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Quiz

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Autism & Puberty

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1. A parent reports that their adolescent with ASD has become more socially withdrawn and emotionally reactive since the onset of puberty. From a behavior-analytic perspective, which interpretation is most accurate?

A. The adolescent is intentionally avoiding social interactionB. Puberty-related changes may interact with communication and sensory challengesC. These behaviors indicate a permanent regression in skill acquisitionD. Puberty does not significantly affect behavior in adolescents with ASD
2. A BCBA is developing a parent-training module focused on puberty supports for adolescents with ASD. Which component should be prioritized?

A. Waiting for puberty changes to resolve naturallyB. Providing parents with behavior-management and referring to other providers for supportC. Limiting discussions about puberty to medical providers onlyD. Focusing exclusively on academic performance during adolescence
3. During puberty, some adolescents with ASD demonstrate changes in stereotypic or repetitive behaviors. Which conclusion is most consistent with Hamdan’s findings?

A. Repetitive behaviors always increase during pubertyB. Puberty has no observable impact on stereotypic behaviorC. Puberty may be associated with variability in repetitive behaviorsD. Any change in stereotypy must be the result of intervention
4. An adolescent with ASD begins refusing hygiene routines (e.g., showering, deodorant use) during puberty, resulting in peer rejection at school. From a behavior-analytic perspective, what is the most appropriate next step?

A. Removing hygiene expectations to reduce stressB. Teaching hygiene skills using task analysis and reinforcementC. Addressing peer behavior rather than hygiene routinesD. Waiting until puberty ends to reintroduce self-care goals
Behavior Analysis Soft Skills: Compassion and Understanding

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1. A BCBA notices a caregiver seems hesitant to share challenges in implementing a behavior plan. Based on Derksen et al. (2013), what is the most effective way to increase caregiver disclosure and engagement?

A. Focus only on reviewing data without discussing caregiver concernsB. Use empathetic listening, validate their concerns, and reflect understanding back to the caregiverC. Give directives and instructions to avoid emotional conversationsD. Assume the caregiver’s hesitation will resolve over time
2. A BCBA notices a caregiver is frustrated and disengaged during therapy sessions. According to Taylor et al. (2019), which approach may improve treatment outcomes?

A. Focus solely on implementing technical procedures with the clientB. Attend to the caregiver’s emotional experience, offer support, and incorporate their input into planningC. Delay addressing caregiver concerns to maintain session flowD. Refer the caregiver elsewhere without discussion
3. A BCBA is planning a staff training session on soft skills. Which of the following is the best approach?

A. Focus exclusively on technical skill mastery without addressing interpersonal interactionsB. Provide a lecture on compassion without opportunities for practiceC. Include role-playing, modeling compassionate communication, and feedback on interpersonal skillsD. Avoid discussing soft skills to save time
4. A BCBA notices that attending to caregiver emotions sometimes conflicts with completing session goals. What is the most balanced approach?

A. Integrate brief compassionate interactions into sessions without sacrificing critical intervention componentsB. Avoid caregiver interaction to maximize task completionC. Spend excessive time addressing emotions, pausing intervention goalsD. Ignore both caregiver emotions and intervention goals
Autism Inclusion for ABA

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1. A BCBA is designing a peer-mediated social skills program for autistic students. Research by Komeda et al. suggests that autistic individuals may empathize differently with other autistic peers. How should the BCBA apply this finding in practice?

A. Assume all students will respond to neurotypical-centered social strategiesB. Incorporate peer interactions between autistic students as potential sources of meaningful social engagementC. Focus exclusively on adult-led social interventionsD. Avoid pairing autistic students together to prevent conflict
2. A BCBA supervises a team of staff from diverse cultural backgrounds. Some staff members express different beliefs about reinforcement strategies. Which approach best reflects the application of Ferdman’s discussion of diversity and inclusion paradoxes?

A. Enforce a single, uniform method to maintain consistencyB. Explore differences in perspective and co-create culturally responsive strategies that respect team members while maintaining client-centered careC. Ignore cultural differences and focus only on procedural fidelityD. Reassign staff to avoid potential conflicts
3. A BCBA is consulting with a company that employs autistic adults. Vogus & Taylor suggest considering organizational factors in addition to individual interventions. Which action best reflects this perspective?

