RELIAS MEDICAL SURGICAL TELEMETRY EXAM
2024 TEST BANK COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which adaptive equipment would be most appropriate to use for a severely contracted patient who
is unable to bear weight when transferring from bed to chair
Patient Lift example hoyer
What lab values are expected to be in a patient with end stage renal disease on hemodialysis
BUN 32, CREATNINE 8.32
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has been
having several episodes of acute confusion since being admitted to your unit. What is the most
important order you should anticipate from the provider? You're?
Hold wayfaring (coumadin) for the next 48 hours
Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and
bloody sputum. What type of isolation precautions should you initiate, if any?
Airborne precautions
Upon entering your patient's room you note that they are having a seizure. What is your 1st action?
Position the patient on their side to maintain the airway
You find your coworker looking through your patient's medical record.. She States how is Mr. Smith
doing? He is my best friend's dad. We are so worried about him. What is the best course of action?
Tell her you cannot give her information and report her actions to your manager.
Your male patient complaints of discomfort while inflating the balloon during insertion of a
endwelling urinary catheter. What would be the most appropriate action?
Deflate the balloon, advance the catheter further, then reinflate the balloon.
Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the
patient be taught to be alert for signs of hypoglycemia?
Is late afternoon and early morning
What is a proton pump inhibitor, such as pantoprazole (protonix) used for?
Reduce gastric acid secretion
Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to
sectioning the patient, what should you do 1st?
Hyperoxygenate patient
dietary teaching for a patient with chronic renal failure should include choices that are:
Low potassium, low protein, moderate fat
Which of the following nursing diagnosis is most important for a patient with chronic obstructive
pulmonary disease(COPD)
Impaired gas exchange
Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he is
extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his
coccyx. You were told in report that he lives at home with family members. What should you do?
Notify the charge nurse and social worker of your concerns.
You have a patient going for dialysis. There are medications include Lisinopril(prinivil), ondansetron
(zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication would you possibly hold and
seek clarification?
LISINOPRIL(PRINIVIL)
What is the best indication of an acute neurological problem?
Change in level of consciousness
Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient?
Clear liquids
Which tool should you use to assess pain in your 80 year old patient with severe dementia?
?
Your post op patient has a Jackson - Pratt drain in place. how do you ensure effective drain function?
Compress the drain, then plug the bulb to establish suction.
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration. What other
assessment finding would you anticipate as part of your physical assessment?
Severe abdominal pain or rebound tenderness
Your patient with a known history of diabetes is displaying symptoms of diaphoresis, Cool skin,
lethargy, And shakiness. What is your 1st action?
Check the patient's blood glucose level
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you anticipate
administering?
Vitamin K
While in a supine position your patient States" I'm tired and cannot catch my breath". Physical
assessment reveals juggler vein distention and a 3rd heart sound(S3). These symptoms are indicative
of what condition?
Heart failure
Upon entry to your patient's room, you find her sitting in high Fowler's Position and complaining of
shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat is 84%. Which mode of
oxygen delivery would most likely reverse the symptoms?
Non rebreather mask
Your patient continues to pull at their iv located in their left forearm despite verbal reminders And
increased observation. The nursing assistant recommends using soft mitt Restraints on the patient.
What is your recommendation?
Request and order for soft mitts As they are the least restrictive..
What is an early symptom that a patient is developing a complication of heart failure?
Edema in the legs and feet
You were hired to work the medical unit and when you arrive at work the charge nurse has assigned
you to the post surgical unit since they are under staffed. Which is the most appropriate action?
Report to the post surgical unit
What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient
with with C diff?
Gown and gloves
When would sucralfate(Carafate) 4 times daily be scheduled for?
1 hour before meals and at bedtime
Your new patient was admitted with Blunt force trauma to the abdomen Following a motor vehicle
accident. A NG Tube is in place for decompression, however, you note during the assessment that
the stomach is rigid and hard during palpation. What condition do you suspect.
Hemorrhage
What is clubbing of the fingers most likely associated with?
Chronic oxygen deficiency
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen. What procedure
would you anticipate being performed by the provider at the bedside for this patient?
Paracentesis
Is the provider gives you a telephone order to explain a surgical procedure to your patient and
obtain surgical consent. How should you respond?
Inform the provider that explaining the procedure is outside the nurse's scope of practice.
You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated.
What symptoms may indicate intolerance to the feedings?
Vomiting and diarrhea
You are caring for a patient post lobotomy With a chest tube in place for drainage. What is a priority
in caring for this patient?
Encourage the patient to cough and deep breathe.
Your new patient understands very limited English. How should you communicate with them when
completing the admission assessment?
Use the organizations interpreter services
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp 97.9F, HR 52,
RR 16, o2 sat 100% on room air. What should you do next?
HOLD DIGOXIN AND CALL PROVIDER
Your patient tells you I hope I don't die, but if I do I don't want to be brought back. You notice on her
chart and wrist band that she is a full code. What would be the most appropriate action?
Discuss code status with the patient and follow up with the provider to ensure the medical record
reflects her wishes
What are the most common causes of acute onset pancreatitis?
Alcoholism and gallstones
Your 18 year old female patient was admitted with dehydration secondary to anorexia nervosa.
During your assessment you note she has a flat effect and says" I just want to die, I'm tired of my life
". What should be your 1st intervention?
Stay with the patient and ask if she has a plan to carry out this wish
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following?
?
To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV, What is the
minimum duration the catheter should remain in place before routine replacement.
72 hours
Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson disease,
depression and alcohol use. On his 2nd hospitalized day, you notice he is more anxious and restless
than his baseline. What would be your 1st nursing intervention?
Ask the patient when his last drink of alcohol was
Black and tarry Colored stools are classic symptoms of what condition?
Bleeding gastric ulcer
In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for
Parasthesia and paralysis
After scrolling through your social media, you notice a coworker posted a photo with a patient from
your unit. What is the most appropriate action to take?
Report the situation to the hospital compliance officer.
Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood
product do you expect to administer?
PRBCs
What medication is contraindicated In a patient with A hemorrhagic CVA?
Heparin
Your patient appears dusky colored and you cannot palpate a pulse. What is the 1st thing you should
do?
Initiate a code per facility protocol and begin CPR
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And exhibit signs
and symptoms of tardiness dyskinesia. Is what long term medication is associated with signs and
symptoms of tardive dyskinesia?
Chlorpromazine(thorazine)
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit?
Lift sided weakness of the leg, arm, and face and face
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs stat lab
draws From a PICC line, Another has chest pain rated 8/10 And another needs toileting. Which
patient should you tend to 1st?
The patient with chest pain
Your coworker posted photos on social media from a birthday party they had for her in the unit
break room. What should be your next course of action?
No action is necessary because no PHI was displayed.
Is your patient with stage IV Terminal lung cancer continues to experience increasing pain as each
day passes. What would you anticipate the provider ordering for this patient?
Palliative care consult
Your 72 Year old male patient is admitted for colon cancer Related complications and has a history of
CHF, stroke and a recent Knee replacement.Based on your patient's risk assessment,You determine
he is at risk for Venous thromboembolism (VTE) What is an appropriate VTE prophylaxis prophylaxis
order for this patient?
Enoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
1.2 Milligrams is equal to how many micrograms
1200 mcg
Your patient is on contact precautions for active MRSA. What proper PPE should you use before
entering the room?
Gown and gloves
You are caring for a patient with history of diabetes mellitus. You walk into the room and find the
patient lethargic and diaphoretic. What is your 1st action?
