FL DCF Child Care Behavioral Observation and Screening (BOSR) (exam) Questions And ANSWERS, Exams of Nursing

Download FL DCF Child Care Behavioral Observation and Screening (BOSR) (exam) Questions And ANSWERS and more Exams Nursing in PDF only on Docsity! 1 FL DCF Child Care Behavioral Observation and Screening (BOSR) (exam) Questions And ANSWERS 100% VERIFIED. LATEST UPDATE. Child care professionals observe and screen children so they can - ✓✓✓1. Facilitate the growth and development of every child in their program, 2. Detect early signs of developmental delay or disability, 3. Identify signs of child abuse or neglect. Observation and screening describe - ✓✓✓how early childhood professionals use certain methods to help them pay attention to the behavior and development of children under their care. Observation - ✓✓✓is an ongoing process in which child care professionals recognize and document identifiable developmental milestones as they appear, using tools such as checklists, anecdotal records, and running records. Screening - ✓✓✓is an ongoing process in which child care professionals use specialized observation and documentation tools to identify, document, and monitor typical development or possible developmental delay. The three main reasons child care programs observe and screen children are to - ✓✓✓1. To foster growth and development in every child, 2. Detect early signs of developmental delay or disability, and 3. Identify signs of child abuse and neglect. These processes are also used to support - ✓✓✓-quality curriculum development; -help parents support growth and development at home; -allow timely referral for early intervention services; and -provide a common reference point and basis for interaction between parents, program staff, and other professionals. Observation and screening foster growth and development in every child by - ✓✓✓determining the child's developmental-age level and by using the information obtained from observation and screening to develop inside and outside learning spaces, personal care routines, communication and interaction practices, learning activities, and program policies and procedures. 1 2 Observation and screening can detect early signs of developmental delay or disability when - ✓✓✓child care staff members are trained to identify and document signs of typical or atypical growth and development. Since staff members see children throughout the day and have training in child growth and development, they may be in the best position to spot the earliest signs of atypical development. Therefore, staff may be in the best position to help the child and family. Child care personnel should not - ✓✓✓attempt to diagnose delay or disability. Instead, they should document typical and atypical patterns of development and take appropriate action as defined by their program's written policies and procedures. Observation and screening can help child care professionals identify the signs of child abuse and neglect by - ✓✓✓reporting any suspected abuse or neglect and can do so anonymously. However, people who work with children are required by law to identify themselves when they report suspected child abuse or neglect. Failure to report suspected abuse or neglect is a felony of the third degree in Florida. Observation and screening support quality curriculum development by - ✓✓✓focusing learning goals and objectives, lesson plans, and teaching strategies on the development and implementation of activities that strengthen the child's skills. The best child care professionals can recognize what each child knows and can do, and uses this information to help increase skills, abilities, and knowledge. Observation and screening can help parents support their child's growth and development at home by - ✓✓✓increasing the volume and quality of information available to them. When quality information is combined with the professional services provided by a child care program, a child's outcomes improve, both at the program and at home. Observation and screening allow - ✓✓✓timely referral for intervention. The earlier signs of developmental delay or disability are identified, the better the outcome for the child. The American Academy of Pediatrics recommends - ✓✓✓that all children be screened for developmental delays and disabilities during regular well-child doctor visits at 9 months, 18 months, and 24 or 30 months. However, observation of a child can begin at birth. Observation and screening provide an opportunity for communication between parents, staff, and child development specialists because - ✓✓✓they include written evidence of a child's growth and development over time. 2 5 -Improve a family's ability to navigate a complex system of services -Result in a referral for evaluation so eligible children may receive benefits they are entitled to under the Individuals with Disabilities Education Act, or IDEA, which is a federal law IDEA - ✓✓✓Individuals with Disabilities Education Act Benefits for child - ✓✓✓Assessment can lead to an evaluation, which may qualify the child for benefits under IDEA. According to Children's Medical Services (CMS), assessment refers to - ✓✓✓"...ongoing procedures used by appropriate qualified personnel throughout the period of a child's eligibility to identify the following: (A) the child's unique strengths and needs and the services appropriate to meet those needs, and (B) the resources, priorities, and concerns of the family and the supports and services necessary to enhance the family's capacity to meet the