A. Assess organizational policies, team dynamics, and environmental supports that influence performanceB. Focus only on teaching individual employees specific workplace skillsC. Require employees to adapt fully to existing workplace normsD. Avoid organizational-level changes to reduce complexity
4. A BCBA is helping a team implement inclusive practices for employees on the autism spectrum. Van den Bosch et al. identify that inclusion initiatives often fail due to tension between individual differences and organizational norms. Which strategy aligns best with their recommendations?

A. Require strict adherence to existing organizational procedures for all employeesB. Avoid changes to policies to prevent inequitiesC. Implement a structured process to assess individual strengths and tailor accommodations within organizational objectivesD. Focus only on neurotypical employees to simplify management
Behavior Analysis & Burnout

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1. A BCBA notices that their workload has increased dramatically, and they are beginning to feel emotionally drained and less attentive to ethical standards. According to Brown (2021), which strategy is most likely to help maintain ethical practice while managing burnout?

A. Take a brief personal break and delegate lower-priority tasks when possibleB. Ignore feelings of burnout to demonstrate professional dedicationC. Reduce client hours without consulting a supervisor or employerD. Focus solely on client outcomes, postponing personal well-being
2. A BCBA is supervising a trainee who frequently expresses frustration about balancing work demands and personal life. Which action reflects the best application of the findings on burnout and ethics?

A. Encourage the trainee to push through stress to avoid delays in servicesB. Discuss strategies for workload management, self-care, and ethical decision-makingC. Focus only on fidelity of intervention delivery and ignore trainee stressD. Advise the trainee to leave the field if they cannot handle stress
3. A BCBA notices that several colleagues consistently report low job satisfaction and frequent ethical dilemmas related to competing demands. Based on Brown (2021), what organizational-level approach is likely to improve both job satisfaction and ethical compliance?

A. Increase supervision frequency without adjusting workloadB. Develop policies that monitor ethical compliance while addressing workload and support needsC. Require staff to work overtime to meet ethical obligationsD. Limit training on self-care and stress management to focus on technical skills
4. A BCBA notices signs of emotional exhaustion and depersonalization in themselves after a period of high caseload. Which approach best aligns with Brown’s recommendations for preventing burnout from impacting ethical behavior?

A. Seek consultation or supervision, implement self-care routines, and monitor work-life balanceB. Ignore the feelings to maintain professional imageC. Increase caseload to distract from emotional stressD. Stop documenting ethical dilemmas to reduce stress
Behavior Analytical Tips & Resources to Facilitate Remote Learning & Telehealth for Individuals with Disabilities

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1. A BCBA wants to ensure client dignity and assent during telehealth sessions. Which practice best supports this goal?

A. Monitoring engagement and adjusting demands or session structure as neededB. Continuing sessions even when the client actively disengagesC. Requiring camera use at all timesD. Expecting caregivers to manage all engagement issues
2. A BCBA is determining whether telehealth is appropriate for a new client. Which factor is most critical when deciding if telehealth services are clinically appropriate?

A. Availability of videoconferencing softwareB. The client’s ability to engage with technology and follow remote instructionC. The BCBA’s preference for remote workD. Insurance reimbursement rates
3. A family requests telehealth services due to convenience, but the BCBA believes in-person services would be more effective. What is the most ethical response?

A. Provide telehealth services regardless of clinical concernsB. Decline services without explanationC. Discuss risks, benefits, and clinical recommendations with the familyD. Provide minimal services to meet the family’s request
4. A client engages in aggression that requires physical intervention when services are delivered in person. Which decision best reflects ethical telehealth practice?

A. Continue telehealth services without modificationB. Shift to telehealth with no caregiver presentC. Ignore the aggression since it cannot be managed remotelyD. Reevaluate service modality and consider in-person services or additional safeguards
Behavior Skills Training: Importance and Considerations

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1. A BCBA supervising a school-based intervention notices that a staff member correctly implements a program for several weeks but gradually deviates from key steps over time. Based on Arkoosh et al., which action best addresses long-term treatment integrity?

A. Implement ongoing monitoring and periodic refresher trainingB. Assume initial training was sufficient and provide feedback only when errors occurC. Replace the staff member with a new employeeD. Increase the complexity of the program to keep the staff engaged
2. When designing training for long-term intervention fidelity, Arkoosh et al. recommend that BCBAs should:

A. Focus solely on teaching technical skills initiallyB. Include strategies to maintain skill over time, such as booster sessionsC. Avoid over-supervising staff to encourage independenceD. Reduce data collection to prevent staff burnout
3. A BCBA wants to implement a fidelity monitoring system consistent with best practices. Which approach is recommended?