Obtain capillary blood glucose level
Your patient has symptomatic anemia but is refusing a blood transfusion for religious reasons. What
is an appropriate response?
Respect his wishes and notify the provider
Your patient has a temp of 102.3 F, HR 122, and has had 15ml of urine from the indwelling urinary
catheter in the last 2 hours. What is your patient most likely experiencing?
?
Patients with diabetes are at a high risk for complications for damage in what body areas?
Nerve and kidney damage
Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his lower
abdomen is distended. What should you do next?
Perform a bladder scan
You receive a provider's order that is not consistent with evidence based practice.What is your 1st
step?
Clarify the order with the provider
Is what is the earliest sign indicating increased intracranial pressure(ICP)?
Level of consciousness
What patient population is the pneumococcal vaccine PPSV23 indicated for?
Adults aged 65 years and older
Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool today. What
do you most likely suspect?
Gastrointestinal bleeding
Which of the following could be a replacement behavior for cutting in line?
Teaching to stand in line and wait
Which of the following is a consequence intervention involving punishment?
Taking away a token
Which of the following could be a replacement behavior for grabbing or stealing food?
Teaching the person to ask for food
Which of the following is included in a functional assessment plan:
A definition of the behaviors of concern
What is an interobserver agreement (IOA)?
When 2 data collectors agree on data collected at the same time during a behavior.
Consequence interventions involve
Reinforcing desired behaviors and reducing the display of undesirable behavior
Which of the following could be a prevention strategy for a behavior that involves throwing items?
Minimizing the number of items that could be thrown
Why are crisis plans incorporated into some behavior intervention plans?
Because some behaviors cause a risk to the safety of the individual engaging in the behavior or
others in the environment
Behavioral function tries to explain:
Why the behavior is happening
Undesirable behavior can be reduced by:
Reinforcing alternative behaviors, using extinction, or punishment
Which of the following can RBTs do in relation to implementing intervention plans?
Collect data on the effectiveness of the plan
Which of the following is an example of a motivating operation:
Fred is hungry so crackers work well as a reinforcer for task compliance
Automatic reinforcement is associated most closely with:
Stereotypic behavior
What is the estimated percentage of self-injurious behaviors that have automatic reinforcement as
the function according to Hagopian et al. (2015)?
25%
Michelle is an RBT who is teaching a mother how to implement a visual schedule for her child. What
is Michelle doing?
Training a parent how to implement an intervention
Which of the following 2 assessments are often used in conjunction to provide an overall picture of
an individual's receptive and expressive labeling abilities?
The expressive vocabulary test and the peabody picture vocabulary test
A learner who requires a wide program with many goals and targets is more likely to:
Have fewer behavior problems and skills that are ready for generalization soon
One of the benefits of using an assessment tool that was not designed solely for a population of
individuals with autism is:
They offer some external validity to levels of functioning prior to and after intervention has started
One of the benefits of a workshop format for developing training families and staff on skill
acquisitions is:
A unified plan of how to implement plans and intervene with behaviors can be made collaboratively
According to Leaf et al. (2018), rates of learning on labeling tasks after receiving reinforcement from
paired-stimulus preference assessment vs. an in-the-moment analysis of reinforcers were:
No different between the two methods for assessing preferences
Which of the following is most likely used by payers to guide them in approving or discontinuing ABA
treatment?
Changes in the core characteristics of autism as defined as a result of intervention
"4 out of 5 times for 10 consecutive data recording periods" is an example of which part of a goal:
Criterion to identify the standard for the behavior
Behavioral Skills Training (BST) is often used to train staff and families because:
It is an evidence-based practice
The Interview Informed Synthesized Contingency Analysis (IISCA) uses:
Information from open-ended interviews to determine which experimental conditions to use in a
functional analysis
Which of the following considerations related to intervention data triggers the need for a reassessment of skills?
The client has not made much progress
Which of the following autism specific criterion referenced assessments offer an assessment of 25
skill areas:
The ABLLS-R
Criterion-referenced assessments are most useful for:
Building skill acquisition programs
One of the biggest drawbacks of the workshop format is:
It is often difficult to coordinate schedules for the time needed
True or False: Deep programming involves setting a few goals and targets at one time.
True
Which of the following assessment and intervention systems require certification in the specific
programs?
Early Start Denver Model and PEAK
Which of the following general statements about assessment in relation to ABA programming is
correct?
Assessment is the foundation for every aspect of the development and implementation of ABA
programs
The overall goal of the PEAK system is to:
Encourage the acquisition of skills that can be generalized and promote higher order thinking in
novel contexts
Which of the following can be said about social skills assessments not designed specifically for
individuals with autism?
While they offer a picture of an individual's social functioning, the results are not adequate for
making all the decisions necessary for social skill intervention
Which of the following activities are web-based ABA curricula and data collection systems designed
to replace?
Manual data entry on skill acquisition plans
Which of the following is an indicator that an intake appointment has been successful?
You have a good idea how to proceed with assessment of skills
If brief functional analysis data show that rates of problem behavior occur the most during an ignore
condition, which of the following is the most logical behavioral function:
attention
Precursor functional analyses help to prevent:
Extensive reinforcement of problem behavior
In trial-based functional analysis, control conditions are usually provided:
Before the test conditions
Functional assessment yields __ results, while functional analysis yields __ results.
correlational; causal
Prior to Iwata et al.'s original study of functional analysis and self-injury, when differential
reinforcement failed, what did alternative treatments consist of:
Restrictive interventions such as restraints or aversives
Which of the following should happen first before conducting a brief functional analysis?
Define the behavior
Which of the following is a reason why additional staff are needed to conduct functional analyses:
To collect data and to keep the individual and other safe
What is the main purpose behind interviews during an IISCA:
To gain information about the behavior, precursors, and what happens afterward
Prior to the introduction of functional analysis, behavior interventions relied on:
Reinforcers and punishers without much consideration around why the person engaged in the
behavior
Extended functional analyses are not acceptable to some stakeholders because:
Evoking problem behavior is counterintuitive.
Latency data are useful for comparing
The amount of time it took a behavior to start in each condition tested
Behavioral function derived from the results of functional analysis tends to produce interventions
that:
Rely more heavily on reinforcement and are less likely to make use of punishment
Because trial-based functional analyses are delivered in natural environments, results have:
Higher levels of external validity
Which of the following statements reflects the idea behind Interview- Informed Contingency
Analysis (IISCA):
Behaviors respond to multiple reinforcers not just one
Which of the following types of functional analysis is the best choice for behaviors that occur once
like disrobing:
Latency-based functional analysis
A logical control condition for an ignore condition would be:
An attention condition
When presenting an attention condition, which of the following should be done:
Provide the individual with attention for the behavior
Trial-based functional analysis works by:
Providing antecedents and consequences in natural environments
Which of the following data collection methods is the most commonly used in brief functional
analyses
Event recording
Both functional assessment and functional analysis have the goal of generating:
A hypothesis as to why the individual engages in a behavior
Water might have a value-altering effect when:
A person is very thirsty
Which of the following is an example of how stimulus control could be augmented?
A timer to signal how long to brush teeth
Motivating operations can exert stimulus control over a behavior by:
Playing a role in the effectiveness of the reinforcer at that point in time
A most-to-least prompting sequence involves:
Using the most intrusive prompt, then less intrusive prompts until the least is used
Stimulus control occurs when:
An individual behaves one way in the presence of a stimulus and differently in the presence of
another
Which of the following should be used for teaching the concept of blue?