developmental needs of their infant or toddler with a disability." CMS defines evaluation as - ✓✓✓"...procedures used by appropriate qualified personnel to determine a child's initial and continuing eligibility for Early Steps, consistent with the definition of "infants and toddlers with disabilities" in §303.16, including determining the status of the child in each of the developmental areas in 34 CFR §303.322 (c)(3)(ii). To summarize, evaluation is a process that - ✓✓✓determines a child's eligibility for federal, state, and local programs and services. Assessment - ✓✓✓is a process whereby an agency or organization gathers and reviews multiple sources of information about a child's suspected or confirmed developmental delay or disability and uses that information to improve a child's outcomes. Evaluation - ✓✓✓is a process that determines a child's eligibility for federal, state, and local programs and services. Your role as a child care professional is - ✓✓✓observation, screening, and referral. In observation and screening processes, your main responsibilities are to - ✓✓✓document the child's skills and abilities fairly, objectively, and accurately; and work with families to refer children for further assessment and evaluation. Remember, if information causes you to suspect child abuse or neglect, you must report it. 5 6 During an observation period, you will - ✓✓✓monitor a child as he or she demonstrates identified skills or abilities within a developmental domain or domains. You should conduct the screening in the child's natural environment when he or she is at his or her best. After the observation, you will document the child's file following guidelines presented in this course and your employer's written procedures. During a screening, you will - ✓✓✓identify and measure a child's specific skills and abilities using a screening instrument. While you are working, bear in mind two things: - ✓✓✓-one, your results are only one source of information that will be used to better understand a child's behavior and development; and -two, it is critical to involve the child's family in the process. Sometimes, the results of a program's observation and screening processes - ✓✓✓will indicate a possible developmental delay or disability. When this happens, you or a designated coworker will talk to the child's parents and assist them in making an appropriate referral. Remember, the referral for assessment will play a role in empowering parents to help their child - ✓✓✓grow and develop, improving a family's ability to navigate a complex system of services, and ensuring eligible children receive benefits they are entitled to by federal law. Referrals - ✓✓✓Child care professionals observe and screen children, and should work with families to make referrals. 4 interrelated processes - ✓✓✓Observation, screening, assessment, and evaluation are interrelated processes. Systematic process - ✓✓✓Child care programs should support families by observing and screening children through an ongoing, systematic process. Child care professionals do not assess or evaluate children; - ✓✓✓however, they do provide information that is useful during the processes. It is vital that this information is as complete and accurate as possible, or a child with a developmental delay or disability could be overlooked. Child care professionals should work with the families to make referrals to - ✓✓✓the Florida Diagnostic and Learning Resource System's Child Find for assessment and other services. 6 7 Children's Medical Services performs - ✓✓✓performs assessment and evaluation processes to determine eligibility for programs and services under the Individuals with Disabilities Education Act (IDEA). OBSERVATION - ✓✓✓A trained adult watches a child for a half hour as she interacts with other children in the program. The adult documents the child's typical growth and development in the Social and Emotional Developmental Domain in the child's file, writes a note to the parents, and uses the information to plan future activities. SCREENING - ✓✓✓A trained adult watches a child for a half hour as she interacts with other children in the program. The adult documents the child's atypical growth and development as called for in a tool's Social and Emotional Developmental Domain section, and makes plans to speak to a supervisor about a possible developmental delay or disability in this domain. ASSESSMENT - ✓✓✓After reading a child's file, a trained adult asks the child to perform specific tasks. The information gained indicates the child may have a developmental delay or disability and could benefit from early intervention. The adult refers the family to a medical professional for diagnosis. EVALUATION - ✓✓✓After reading a child's file, a trained adult asks the child to perform specific tasks. The adult confirms the child has a developmental disability and therefore qualifies for programs and services, by federal law. Florida Diagnostic and Learning Resource System's Child Find - ✓✓✓Families use this for assessment, which may result in them being referred to Children's Medical Services for evaluation of a delay or disability. Disabilities are diagnosed by - ✓✓✓medical professionals in collaboration with Children's Medical Services. Child care professionals do not confirm or diagnose a suspicion of a delay. Instead, they use - ✓✓✓developmental milestone charts to help them, and families, better understand a child's growth and development. And refer families to the Florida Diagnostic and Learning Resource System's Child Find