A. Measure fidelity only at the start of interventionB. Use multiple observers and calculate interobserver agreementC. Rely solely on trainee self-monitoringD. Focus only on final outcomes instead of process
4. A BCBA wants to improve staff adherence to intervention protocols. Based on Barnett et al., which strategy is most effective?

A. Conduct occasional observation without feedbackB. Reduce the complexity of interventions instead of monitoring fidelityC. Provide structured feedback based on fidelity data and adjust training as neededD. Focus solely on client outcomes as a proxy for fidelity
Best Practices in Human Services Supervision and Management

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1. Which supervisory practice best supports ethical development and professional competence in supervisees?

A. Focusing exclusively on billable productivityB. Limiting feedback to annual evaluationsC. Encouraging reflective practice and ethical discussions during supervisionD. Avoiding difficult conversations
2. A BCBA supervises multiple staff across settings and notices inconsistent implementation of behavior plans. Which management strategy is most likely to improve consistency?

A. Standardizing training and competency-based performance checksB. Increasing documentation requirementsC. Replacing underperforming staffD. Reducing the number of treatment goals
3. Which practice best supports retention and staff satisfaction in ABA service settings?

A. Prioritizing productivity over professional developmentB. Providing regular, constructive feedback and opportunities for advancementC. Limiting communication to essential topicsD. Assigning uniform responsibilities regardless of skill level
4. A BCBA supervisor identifies a pattern of burnout among supervisees. What is the most appropriate response?

A. Increase accountability measuresB. Attribute burnout to individual coping skillsC. Evaluate organizational variables contributing to burnout and implement changesD. Reduce supervision frequency
Conducting Functional Analyses is the Ethical Choice

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1. A BCBA is hesitant to conduct a functional analysis due to concerns about evoking problem behavior. Which consideration best supports the position that conducting an FA can be ethically justified?

A. Functional analyses are faster than descriptive assessmentsB. Evoking behavior briefly may reduce long-term harm through effective treatmentC. Functional analyses are required for all casesD. Caregivers generally prefer experimental assessments
2. A treatment team proposes implementing an intervention based solely on indirect assessment data. What is the primary ethical risk of skipping a functional analysis?

A. Increased data collection demandsB. Delayed treatment implementationC. Implementing an intervention that does not address the true functionD. Reduced caregiver satisfaction
3. A BCBA is working with a client who engages in severe aggression. Which scenario most strongly supports the ethical need for a functional analysis?

A. Previous interventions have failed or produced inconsistent outcomesB. The behavior occurs infrequentlyC. Caregivers prefer immediate treatmentD. The behavior is socially stigmatizing
4. Which outcome best supports the argument that functional analyses are an ethical choice in ABA practice?

A. Faster session completionB. Reduced need for caregiver involvementC. More precise, function-based interventions with better outcomesD. Increased billable hours
Culturally Sensitive Practices in ABA

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1. A BCBA begins services with a family whose cultural values emphasize respect for elders. Which action best reflects culturally sensitive practice?

A. Proceeding with standardized interview questions onlyB. Asking caregivers how decisions are typically made within the familyC. Limiting caregiver involvement to avoid miscommunicationD. Relying on written consent forms without discussion
2. A family declines a recommended intervention due to cultural beliefs. What is the most ethical response?

A. Insist on the intervention because it is evidence-basedB. Discontinue services immediatelyC. Explore alternative strategies aligned with family valuesD. Proceed with the intervention and document refusal
3. A BCBA is working with a family whose primary language is not English. Which practice best supports ethical and effective communication?

A. Asking siblings to translate during sessionsB. Using simplified English and avoiding data reviewC. Relying only on translated written materialsD. Using a trained interpreter for consent and treatment discussions
4. A behavior analyst realizes personal cultural assumptions may be influencing clinical decisions. Which action best reflects professional responsibility?

A. Applying more rigid procedures to reduce biasB. Avoiding cultural topics in supervisionC. Reflecting on bias and seeking consultation or supervisionD. Continuing treatment unchanged
Effective Supervision Practices for Behavior Analysts

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1. The trainee report discussed in Hajiaghamohseni et al. reported that supervision meetings often lack an agenda and that action items are rarely documented. How do these practices compare to findings from the supervision survey?