Various shades of blue on identical objects
Stimulus equivalence occurs when:
A response is correctly displayed in the presence of a stimulus that has not been trained or
reinforced
Which of the following is an example of a naturally occurring discriminative stimulus at work?
Seeing a stop sign and stopping
Which of the following is a learner characteristic that could impact the development of stimulus
control?
Attending skills
What is the overall intent for delivering a discriminative stimulus?
To get an individual to engage in a particular behavior
Stimulus discrimination training helps:
The learner to discern what is correct in the presence of an incorrect stimulus
Which of the following is the best definition of data?
Data is a quantifiable dimension of behavior
Continuous data recording involves:
Recording all instances of a behavior
Event recording is:
The same thing as frequency recording
Duration and latency recording both involve:
Time
When are discontinuous data collection measures used?
When behaviors are used at such high rates it would be hard to get an accurate frequency count
Buster alternates between quiet and loud humming. Which behavior recording method would be
the best to use?
Whole interval recording would be best because it is hard to hear him humming at times
Which of the following is true about trial by trial collection?
Data are recorded on each trial presented
Which of the following should be recorded on a naturalistic intervention data collection sheet?
Target behavior, prompt level, activity, materials, and number of times the target behavior was
addressed
Which type of graph provides the most information about variability in the data?
Line graphs
Which of the following is true about data collection?
It is the foundation for creating behavior interventions
Why is it important to record data as close to the time the behavior actually occurred as possible?
So the data will be more likely to reflect an accurate picture of the behavior
Why would the prompt level necessary to perform the skill be an important part of data collection?
Skills performed with prompts are not mastered until they are performed without prompts.
Which of the following is a drawback of probe data?
It is less accurate
Which of the following types of graphs are most preferred in the field of ABA?
Line Graphs
Susan records data after every discrete trial she delivers. What type of data recording is this?
Trial by trial
The process of defining target behaviors using a precise definition is called:
Operationally defining the behavior
Which of the following is a discontinuous data recording procedure?
Whole interval recording
Why are trends sometimes necessary to include on line graphs?
Data paths are not always clear
Cumulative graphs are used:
When progress toward a predetermined number of behaviors should be demonstrated
Recently, Mario's tantrums seem to last longer. Which data recording procedure might be the best
one to use to determine this?
Duration
A trend that ascends from left to right means:
A behavior is increasing
Data collected during naturalistic teaching should always include information about:
Target behaviors, prompt levels needed, and activities
Data are plotted on line graphs according to:
The number of instances of the behavior across time
Which of the following graphs indicate the total number of behaviors in an additive fashion?
Cumulative graphs
Which of the following statements is true regarding ABA telehealth supervision?
while the BACB guidelines for supervision were not originally developed with telehealth in mind,
remote methods that attend to privacy protection laws and regulations are acceptable
Which of the following helps to ensure that telehealth supervision is effective for the individual
supervisee?
ask how you can make your supervision more effective throughout the course of supervision
Which of the following statements regarding HIPAA and supervision via telehealth is true?
A business associate agreement and monthly fee with the software platform company may protect
the supervisor from liability if sessions are hacked
A study comparing telehealth and in-person behavioral skills training found telehealth was effective
for?
implementing antecedent strategies
Information that is covered by HIPAA is called?
Protected health information
What should a supervisor do if they find telehealth supervision is ineffective?
make alternative supervision arrangements
what is a drawback to using a smartphone or tablet for telehealth supervision?
the screen size may not allow for adequate visualization of the environment
which of the following should be done prior to the start of supervision to ensure continuity of
telehealth supervision in the event of internet connection issues?
make sure both supervisor and supervisee have a phone to call each other in case the connection
drops
which of the following is most important regarding evaluating the effects of telehealth supervison?
you need to know if the supervisee felt confident in their own skills after receiving telehealth
supervision
Telehealth has been used to perform which of the following healthcare services?
assessment
Active listening involves:
paraphrasing and reflecting back what the other person said
Which of the following provides a scope and sequence for ABA supervision?
the RBT, BCBA/BCaBA Task Lists and ethical codes
Supervisors must ensure telehealth supervision is
encompassing, ethical, and effective
supervisors providing telehealth supervision can improve rapport with supervisees by:
attending to cues such as gestures, tone of voice and eye contact
which of the following is an advantage of using telehealth supervision
it provides more efficient meeting scheduling
Communication delivered electronically instead of face-to-face can sometimes impede a supervision
relationship by seeming:
distant or impersonal
Which of the following activities might an RBT supervisor provide?
behavioral skills training to learn how to perform a paired stimulus preference assessment
Encryption software is required for telehealth supervision so that?
information shared will remain private
Which of the following helps to address a concern about treatment fidelity when providing
telehealth supervision?
using competency checklists
in addition to supervisee type, which of the following is a priority when providing telehealth
supervision?
needs of clients
Why is it important to evaluate the effects of supervision
to prepare those entering the field of ABA to serve clients safely and correctly
Which of the following statements is true regarding the nature of supervision via telehealth?
telehealth supervision must meet the same requirements as in-person supervision
Which of the following statements is true regarding HIPAA violations?
consequences can involve significant monetary fines
What is the purpose of behavior analytic supervision?
to provide the foundation for ABA staff to engage in decision-making and practices that ensures that
services delivered are in a way that benefits the receivers of those services and promotes the
advancement of the field
Which of the following is the best definition of behavior analytic supervision?
it is an active process of systematic shaping of the multiple skills required of those who are
practicing or who want to practice ABA
Which of the following types of ABA professionals can write skill acquisition programs unsupervised?
BCBA
How many years should supervision records be kept for BCBA trainees, BCaBA trainees, and BCaBAs?
7
Which of the following supervision activities would be most beneficial for an RBT?
providing feedback on the delivery of a discrete trial
Which of the following is the most effective way of presenting performance feedback over time to a
supervisee?
show them a graph of their progress on specific activities and goals
Which of the following is the best definition of behavior analytic supervision?
systematic shaping of the multiple skills required of those practicing ABA
Which of the following is the best way for supervisors to ensure they are staying informed about
advances in the field of ABA?
read current research and seek out continuing education
The "a" in BCaBA stands for?
assistant
Which of the following supervision activities best ensures a supervisee has a direction for improving
their skills?
establishing performance expectations
which of the following staff members can supervise RBTS?
BCBAs, BCaBAs, and other qualified professionals who have completed supervision training
Which of the following statements is true?
supervisors are ultimately responsible for the work of their supervisees
When is a formative evaluation conducted?
at scheduled intervals within an evaluation period
Which of the following is a good tip for mentors to follow?
express excitement when those whom you mentor perform at higher levels than previously achieved
Which of the following is true regarding the work of BCaBAs?
BCaBAs can supervise RBTs
Which of the following is the biggest benefit of mentoring new professions into the field?
provides mentees an opportunity to discuss unique situations with an experienced and caring
mentor
When does mentoring occur?
when an experiences professional shares their knowledge, skills, and experience to assist other less
experiences or knowledgable professionals within the system in which they work
Which of the following best describes the role of the RBT in the service delivery system?
implements skill acquisition plans for clients
which of the following is an example of a "restricted" activity as defined by the BACB?
implementing discrete trials
which of the following is recommended when supervisors have taught new skills to supervisees?
following up on the supervisees' performance of the new skills
BCaBAs require a supervision contract?