for assessment 7 10 Effective child care professionals - ✓✓✓set aside personal beliefs and consider only facts, not only during observation and screening sessions, but at all times during working hours. This does not mean they abandon their own culture, traditions, and values when caring for children; instead, it means they use developmentally appropriate practice for each child, follow the law, and honor a professional code of ethics. Document all relevant information. - ✓✓✓Relevancy is determined by the observation or screening tool. Behavior not relevant to the current session may be documented later in another type of record. Ensure documentation is correct and complete. - ✓✓✓Complete documentation as soon as possible Proofread for content errors Check for writing and mathematical errors Wait two or three days, then repeat the process Documentation - ✓✓✓Objective, accurate child care professionals create documentation coworkers and other professionals can use to help children grow and develop to their full potentialial The third guideline is to be honest and fair. Effective child care professionals observe children, conduct screenings, and document all relevant observations in good faith. They: - ✓✓✓-Document children's development over time -Observe or screen when children are at their best -Conduct sessions in the child's natural setting with familiar staff -Never observe or screen with the intent of confirming a suspicion H.A.L.T. stands for - ✓✓✓Hungry Angry/Anxious Lonesome Tired Conduct sessions in the child's natural setting with familiar staff. Children are most likely to demonstrate their skills: - ✓✓✓-With a person they know -In a familiar place -Using materials they have seen before Never observe or screen with the intent of confirming a suspicion of delay, disability, abuse, or neglect. Instead, child care professionals: - ✓✓✓-Watch for developmental milestones 10 11 -Document them as instructed -Take action required by their program's written policies and procedures Good faith - ✓✓✓Honest and fair child care professionals observe children, conduct screenings, and document all relevant observations in good faith. Be Focused - ✓✓✓-Allow enough time to properly conduct a session -Observe or screen one child at a time -Pay attention to small differences and details -Work methodically and thoughtfully Work methodically and thoughtfully. - ✓✓✓professionals are organized, systematic, and deliberate. To work thoughtfully, professionals think about what is happening carefully, using all of their knowledge, skills, and abilities to identify and document only useful information. Dedicate fully - ✓✓✓Focused child care professionals dedicate themselves to the observation or screening session, and give each child their full attention. Selecting Screening Instruments - ✓✓✓Quality screening instruments are: -easy to use -accurate. -affordable -available -sensitive in regards to ethnicity, culture, and linguistics. -reliable -have specific components -are endorsed by individuals, agencies, and organizations that are respected within the early education or early intervention communities. -using technology should be user-friendly, meet accessibility requirements, and fit the program's needs. Select tools - ✓✓✓Child care professionals select screening tools based on specific quality considerations to ensure they will meet the needs of the children, their families, and the program. Usable results - ✓✓✓Child care professionals follow guidelines and best practices during observation and screening sessions so results will be usable. 11 12 Involving Families in the Process - ✓✓✓Child care professionals know that involving families in the screening process can increase their knowledge of child development and improve their parenting skills. The role of families in the screening process is to: - ✓✓✓Be fully aware of the screening program and understand its purpose Consider screening a positive service Give written consent for their children to participate Provide information that could facilitate the interpretation of results Participate in the observation and screening process appropriately Meet with staff members in person to discuss screening results Pursue intervention services when they may benefit the child Partnering - ✓✓✓Child care professionals think of families as partners in the observation and screening processes. I am selecting screening tools. - ✓✓✓You look for accuracy, reliability, and sensitivity. You assess the program's current use of technology. You perform research to find suitable endorsements. I am asking the right questions - ✓✓✓You find out what languages are available. You know the tool's target age range. You learn how many items are screened. I am following guidelines and best practices. - ✓✓✓You only use instruments for their specified purposes. You conduct screening sessions in natural settings. You are trained to conduct screening and observation sessions. I am involving families. - ✓✓✓You answer questions as you share results. You schedule confidential meetings to discuss results. You encourage parents to contact you with follow-up questions. A checklist - ✓✓✓Is a list of skills and abilities to be observed. Use a checklist when the goal is to note the presence or absence of demonstrated skills and abilities. An anecdotal record - ✓✓✓is a narrative account of an event written shortly after it occurred. Use an anecdotal record to write about the development of a skill or ability. 