A. These practices are uncommon and represent poor supervision qualityB. These practices are consistent with commonly reported supervision behaviorsC. These practices violate BACB supervision requirementsD. These practices occur only among early-career supervisors
2. A BCBA with limited supervision experience reports difficulty delivering corrective feedback effectively. Based on the study’s findings, what is the most appropriate next step?

A. Reduce the amount of feedback providedB. Rely solely on trainee self-evaluationC. Seek mentorship or training in supervision practicesD. Focus supervision time exclusively on administrative tasks
3. Which supervisor behavior best reflects the ethical focus?

A. Reviewing ethics codes only when problems ariseB. Avoiding ethical discussions to reduce supervisee anxietyC. Proactively discussing ethical scenarios during supervisionD. Delegating ethical decision-making entirely to supervisees
4. A supervisor notices a trainee appears disengaged and unmotivated during supervision. Which strategy is most likely to improve the supervisory relationship?

A. Clarifying expectations and soliciting supervisee feedbackB. Using punishment procedures to reduce disengagementC. Increasing supervision hours without changing structureD. Reducing supervision demands to improve rapport
Feeding Interventions 2.0

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1. A BCBA is designing a feeding intervention for a child with severe selectivity. Which ethical principle should be considered when designing interventions?

A. Use the least restrictive, most supportive procedures while safeguarding dignityB. Prioritize rapid change at any costC. Focus solely on nutritional goalsD. Avoid parental involvement to maintain objectivity
2. During a feeding session, the child displays distress that exceeds expected levels. What is the most appropriate response?

A. Continue as planned to maintain consistencyB. Modify the procedure to reduce distress while maintaining treatment fidelityC. Immediately terminate all feeding interventions permanentlyD. Increase reinforcement density to override distress
3. A BCBA is asked to implement a feeding intervention for a child with selective eating. Before beginning, the BCBA learns that the child has never been evaluated for possible medical issues (e.g., anatomical, gastrointestinal) that could contribute to food refusal. According to the ethical considerations discussed by Tereshko et al. (2021), what should the BCBA do first?

A. Begin a standard differential reinforcement feeding program immediatelyB. Present parents with a written feeding schedule without assessmentC. Consult with medical and allied health professionals to rule out medical contributorsD. Implement escape extinction since it’s the most evidence-based approach
4. A parent expresses concern that their child’s feeding intervention may be too uncomfortable to watch and asks if alternative procedures that are less intrusive but possibly slower can be used. According to ethical guidance in Tereshko et al. (2021), what should the BCBA emphasize when discussing options with the family?

A. That escape extinction is the only effective procedureB. The difference between least restrictive and more intrusive procedures and the associated risks and benefitsC. That the intervention must be done exactly as written regardless of acceptabilityD. That discomfort is unimportant if feeding outcomes improve
Humble Behaviorism & Compassionate Care

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1. During a supervision session, a trainee struggles to respond empathetically to a stressed parent. Which strategy aligns with findings from Derksen et al.?

A. Tell the trainee to maintain a professional distance at all timesB. Focus solely on procedural fidelity without addressing interpersonal skillsC. Advise the trainee to ignore emotional cues to save timeD. Model empathetic responses and provide practice opportunities in supervision
2. A trainee expresses concern that spending time addressing caregiver emotions reduces time for client intervention. How should the supervising BCBA respond?

A. Advise ignoring caregiver emotions to maintain strict session schedulesB. Recommend reducing session length to balance bothC. Highlight the importance of relationships in improving long-term client outcomes and model strategies for compassionate careD. Suggest focusing only on measurable client behavior and ignore interpersonal interactions
3. A BCBA is consulting with a school team that is skeptical of behavior analysis due to past negative experiences with rigid programming. Which approach is most likely to rebuild trust and promote collaboration?

A. Emphasize the superiority of behavior-analytic methods over other approachesB. Focus strictly on data collection and avoid discussing values or perspectivesC. Acknowledge past concerns, listen to stakeholder perspectives, and collaboratively identify goalsD. Limit team input to prevent dilution of behavioral principles
4. A BCBA is part of a team with a speech-language pathologist and occupational therapist. To enhance collaboration, which approach reflects the best choice?

A. Hold regular interdisciplinary meetings to share perspectives and plan coordinated interventionsB. Work independently and only report outcomes at the end of the monthC. Assign one team member to make all decisionsD. Let each discipline handle their domain without discussion to avoid conflict
Improving Cultural Competence: Toward an Understanding of Racial Trauma

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1. A supervisee reports discomfort implementing a behavior reduction plan that includes punishment procedures for a client who has a history of racial discrimination trauma. How should the supervisor respond?