2 times per month
Summative evaluation should provide?
an evaluation of an individual's performance based on previous formative evaluation results and
goals
What percentage of hours of supervision time should BCaBA and BCBA trainees receive during
independent fieldwork?
5%
What is the best combination of consequence variables if you want a behavior to happen?
Positive, Immediate, Certain
What should we use to determine if our staff goals are socially valid?
If our learners rate of desired outcome acquisition improves.
Which example has the best combination of consequence variables?
opening Facebook when you want to see whats going on with your friends.
Which item is most likely to be an effective reinforcer for excellent teaching behavior?
An individual bonus delivered that day
When we think "the rat is never wrong," in regards to our employees- what does that mean?
Employees respond to the contingencies within their environment.
True or False: 'Staff should not use their cell phones in session' is a good example of a pinpoint.
False
What's another way to say operationally defining behavior?
Pinpointing
It is recommended that staff evaluations should be performed:
Proactively
What are the steps of starting a new client that can be generalized to starting new staff?
Obtain informed consent, take baseline, make reachable goals, use effective reinforcers.
In the hiring process, it is recommended that you:
Give a brutally honest picture of the job so they can make the best decision on whether the risk will
be worth the reward.
1. How does encouraging employees to take care of themselves physically and emotionally improve
their adherence to performance and ethical standards at work?
They catch on more quickly to new information and expectations
They will be able to work longer hours
They will be less likely to abuse clients
They will be less likely to suffer the negative effects of work stress
They will be less likely to suffer the negative effects of work stress
Supportive supervision has been shown to:
Increase stress levels in supervisees
Have no effect on supervisees
Prevent stress in supervisees
Reduce stress for supervisees
Reduce stress for supervisees
What can supervisors do in an effort to minimize supervisee stress?
Provide as many rules as you can think of and hold supervisees accountable.
Allow supervisees to navigate issues on their own with minimal guidance.
Be supportive as you guide them through tough ethical issues.
Make sure they get frequent pay raises.
Be supportive as you guide them through tough ethical issues.
A research validated theory regarding job stress suggests that
Job stress causes unethical behavior in some employees
Job stress contributes to a poor work ethic among employees
Job stress causes workers to have poor mental health
Job stress contributes to negative attitudes and high turnover
Job stress contributes to negative attitudes and high turnover
Which of the following behaviors could indicate a risk for forming a multiple relationship?
Spending time reading about a syndrome a parent revealed about their child one day after therapy
Hugging a child goodbye after a therapy session
Accepting a birthday gift from a family member of a client
Expressing excitement to a parent over a child's new mand repertoire
Accepting a birthday gift from a family member of a client
What might be the best way to intervene with a family member who has repeatedly asked a
supervisee to babysit?
Tell the family member what they have asked is inappropriate and to stop asking.
Instruct the supervisees to tell the family member that they need to quit asking.
Tell the family member they should read the policy manual that was given them and refer to the
section on "family/staff relationships".
Schedule some time to meet and discuss the situation with the family member and guide them to
resources for respite care services within the area.
Schedule some time to meet and discuss the situation with the family member and guide them to
resources for respite care services within the area.
Why is it not advisable for staff members to "vent" about their interactions with clients and families
to friends or acquaintances?
It is just not a professional thing to do
They may compromise their professional credibility
The risk of breaking confidentiality of clients is increased
It is okay to vent, just don't use last names
The risk of breaking confidentiality of clients is increased
Which of the following activities is the best way to help families of clients better understand the role
of the RBT in their child's ABA program?
Hold a family night where staff socialize informally with parents
Provide families with written expectations and go over them individually during the intake process
with follow-ups on a regular basis
Have the RBTs explain to parents that they won't babysit
Have the RBTs explain that they are there for ABA and ABA only
Provide families with written expectations and go over them individually during the intake process
with follow-ups on a regular basis
Which of the following situations illustrates a risk of establishing a multiple relationship as defined
by the BACB?
A client's mother throwing a surprise birthday party for an RBT who works with her son
Discussing the preliminary effects of a new behavior intervention with a parent
Providing a parent with data collection sheets to use during the bedtime routine for the child.
A staff member taking a check from a parent for an insurance co-payment back to the office
A client's mother throwing a surprise birthday party for an RBT who works with her son
Which of the following issues might require intervention at the tertiary level?
Staff being the target of several instances of loud complaints from unhappy family members
Staff staying late one time to discuss how a therapy session went
Staff expressing high levels of pride in their work when discussing a client's progress with colleagues
A staff member calling in sick for the first time
Staff being the target of several instances of loud complaints from unhappy family members
Which of the following interventions reflects a behavioral systems analysis approach when dealing
with staff who are engaging in patterns of dysfunctional behavior?
Counsel each staff member and employ a 3 strikes rule.
Offer each staff member an opportunity to change without calling out their behavior.
Analyze the variables surrounding the dysfunctional behavior before intervening.
Reward all the staff members who are not engaging in the dysfunctional behavior.
Analyze the variables surrounding the dysfunctional behavior before intervening.
Which of the following contributes most to the feedback provided by the total performance system?
Goal statement
Receiving system
Data
Issues
Data
The fundamental concept of interconnectedness as it relates to behavioral systems analysis refers
to:
No one part of a system can function without the other
Every part of a system is connected to every other part of a system
Policies need to relate to one another to be effective
Most parts of a system are connected to most other parts of a system
Every part of a system is connected to every other part of a system
B = f(O,E) means:
Behavior equals environments coupled with people
Behavior is a function of the equality of people
Behavior is a function of the interactions between a person and their environment
Behavior is a function of the interactions between a person and their education
Behavior is a function of the interactions between a person and their environment
Which of the following are characteristics of "living systems"?
Defined value sets; variables are homeostatic, dependent on the external environment; and actions
are the result of multiple variables
Defined value sets; variables are flexible, dependent on the external environment; and actions are
the result of multiple variables
Defined value sets; variables are homeostatic, independent of the external environment; and actions
are the result of multiple variables
Value sets shift; variables are homeostatic, dependent on the external environment; and actions are
the result of multiple variables
Defined value sets; variables are homeostatic, dependent on the external environment; and actions
are the result of multiple variables
The range of variables necessary for an entity to survive is termed:
Range of variables
Value set
Goal statements
Value variables
Value set
Using the adaptive or total performance system, which of the following is most like the processing
system?
Environment
People
Goal statement
Data
People
Which of the following might be an example of dysfunctional homeostasis within an ABA practice?
Creating a process for managing billing more efficiently
Staff taking initiative to perform non-clinical duties
Parents not understanding the process of ABA intervention
Continuing to counsel the same staff over and over again about not providing reinforcers
Continuing to counsel the same staff over and over again about not providing reinforcers
The relationship between an individual's behavior and the system in which it occurs can create
opportunities for:
Targeting individuals and creating individual improvement plans
Identifying issues and making improvements
Offering suggestions to staff and accepting their feedback
The creation of capital and business expansion
Identifying issues and making improvements
What is meant by, "E" must be fully understood to impact "O's" performance?
People and their motivations must be understood in order to explain why environments change.
People have agendas and motivations that impact variables within any given environment.
Environmental variables can sometimes impact the motivation of people.
Environmental variables must be analyzed and understood in order to be used to change the
performance of people.
Environmental variables must be analyzed and understood in order to be used to change the
performance of people.
Ramona has a difficult time getting little Billy to attend to a stimulus during in-home therapy. She
starts therapy with him just as his siblings come home from school and rush outside to jump on the
trampoline. Using the B = f(O,E) formula, which of the following is B?