12 15 Child at risk - ✓✓✓Child care professionals can provide other professionals with information that can help a child at risk. Observation, Screening, and At-Risk Children - ✓✓✓-Do not diagnose children based upon these signs -Identify and document indicators that they observe -Report them as required by law -Observe and screen regularly Licensed doctors - ✓✓✓are the only professionals who can diagnose the signs of delay and disability. The Department of Children and Families' child abuse investigators, working with law enforcement officials, - ✓✓✓are the only professionals who can verify the signs of abuse and neglect and take appropriate legal action. Expertly written - ✓✓✓Child care professionals use terms related to their profession and to at-risk children expertly, and when creating documentation, they construct concisely-written sentences. According to the CDC, children who are at the highest risk for developmental disabilities tend to be - ✓✓✓male and living in poverty Children who are at risk for abuse or neglect tend to: - ✓✓✓-Have parents who live in poverty, did not finish high school, abuse alcohol or other drugs, and/or do not have supportive relationships -Be born prematurely, have a chronic illness or disability, and/or possess a characteristic identified by a parent as undesirable -Live in communities that have high rates of poverty and violence and/or a cultural acceptance of abuse and neglect Early signs - ✓✓✓Knowing who is at risk helps when observing and screening children, because it allows you to watch for and identify the earliest signs of developmental delay, disability, abuse, or neglect. A developmental delay occurs - ✓✓✓in the Language and Communication and Social and Emotional Development domains. Delay - ✓✓✓A developmental delay occurs when a child does not display the skills and abilities typically seen in peers in the same age range. 15 16 Refer families to - ✓✓✓Child care professionals in Florida refer families to the Florida Diagnostic and Learning Resource System's Child Find when they feel intervention may benefit the child. Common disabilities - ✓✓✓It is important for child care professionals to be familiar with common developmental disabilities that may affect children in their care. Phenylketonuria (PKU) - ✓✓✓A disorder characterized by delays in motor development and seizures; it often appears in conjunction with a behavioral disorder. Fragile X Syndrome - ✓✓✓A syndrome characterized by intellectual disability and behavior disorders; it is more prevalent and severe in males. Fetal Alcohol Syndrome - ✓✓✓A syndrome characterized by deformities in the joints, fingers, and limbs; atypical behavior; and learning disorders; and cognitive impairment. Bipolar Disorder - ✓✓✓A disorder characterized by extreme shifts in mood and energy. Cognitive Disabilities - ✓✓✓Disabilities that affect self-help skills and the way the brain processes information. Down Syndrome - ✓✓✓A genetic disorder characterized by distinct physical traits and intellectual impairments. Autism Spectrum Disorders - ✓✓✓A group of disorders characterized by social and communication impairments, and restricted and repetitive patterns of behavior. Attention Deficit Hyperactivity Disorder - ✓✓✓A disorder characterized by impulsivity and inattention, and in some cases, hyperactivity. Cerebral Palsy - ✓✓✓A disorder that affects body movement and muscle coordination. Abuse falls into three categories: - ✓✓✓physical, sexual, and emotional. Child abuse is defined by Florida law as - ✓✓✓any non-accidental injury, sexual battery, or injury to the intellectual or psychological capacity of a child by the parent, adult household member, or other person responsible for the child's welfare. 16 17 Child abuse can be - ✓✓✓Child abuse can be physical, sexual, or emotional; and children may display physical and behavioral indicators of such maltreatment. Child neglect is - ✓✓✓Child neglect is the failure to provide things necessary to sustain life, and children may display physical and behavioral indicators of such maltreatment. Know and report - ✓✓✓Child care professionals know and must report the physical and behavioral signs of child abuse and neglect. Sharing results - ✓✓✓Child care professionals improve outcomes for children receiving benefits under the ADA and IDEA by sharing their screening results (with parental permission), preferably in person. KEY POINT - ✓✓✓Observation and screening are the best ways to identify the earliest signs of abuse and neglect. Sharing Results with Parents - ✓✓✓-Prepare carefully for the meeting -Begin the meeting with a brief overview. -Present a blank sample of the specific tool or tools that were used. -Present the child's results in writing. -Be an active listener. -Keep the meeting positive. -Talk about the program's role. -Make an appropriate referral and provide information. KEY POINT on results - ✓✓✓When the results of screening and observation sessions suggest a referral for assessment or evaluation might benefit a child, the program's role is to supply appropriate information, resources, and support to the child's family while continuing to provide individualized care. KEY POINT on support - ✓✓✓If parents display a strong emotion when results are shared, the best way to support them is to stay calm, focus on the facts, and be compassionate. Adjusting learning experiences - ✓✓✓As families move through the assessment or evaluation processes, adjust the child's learning experiences as new information emerges, and be willing to share your expertise (as long as you have written parental consent). 17