A. Instruct the supervisee to follow the plan as writtenB. Document the concern but take no immediate actionC. Collaboratively review the intervention through a trauma-informed and cultural lensD. Remove the supervisee from the case
2. Which assessment practice most directly supports culturally responsive identification of variables related to racial trauma?

A. Relying primarily on standardized behavior rating scalesB. Prioritizing direct observation over caregiver reportC. Avoiding discussion of race to remain objectiveD. Incorporating caregiver and client narratives into assessment
3. Which action best demonstrates cultural humility when addressing racial trauma in ABA practice?

A. Completing a one-time cultural competence trainingB. Engaging in ongoing self-reflection and seeking feedback from clients and caregiversC. Deferring all cultural concerns to mental health professionalsD. Using the same interventions for all clients to ensure equity
4. Which supervision practice best supports culturally responsive service delivery related to racial trauma?

A. Limiting discussions to observable behavior onlyB. Encouraging supervisees to suppress personal reactionsC. Avoiding cultural topics unless the client raises themD. Creating space for reflective discussions about racial trauma and bias
Interprofessional Collaboration

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1. A BCBA is collaborating with a speech-language pathologist (SLP) who recommends an intervention that conflicts with behavior-analytic principles. According to Henderson et al., what is the most ethically appropriate action for the BCBA?

A. Implement the SLP’s recommendation to maintain collaborationB. Discontinue collaboration immediatelyC. Openly discuss the concern while respecting the other professional’s expertiseD. Report the SLP to their licensing board
2. Which factor is identified as a common barrier to effective interprofessional collaboration in the treatment of autistic individuals?

A. Overreliance on evidence-based practicesB. Differences in professional language and conceptual frameworksC. Excessive communication between professionalsD. Shared ethical guidelines across disciplines
3. A BCBA wants to improve future interprofessional collaborations. Which action best reflects a preventative approach?

A. Waiting until ethical conflicts arise before addressing collaborationB. Limiting communication to written reportsC. Seeking education on other disciplines’ training and ethical standardsD. Assuming all professionals share the same treatment philosophy
4. A BCBA notices that a team member from another discipline consistently dismisses behavioral data. Which strategy aligns with the solutions proposed in the article?

A. Withhold data to reduce conflictB. Rely solely on clinical judgment rather than dataC. Translate behavioral data into language meaningful to other disciplinesD. Remove the team member from treatment planning
LGBTQ+ & Autism

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1. A BCBA is supporting an autistic adolescent who has disclosed a non-heterosexual orientation. The family requests that the topic not be addressed in sessions. What is the most appropriate clinical response?

A. Prioritize caregiver preferences to maintain servicesB. Collaborate with caregivers while ensuring the client’s dignity and emotional wellbeingC. Avoid the topic entirely unless the caregiver initiates discussionD. Discontinue services due to conflicting values
2. Research indicates that autistic individuals are more likely to identify as LGBTQ+ than neurotypical peers. What is the most important implication for ABA practitioners?

A. ABA programs should proactively create affirming and inclusive environmentsB. Analysts should assume all autistic clients are LGBTQ+C. Sexual orientation should be addressed only by medical professionalsD. Sexuality-related topics should be avoided in ABA
3. An autistic adult client requests ABA support related to dating and romantic relationships. Based on current research, which focus is most appropriate?

A. Teaching strict adherence to neurotypical dating rulesB. Avoiding sexuality-related instruction to reduce riskC. Supporting informed choice, consent, and self-advocacyD. Reducing interest in romantic relationships
4. Which treatment goal is most socially valid for an autistic LGBTQ+ client receiving ABA services?

A. Reducing gender-nonconforming behaviorB. Increasing compliance with peer normsC. Teaching self-advocacy, consent, and boundary-setting skillsD. Limiting discussions of identity during sessions
Navigating Social Situations

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1. A client uses scripted language during conversations, which peers occasionally find unusual but not disruptive. What is the most appropriate ABA response?

A. Eliminate scripting to increase typical conversation patternsB. Assess whether the scripting interferes with meaningful social outcomesC. Implement punishment to reduce scriptingD. Replace scripting with rote conversational drills
2. A caregiver wants a BCBA to teach their child to “act more normal” in social situations. What is the most appropriate response?