Siblings jumping on trampoline
RamonaÂ's lack of skill
Difficulty attending to a stimulus
Provision of in-home therapy
Difficulty attending to a stimulus
Behavioral systems analysis is based on research from:
Performance management and systems analysis
Functional assessment and analysis
Applied behavior analysis and social learning theory
Performance management and Six Sigma
Performance management and systems analysis
In the adaptive system (total performance system) the processing mechanism can be compared to
_________ and the receiving system can be compared to environment.
People
Behavioral function
Environment
Behavioral function
People
Which of the following illustrates the use of the 3-term contingency as it applies to Mikes behavior?
Mikes first client is frequently late. Mike arrives 10 minutes after his scheduled time each day. Mike
walks in the door at the same time his client does.
Mike arrives 10 minutes late every day. His client is 10 minutes late. Staff complain about Mike's
behavior.
Mike makes excuses about being late. Mike is counseled for being late.
Mike continues to be late.Mike is late again. His supervisor has warned him. Mike is fired.
Mikes first client is frequently late. Mike arrives 10 minutes after his scheduled time each day. Mike
walks in the door at the same time his client does.
Behavioral systems analysis views the behaviors of organizations as a whole and how they perform:
Without resources
Under extreme circumstances
As usual
Under varying circumstances
Under varying circumstances
What is the goal of using a behavioral systems analysis approach?
To develop policies and procedures for a business
To create meaningful and lasting change that will impact the business positively
To define and analyze each and every variable that might impact a business
To use as a tool for identifying employees and managing human performance
To create meaningful and lasting change that will impact the business positively
What must be constructed in order to turn on functional performance and turn off dysfunctional
performance?
Systems of rewards and punishers
Systems, policies, and procedures
Motivational structures and bonuses
Management and supervision procedures
Systems, policies, and procedures
What must be understood in order to improve human performance?
The complete learning histories of all individuals
Only the reinforcers that drive an individualÂ's behavior
What punishers are available for dysfunctional behavior
The environmental variables that impact the behavior of individuals
The environmental variables that impact the behavior of individuals
In-vivo supervision in schools provides opportunities for:
Training supervisees in how manage difficult co-workers
Learning from other supervisees through case discussions
Observing the observation skills of supervisees
Training supervisees in how to collect data and deliver interventions
Training supervisees in how to collect data and deliver interventions
In order to have a positive impact on the success of children they treat in schools, behavior analysts
must:
Ignore the opinions of other professionals
Collaborate with other professionals
Always agree with other professionals
Only consider the opinions of parents
Collaborate with other professionals
When implementing behavior interventions in schools, supervisors should advise supervisees to:
Stick to the plan as written
Alter the plan as they see fit
Alter the plan at the request of teachers
Offer alternatives to the plan
Stick to the plan as written
Which of the following is true regarding caseloads in schools?
They are usually very light
It is hard to get enough cases
They can get heavy quickly
They cannot be limited
They can get heavy quickly
Which of the following is likely to happen to ABA services in schools as a result of the Endrew F.
decision?
Services will decrease
Services will remain the same
Services will be low quality
Services will increase
Services will increase
Which of the following is true regarding the number of behavior analysts currently working in
schools?
Over half of behavior analysts in practice are working in schools
Most behavior analysts are working in schools
No behavior analysts are currently working in schools
A small percentage of behavior analysts are hired by school districts
A small percentage of behavior analysts are hired by school districts
A key benefit to having RBTs in schools is for them to:
Offer advice to teachers and other staff when asked
Serve as one-to-one assistants to a single student each day
Assist teachers and other in implementing behavior support plans
Serve as dedicated behavioral consultants in schools
Assist teachers and other in implementing behavior support plans
Which of the following BEST categorizes the work of behavior analyst supervisors in schools?
To provide support for behavior plan creation, implementation, and direct services
To provide support for implementing direct intervention and completing paperwork
To provide support for convincing staff that ABA interventions are worthwhile
To provide support for navigating interactions with teachers and other staff
To provide support for behavior plan creation, implementation, and direct services
When delivering BST in school settings, supervisors should:
Deliver feedback to the supervisee so other staff can hear it as well
Assess the comfort level of the supervisee in receiving public feedback
Only deliver feedback in written form immediately after delivering BST
Provide written evaluations with feedback within 2 weeks of the BST
Assess the comfort level of the supervisee in receiving public feedback
Which of the following statements is true regarding practitioners who use behavior analysis in
schools?
Many school psychologists and special educators are trained in ABA.
Most school psychologists and special educators are not trained in ABA.
Behavior analysts are the only professionals trained in ABA.
School psychologists and behavior analysts are the only professionals trained in ABA.
Many school psychologists and special educators are trained in ABA.
Which education legislation requires that functional assessment be conducted for students whose
behavior interferes with learning?
Individuals with Disabilities Education Act
Elementary and Secondary Education Act of 1965
Section 504 of the Rehabilitation Act of 1973
Health Care and Education Reconciliation Act of 2010
Individuals with Disabilities Education Act
Which of the following statements is true regarding ABA and multi-tiered system of support (MTSS)?
Most of the interventions used in MTSS are not based on ABA.
Many of the interventions used in MTSS are based on ABA.
Many of the interventions used in MTSS are based on discovery learning.
Many of the interventions used in MTSS are unproven.
Many of the interventions used in MTSS are based on ABA.
Which of the following is true regarding the state of research guidance on implementing ABA
services in schools?
There is too much research to categorize and sort through.
There is no research on ABA service delivery in schools.
There is very little research guidance on ABA service delivery in schools.
It is unethical to conduct research on ABA services in schools.
There is very little research guidance on ABA service delivery in schools.
Which of the following practices based on ABA that are included in MTSS models involves
programmed instruction designed to increase accuracy and fluency of academic skills?
Precision teaching
School-Wide Positive Behavior Supports
Direct Instruction
Discovery learning
Precision teaching
How can supervisors best ensure that behavior plans are implemented with fidelity?
By checking in with supervisees about the plan once a month
By training, supervising, consulting, and trouble-shooting
By reviewing data on a weekly basis and reporting issues to administrators
Through training staff and hoping that they implement plans correctly
By training, supervising, consulting, and trouble-shooting
The effectiveness of group supervision sessions can be maximized by:
Allowing conversations to drift into anything that comes up
Choosing a topic and setting up an agenda
Spending the bulk of the time lecturing to supervisees
Pointing out specific skill deficits of each supervisee
Choosing a topic and setting up an agenda
Why is it important for a supervisor to model ethical behavior?
So the supervisor will not face sanctions by the BACB
So supervisees will not be confused by a display of unethical behavior
So supervisees will understand what not to do
So supervisees will know that unethical behavior has consequences
So supervisees will not be confused by a display of unethical behavior
Which of following can help to alleviate potential roadblocks to ABA service delivery in schools?
Allow others to observe you work and to ask questions at an appropriate time.
Respond to every request you receive to deliver services within 24 hours.
Define and communicate what ABA services are and how they can be implemented.
Provide a handout explaining the research on the effectiveness of ABA.
Allow others to observe you work and to ask questions at an appropriate time.
Why are supervisees valuable in the functional assessment process in schools?
They know more than all other staff about observation and data collection.
They can multi-task better than staff who do not have their training.
They are trained observers dedicated to the task of observation.
They have nothing else to do in schools beside observe students.
They are trained observers dedicated to the task of observation.
Which of the following has made it necessary for schools to seriously consider providing ABA
services for children with autism in schools?
