivered.
18. Which activity is generally NOT covered under PCA or CFSS
services?
A) Bathing
B) Grocery shopping
C) Surgery ✅
D) Dressing
Explanation: Medical procedures like surgery require licensed healthcare