A. Agree to target behaviors that increase peer acceptanceB. Clarify goals by focusing on functional and socially meaningful skillsC. Decline services due to unclear expectationsD. Focus exclusively on reducing atypical behaviors
3. When teaching social skills, which approach is most likely to result in meaningful, long-term outcomes?

A. Teaching scripted responses for all situationsB. Focusing solely on eye contact and postureC. Teaching flexible skills across multiple social contextsD. Targeting compliance with adult instructions
4. Which outcome best indicates that ABA interventions targeting social navigation are effective and socially valid?

A. The client imitates peer behavior exactlyB. The client engages in fewer social interactions overallC. The client reports increased comfort and success in social situationsD. Social behavior appears typical during therapy sessions only
Practical Considerations for ABA Services with Culturally-Diverse Families

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1. A BCBA learns that a family’s cultural values emphasize collective decision-making rather than individual autonomy. Which adjustment is most appropriate when developing a treatment plan?

A. Incorporate relevant family members into goal selection and planningB. Reduce caregiver involvement to streamline servicesC. Proceed with standard goals to maintain consistencyD. Delay treatment until values change
2. Which factor should be prioritized when evaluating the social validity of an intervention with a culturally-diverse family?

A. The number of intervention hours deliveredB. Alignment with clinic-wide protocolsC. The family’s perception of acceptability and usefulnessD. The BCBA’s professional experience
3. A behavior analyst recognizes that personal cultural assumptions may be influencing clinical decision-making. What action best reflects professional responsibility?

A. Apply more rigid procedures to reduce biasB. Avoid cultural discussions entirelyC. Reflect on potential bias, take self-assessments, and seek supervision or consultationD. Continue as planned to maintain objectivity
4. Which outcome best indicates ABA services are being delivered in a culturally responsive manner?

A. All families receive identical interventionsB. Sessions strictly follow clinic policyC. Treatment plans remain unchanged across casesD. Caregivers report feeling respected, understood, and involved
Professional Boundaries

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1. A BCBA is invited to join a private family group chat used for coordinating school, medical, and social activities related to the client. What is the primary ethical concern with accepting this invitation?

A. The time commitment involvedB. The risk of increased workloadC. The potential for role confusion and access to non-treatment informationD. The possibility of missing important updates
2. A BCBA has been working with a family for over a year. The caregiver begins confiding in the BCBA about marital stress and asks for advice during sessions. What is the most appropriate response to maintain professional boundaries?

A. Offer general advice to support the caregiver emotionallyB. Allow brief discussions as long as client goals are still addressedC. Redirect the conversation to the client’s treatment goals and recommend outside support if neededD. Continue listening but avoid documenting the conversations
3. A BCBA is invited to their client’s birthday party by the client’s family. According to ethical expectations on professional boundaries, the most appropriate response would be to:

A. Attend the party to maintain rapport with the familyB. Politely decline and explain that social interactions outside of therapy can compromise objectivityC. Attend only if another colleague is presentD.Ask the client for guidance on what to do
4. A clinician notices they are repeatedly asked about personal life details by a client’s family. To maintain boundaries, they should:

A. Answer in detail to build trustB. Redirect conversations back to therapeutic goalsC. Suggest meeting socially outside sessionsD. Share similar experiences to seem relatable
Professional Skills for Behavior Analysts

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1. A BCBA demonstrates strong technical competence in assessment and intervention design but receives repeated feedback that their communication style negatively impacts team morale. According to Cowan and Kodak, which conclusion best reflects the implications of this situation?

A. Technical skills typically outweigh interpersonal skills in professional successB. Soft skills are secondary and develop naturally over timeC. Professional effectiveness requires competence in both hard and soft skillsD. Communication difficulties rarely affect service outcomes
2. A supervisor wants to improve their ability to deliver corrective feedback without increasing supervisee defensiveness. Which strategy is most consistent with principles described in the NLP-focused communication articles?

A. Increasing the frequency of feedback regardless of delivery styleB. Matching language patterns and framing feedback positivelyC. Avoiding feedback unless performance issues are severeD. Using technical terminology to maintain authority
3. A BCBA notices that staff members interpret instructions differently despite clear written protocols. Based on NLP principles discussed in the articles, what is the most appropriate supervisory response?