Parents resist pull-out services in the early grades for their children with autism
The effectiveness of ABA interventions in-home- and community-based programs
ABA services delivered in homes and community settings has proven to be largely ineffective
The courts have mandated that ABA services be provided for every student who has an autism
diagnosis
The effectiveness of ABA interventions in-home- and community-based programs
Which of the following is the first line antecedent for preventing challenging staff behavior?
Specifying consequences
Hiring qualified staff
Training staff on policy
Providing positive reinforcement
Hiring qualified staff
What do antecedents do for an organization?
Determine how staff should be rewarded or disciplined.
Specify consequences for engaging in challenging behaviors
Provide minimal guidance in developing procedures
Offer the structure for organizational processes and job performance
Offer the structure for organizational processes and job performance
Why is it unwise to manage staff using negative reinforcement contingencies?
It leads to anxiety, low morale, and lower productivity.
It leads to anxiety that results from high productivity.
It is considered harassment and is subject to legal action.
It leads to high productivity and a compliant workforce.
It leads to anxiety, low morale, and lower productivity.
Which of the following are reasons for staff attrition in ABA organizations documented by research?
Unable to find an ABA position in the local area
Dissatisfaction with the larger field of ABA
Dissatisfaction with training and supervision
Unable to gain the skills necessary to be competent
Dissatisfaction with training and supervision
Which of the following staff behaviors could be addressed informally?
Failing to collect data correctly after multiple training attempts
Leaving a client unsupervised while taking a break
Showing up for work 10 minutes late due to traffic issues
Making harassing comments to a co-worker based on religion
Showing up for work 10 minutes late due to traffic issues
Which of the following terms best describes the guidance from the ABA literature and professional
organizations on addressing challenging staff behavior?
Abundant
Sparse
Prescriptive
Incorrect
Sparse
Which of the following is an example of an organizational process level goal?
A policy for addressing tardiness before client sessions
A work from home policy for non-billable activities and data analysis
A policy prohibiting harassment at clinics and homes
A communication tree for staff to follow for inclement weather
A communication tree for staff to follow for inclement weather
Which of the following could be considered a serious challenging behavior exhibited by a staff
member in an ABA services organization?
An employee who called in sick from work because they had the flu
An employee who was late to work three times in one year
An employee who failed to watch a client and the client left the building
An employee who disagreed with the rate of reinforcement for a client
An employee who failed to watch a client and the client left the building
Management strategies that rely on negative reinforcement produce staff behaviors that are based
on:
Gaining positive feedback
Avoiding aversive consequences
Getting bonuses for performance
Earning paid time off
Avoiding aversive consequences
Many staff engage in expected behaviors to avoid punishing circumstances. This is an example of:
Negative punishment
Positive punishment
Positive reinforcement
Negative reinforcement
Negative reinforcement
Which of the following challenging behaviors responds best to training and supervision?
Failure to prompt quickly enough after a cue is delivered
Not showing up to work on time for a week or more
Raising voice to a supervisor during behavioral skills training
Offering to babysit a client when it is against company policy
Failure to prompt quickly enough after a cue is delivered
Behavioral systems analysis is:
A way of ensuring that privacy laws are adhered to in all written and spoken communications.
Deciding whether or not to terminate an employee for a repeated pattern of behavior.
A framework for structuring discussion and change efforts at the organization, process, and job
performer levels.
A way of supervising staff so they do not have the opportunity to engage in challenging behavior.
A framework for structuring discussion and change efforts at the organization, process, and job
performer levels.
Which is the best reason to define expected staff behavior?
To prevent challenging staff behavior
So staff will understand there are negative consequences
So client families will know that the organization is healthy
To prevent backlash from staff later when they are reprimanded
To prevent challenging staff behavior
Which of the following staff behaviors could likely result in immediate termination?
Being late for work two times
Forgetting to upload data
Failing to put materials away
Leaving client unsupervised
Leaving client unsupervised
Employees and supervisees who make errors or do not perform as expected may have:
Attitude issues
Dislike for the job
Skills deficits
Performance deficits
Skills deficits
Why are clinical skills issues a particularly concerning challenging staff behavior?
Because clients will almost certainly regress behaviorally
Because interventions will not be as effective as they could be
Because the organization will not be able to bill for that time
Because the staff member will feel bad about their performance
Because interventions will not be as effective as they could be
After creating a policy, which of the following should be done?
Punishing staff for not following the policy
Training all staff on how to follow the policy
Identifying when the policy is being followed
Identifying when the policy is not followed
Training all staff on how to follow the policy
A workflow process is created by:
Having enough managers to supervise staff so they follow all policies and procedures
Communicating strategies and tasks but withholding information about goals and the mission
Telling all staff what to do on a need to know basis and informing them of changes as soon as
possible
Communicating goals, tasks, and strategies in order to achieve measurable results
Communicating goals, tasks, and strategies in order to achieve measurable results
Which type of environment encourages staff to follow policies?
One where structure and policies are clear and enforced intermittently by managers
One where the structure is clear but not necessarily all the policies are monitored and reinforced
One where the structure and policies are clear and following them is reinforced
One where the structure is loose but policies are mostly followed by most of the staff
One where the structure and policies are clear and following them is reinforced
Which of the following is true regarding supervisors and diversity?
Because supervisors must adhere to BACB ethical guidelines, they do not need training on diversity.
Because most supervisors have received extensive training on diversity, they do not need more.
Supervisors need training on how one's own culture impacts their feelings about service delivery.
Supervisors need training on how one's own culture impacts decision-making and service delivery.
Supervisors need training on how one's own culture impacts decision-making and service delivery.
Which of the following is the best definition of cultural humility?
Being open to others and their cultural identities if it fits within the larger context of society
Apologizing for any act of insensitivity that you may commit before interacting with the client
Being open to others and the aspects of their cultural identities that are important to them
Studying all aspects of various cultures of the individuals you are currently working with or may work
with in the future
Being open to others and the aspects of their cultural identities that are important to them
How are cultural competence and cultural humility different?
The ultimate goal of cultural humility is acquiring knowledge while cultural competence is an
ongoing effort to understand others.
The ultimate goal of cultural competence is to understand bias while cultural humility is an ongoing
effort to learn more about culture.
The ultimate goal of cultural competence is acquiring knowledge while cultural humility is an
ongoing effort to understand others.
The ultimate goal of cultural competence is educating others while cultural humility is an ongoing
effort to understand others.
The ultimate goal of cultural competence is acquiring knowledge while cultural humility is an
ongoing effort to understand others.
Which of the following is the biggest danger of not addressing bias displayed by family members
toward clinicians?
The therapeutic relationship is compromised, resulting in less than optimal outcomes for the client.
There is no danger to anyone but the clinician, so ignoring it is the most professional way to handle
it.
Supervisees will become resentful of the family member and not want to go to the client's home.
The family member's biased behavior will always increase, making the situation even more
uncomfortable.
the therapeutic relationship is compromised, resulting in less than optimal outcomes for the client.
Which of the following is an example of cultural humility?
A BCBA incorporating a family's religious traditions in their child's discrete trial program
A BCBA designing a verbal behavior program for a child from a non-English speaking family in English
only
An RBT who refuses to incorporate specific toileting practices related to a child's religion during
training
An RBT who ignores a family's wish for them to not wear shoes inside their h
A BCBA incorporating a family's religious traditions in their child's discrete trial program
Research on language instruction preference of children with autism from Spanish speaking homes
indicates:
Children preferred difficult instructions be provided in English.
Children preferred difficult instructions be provided in Spanish.
Children preferred difficult instructions be provided in both languages.
Children preferred simple instructions be provided in both languages.
children preferred difficult instructions be provided in Spanish.
Which of the following sources defines culture as a configuration of learned behaviors and the
results of engaging in those behaviors whose component elements are shared and transmitted by
members of a particular society?
Media outlets
Business
Psychology
Public opinion
Psychology
The best example of the bi-directional nature of culture within the context of ABA service delivery is:
An African-American BCBA conducting a functional analysis with an African-American client in their
home
An RBT who is Muslim requesting to reschedule a session with a Christian client because of a specific
religious holiday
A Caucasian female conducting a parent training with a Caucasian family from the same community
in their home on the weekend
A Protestant RBT working with a Catholic family to help their child perform in a Christmas play at
church
An RBT who is Muslim requesting to reschedule a session with a Christian client because of a specific
religious holiday
Which of the following statements is true regarding the effects of language on functional analysis
outcomes for an individual from a non-English speaking home?
The individual engaged in lower levels of challenging behavior when English was spoken during
conditions.
The individual engaged in the same level of challenging behavior when both languages were spoken
during conditions.
The results of the functional analysis were inconclusive as there were multiple methodological issues
in the execution of the study.
The individual engaged in higher levels of challenging behavior when English was spoken during
conditions.
The individual engaged in higher levels of challenging behavior when English was spoken during
conditions.
Which of the following statements best describes the difficulty of defining culture?
The definition depends on your area of study, the region of the world you are in, and your personal
perspective.
The definition is fairly static. However, because many people do not agree with it, it is not accepted.
The definition of culture shifts with time, so attempts to define it are not worth the effort.
There is a widely agreed-upon definition of culture by many individuals but policymakers do not
agree.
The definition depends on your area of study, the region of the world you are in, and your personal
perspective.
To respect an individual's needs, which of the following is the way clients should be treated when
being assessed?
In the target environment as judged by the clinician
As if they existed in any given environment
As if they were moving to a better environment
Within the context of their environment
Within the context of their environment
cultural humility training was initially developed because of the negative effects of implicit bias by:
Behavior analysts toward those from marginalized communities
Special education teachers toward those from marginalized communities
Political leaders toward those from marginalized communities
Healthcare providers toward those from marginalized communities
Healthcare providers toward those from marginalized communities
In addition to seeking out training and supervision, which of the following is a way for ABA
practitioners to become more culturally aware?
Gather family-specific information and use it only if it corresponds with current ABA literature.
Engage in discussions with colleagues and be fully present in the moment when interacting with
clients.
Incorporate generic customs into programs before verifying their relevance to the client.
Offer to spend a week observing a family and their interactions with each other before designing
programs.
Engage in discussions with colleagues and be fully present in the moment when interacting with
clients
Finding a way to honor family wishes and requests while continuing to provide evidence-based
interventions is an example of which of the 5Rs of cultural humility?
Resiliency
Respect
Recognition
Rehearsal
Respect
Why is it okay to be uncomfortable and address issues regarding bias when providing ABA
interventions?
Because to provide quality intervention to diverse populations, clinicians need to avoid conflict and
be uncomfortable with bias
Because those who display bias toward others should be made to feel uncomfortable, as their
behavior is unacceptable
Because to provide quality intervention to diverse populations, clinicians need to become more
comfortable with being uncomfortable
Because to provide quality intervention to a variety of individuals, a universal protocol for
interacting with others must be applied with all clients
Because to provide quality intervention to diverse populations, clinicians need to become more
comfortable with being uncomfortable
Which of the following is an example of an "overgeneralization" as it relates to culture?
All white southerners are politically conservative.
Some Jewish families may have a Christmas tree.
Some Hispanic families like Italian food.
Some Chinese children are bad at math.
All white southerners are politically conservative
Why is it important to practice resiliency as part of the 5Rs of cultural humility?
To take care of yourself so you will be physically able to practice ABA in your later years
To take care of yourself so you can provide the best service possible to clients
If you do not, you will face ethical complaints by parents and colleagues and be reported
If you do not, you will engage in inappropriate and biased behavior toward clients
To take care of yourself so you can provide the best service possible to clients
Which of the following statements is true regarding reporting of demographics in the literature on
ABA intervention?
Cultural and language backgrounds were rarely reported.
Cultural and language backgrounds were almost always reported.
Cultural and language backgrounds did not need to be reported.
Cultural backgrounds were reported but not language backgrounds.
Cultural and language backgrounds were rarely reported.
Which of the following best summarizes the need for training ABA clinicians on cultural diversity?
Most ABA clinicians receive extensive training on the role of culture in the provision of ABA service
delivery.
Currently, there is no need to train ABA clinicians to deliver culturally sensitive services at all.
It is safe to say that most clinicians need more training and experience in cultural variables related to
ABA service provision.
There is not currently a need to train ABA clinicians on the role of culture in the provision of services
so no research is available.
It is safe to say that most clinicians need more training and experience in cultural variables related to
ABA service provision.
What makes it difficult for ABA practitioners to become more culturally competent?
Limited demographics on ABA clinicians, bias in communities, and the difficulty of accessing services
for many from diverse backgrounds
The lack of interest on the part of many ABA clinicians regarding the needs of those from diverse
backgrounds inhibiting cultural competence
Limited demographics on ABA clinicians, political correctness, and the difficulty of accessing services
for many from diverse backgrounds
The dearth of knowledge in any healthcare field on how to become culturally competent in an everincreasing pluralistic society
Limited demographics on ABA clinicians, bias in communities, and the difficulty of accessing services
for many from diverse backgrounds
Which of the following is a source of assistance for complex ethical issues in addition to the ethics
code?
Contacting practitioners in related professions .
Discussing the situation among supervisees
Contacting the ABA Ethics Hotline
Reading the vast body of research literature on ABA and ethics
Contacting the ABA Ethics Hotline
The current ethics document published by the BACB is:
A set of moral principles
A helpful document to guide practice
A list of suggestions for practice
An enforceable code of ethics
An enforceable code of ethics
Which of the following could be a human rights challenge faced by small ABA agencies?
Access to training and information on how to ensure the implementation of evidence-based
practices for clients
Access to an external human rights board to oversee complex interventions for clients with difficult
behavior
Access to information regarding the use of punishment and physical restraint when clients exhibit
self-injurious behavior
Access to information regarding the policies of other providers regarding the use of reinforcement
and punishment
Access to an external human rights board to oversee complex interventions for clients with difficult
behavior
Which of the following is a reason why human rights review panels were established in
governmental and higher education facilities?
To employ regulatory staff in governmental agencies to meet quotas
To ensure regulations were followed to protect vulnerable populations and investigators
To prevent exploitation or harm during the course of investigations or interventions
To prevent the public from knowing what occurs during interventions and investigations
To prevent exploitation or harm during the course of investigations or interventions
Which of the following moral principles relates to treating clients with respect?
Being truthful
Pursuing excellence
According dignity
Accepting responsibility
According dignity
Which of the following code violations was the most highly reported in 2018?
Referrals and fees
Professionalism and integrity
Client records Issues with client records were not the most highly reported code violation in 2018.
Approving behavior change programs
Professionalism and integrity
Mary had her BCBA credential revoked because of fraudulent billing. What category of actions by the
BACB does this reflect?
Disciplinary review
Code compliance
Cautionary guidance
Cautionary code
Disciplinary review
To ensure ethical standards when designing and implementing ABA interventions are met, which of
the following should behavior analysts do?
Incorporate input from all interested parties on school-based intervention teams into intervention
plans
Incorporate the wishes of family members although they might suggest using unproven
interventions
Rely on gut instinct and the opinions of those who know the individual when designing intervention
plans
Rely on the science of human behavior when designing and implementing ABA intervention plans
Rely on the science of human behavior when designing and implementing ABA intervention plans
If health, safety, or fraud are ethical concerns, what is the most important first step for reporting?
Call the appropriate authorities and/or regulatory bodies.
Attempt to correct the situation directly with the individual.
Use the BACB's web-based reporting system to make the allegation.
Consult the local media in order to adequately protect the public.
Call the appropriate authorities and/or regulatory bodies.
Which of the following best describes the way that using ABA-based interventions helps in
respecting the autonomy of individuals?
Tools such as shaping, chaining, fading, and the use of conditioned reinforcers all promote the
independence of individuals and organizations served by behavior analysis.
Respecting the autonomy of individuals is more important than ensuring the health, safety, and
general welfare in home and community-based settings.
Punishing undesirable behaviors can diminish the autonomy of individuals with developmental
disabilities, autism, and other conditions that affect communication and social skills.
Interventions based on ABA are always delivered in an ethical manner resulting in increased
autonomy of individuals who receive treatment.
Tools such as shaping, chaining, fading, and the use of conditioned reinforcers all promote the
independence of individuals and organizations served by behavior analysis.
Which of the following moral principles is shared with physicians but also applicable to behavior
analysts?
Respect autonomy
Be just
Do no harm
Be kind
Do no harm
Which of the following conditions must be present when making an allegation of ethical misconduct
to the BACB?
The violation occurred at any time prior to the allegation being made.
The allegation can be against anyone who claims to be implementing ABA-based interventions.
The allegation is made against a person holding a BACB credential or a credential candidate.
The allegation involves only accusations of compromise of the health and safety of clients.
The allegation is made against a person holding a BACB credential or a credential candidate.
Which of the following is likely to happen if staff feel overworked and overwhelmed?
Implementation can slip
Implementation is ensured
Implementation will not occur
Implementation is likely
Implementation can slip
Which of the following places clients at-risk when interventions are not adequately supervised by
behavior analysts?
Interventions will probably be implemented consistently anyway
Staff will know what to do when an intervention is not working
Only parts of interventions may be implemented instead of the entire intervention
Therapeutic practices will probably be used by experienced staff
Only parts of interventions may be implemented instead of the entire intervention
Some BCBAs have identified parts of the Professional and Ethical Compliance Code that could be
conflicting depending on the circumstances. Which of the following is an example of this conflict?
Accepting clients without regard to their ability to pay for services and practicing economic
discrimination
Providing more than adequate supervision to a supervisee and continuing to employ them despite
their unwillingness to be ethical
Responding to a client's cultural norms by accepting an offer of a glass of water yet violating the
code for accepting a gift
Refusing to engage in casual conversation with a client's parent before a session and charging them
for the time they attempted to speak to you
Responding to a client's cultural norms by accepting an offer of a glass of water yet violating the
code for accepting a gift
Which of the following statements is true regarding access to ethical guidance for BCBAs today?
There is more guidance from the field than ever before
There is less guidance from the field than ever before
Some guidance exists but not enough to protect clients
More research is needed to ensure that clients are protected
There is more guidance from the field than ever before
Which of the following issues did the Blue Ribbon Panel find when investigating at Sunland Miami?
Residents were treated with dignity and respect under most circumstances.
Residents were subjected to lengthy educational sessions and taught to be self-sufficient.
Staff were frustrated with the lack of training they received before starting to work with residents.
Residents were subjected to harsh and disturbing behavior modification programs
Residents were subjected to harsh and disturbing behavior modification programs
A BCBA is providing supervision services to one of their RBTs while they are implementing services to
a client. The third-party payer source refuses to pay for both the BCBA supervision services and the
time for the RBT's services, since they were concurrent services. What is the BEST way to address
this situation?
Refuse to accept clients who have that source as a form of payment.
Bill the services anyway and then deal with the rejected claim later.
Write an editorial for the local newspaper denouncing the payer sources practices.
Discuss the situation with the payer and negotiate a reasonable solution
Discuss the situation with the payer and negotiate a reasonable solution
Which of the following best describes the concept of moral absolutism?
Actions or deeds are right or wrong depending on the circumstances.
Actions or deeds are completely acceptable in any circumstance.
Rules are created without regard for every possible situation in which the rule could be applied.
Actions or deeds are never completely right or wrong.
Rules are created without regard for every possible situation in which the rule could be applied.
Which of the following statements is true regarding the number of ethics complaints made to the
BACB?
As more behavior analysts become aware of ethical issues, they will exercise more caution.
As the public becomes more aware that behavior analysts have ethical codes, more allegations will
be made.
As the demand for services and the number of credentialed practitioners increase, so will
allegations.
Since the ethical code is now enforceable, the number of allegations of ethical misconduct will
decrease.
As the demand for services and the number of credentialed practitioners increase, so will
allegations.
In studies that support the efficacy of risperidone and aripiprazole, decreased levels of irritability
were measured by:
Informant measures of behavior.
Functional analyses of behavior.
Brief functional analyses.
Interview informed functional analyses.
Informant measures of behavior.
Medications approved by the FDA for individuals with autism are designed to target:
Irritability
Spinning objects
Concrete thinking
Restrictive interests
Irritability
Extrapyramidal side effects of psychotropics are more common in:
Antiepileptics and stimulants.
Anti-depressants and sedatives.
Atypical or second generation psychotropics.
Typical or first generation psychotropics.
Typical or first generation psychotropics.
Which strategies are best for preparing clients for medical procedures?
Provide them with materials that explain the purpose of the procedure
Have the prescriber verbally explain why the procedure is important
Promise a reinforcer if the client is compliant with the procedure
Simulations with non-contingent reinforcement and behavioral shaping.
Simulations with non-contingent reinforcement and behavioral shaping.
The best way to ensure that you know a new client is taking medication is to:
Refuse to serve them if caregivers do not reveal medication status.
Call the primary medical care provider and ask them directly.
Obtain all medical records before setting an intake appointment time.
Obtain a developmental and medical history during intake.
Obtain a developmental and medical history during intake.
Two medications approved by the FDA for treatment in autism are:
Risperidone and aripiprazole.
Amphetamines and methylphenidate.
Clonidine and valproate.
Haloperidol and fluphenazine.
Risperidone and aripiprazole.
Medication to address behavioral issues in children under the age of five is largely:
Endorsed by most medical societies and professionals.
Off-label because it has not been tested in children that young.
Is unethical and ill-advised under any circumstances.
Unnecessary under all circumstances because children under 5 are small.
Off-label because it has not been tested in children that young.
Lack of access to ABA services and the appropriate amount of services has led to:
Less medication being prescribed.
More referrals to inpatient programs.
More medication being prescribed
More services demanded by teachers.
More medication being prescribed
While stimulants have been effective in improving attention, impulse control, and hyperactivity in
children with autism, there have been reports of:
Dangerously low blood pressure.
Involuntary motor movements.
Irritability and sleep disturbance.
Gynecomastia and increased prolactin.
Irritability and sleep disturbance.
Approximately, how many individuals with autism take medication aimed at addressing mood and
behavior?
About a quarter
Almost all
About half
No estimates are available
About half