A. Assume staff are not reviewing the materials carefullyB. Provide the same instructions more frequentlyC. Adapt communication to account for different representational systemsD. Eliminate verbal instruction and rely only on written communication
4. A BCBA supervisor is designing a professional development plan for supervisees. Which approach best aligns with findings from Cowan and Kodak and the communication literature?

A. Focusing exclusively on clinical skill masteryB. Prioritizing ethical code memorizationC. Addressing communication, leadership, and interpersonal skills alongside technical trainingD. Allowing supervisees to develop professional skills independently
Social Media for the Neurodivergent Community

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1. Research indicates that adolescents with ASD may use social media differently than their neurotypical peers. What is the most important implication for ABA practitioners?

A. Social media can be leveraged as a context for teaching social and safety skillsB. Social media use should be restricted for autistic adolescentsC. Online interaction should replace in-person social skills instructionD. Social media use should be excluded from treatment planning
2. A BCBA learns that a teenage client primarily socializes through social media rather than face-to-face interactions. What is the most appropriate clinical response?

A. Require in-person peer interaction goalsB. Assess whether online interactions are meaningful and socially valid for the clientC. Target reduction of online social interactionD. Refer the client out due to nontraditional socialization
3. Research suggests autistic adolescents may be at increased risk for online victimization. Which goal would be most socially valid in an ABA program?

A. Eliminating all social media useB. Increasing adult monitoring of all messagesC. Teaching digital safety, boundary-setting, and help-seeking skillsD. Restricting peer interaction online
4. Which outcome best demonstrates that ABA intervention related to social media use is effective and socially valid?

A. The client posts less frequentlyB. The client uses social media only under adult supervisionC. The client follows all peer trends accuratelyD. The client demonstrates safer, more satisfying online interactions aligned with personal goals
Successful Supervision

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1. A BCBA supervisor notices that a supervisee frequently cancels supervision meetings and appears defensive when feedback is provided. According to Sellers et al., what is the most appropriate initial response?

A. Immediately revise the supervision contract to include stricter consequencesB. Reduce supervision requirements to prevent further conflictC. Openly discuss potential interpersonal or professional barriers impacting supervisionD. Refer the supervisee to a different supervisor without discussion
2. Which of the following practices aligns with the authors’ recommendation to establish an effective supervisor–supervisee relationship?

A. Waiting until problems occur before clarifying expectationsB. Beginning supervision with a discussion about purpose, scope, and expectationsC. Only discussing supervision performance during formal evaluationsD. Focusing exclusively on technical skills without addressing professional behavior
3. According to Sellers et al., why is it important for supervisors to evaluate the effects of their supervision practices?

A. To comply with administrative reporting requirementsB. To ensure supervision hours are maximizedC. To demonstrate supervisory authorityD. To determine whether supervision is producing meaningful skill development
4. A BCBA supervisor regularly incorporates discussions of ethical dilemmas and professional conduct into supervision sessions. Which recommendation from the article does this practice best represent?

A. Prioritizing technical training over professional developmentB. Avoiding potentially uncomfortable discussions during supervisionC. Integrating ethics and professional behavior into supervision activitiesD. Limiting supervision content to certification requirements only
Support for Culturally and Linguistically Diverse Families during ABA

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1. A BCBA is creating a behavior support plan for a child whose family adheres to strict cultural norms around parental authority and communication style. Based on Cheremshynski et al. (2013), which approach is most likely to increase caregiver engagement and plan adherence?

A. Collaborate with the parent to integrate culturally consistent practices into the behavior support planB. Design the plan solely based on standard evidence-based procedures without cultural adaptationC. Provide written instructions and expect the parent to follow them exactlyD. Avoid adapting the plan to prevent appearing unprofessional
2. A BCBA wants to assess their ability to work with families from diverse backgrounds. Based on Beaulieu & Jimenez-Gomez (2022), which is the most effective first step?

A. Assume prior experience guarantees cultural competenceB. Delegate culturally responsive practices to colleaguesC. Focus only on clinical skills and technical fidelityD. Complete a structured self-assessment tool to identify areas of strength and growth
3. After self-assessment, a BCBA realizes they are unfamiliar with the family’s cultural beliefs about communication and discipline. What is the most appropriate next step?

A. Continue as planned without adjustmentsB. Adjust interventions to align with evidence-based procedures onlyC. Seek consultation, review literature, and actively collaborate with the family to integrate culturally relevant practicesD. Avoid the family to prevent ethical issues
4. A BCBA is designing a fieldwork curriculum for trainees. Based on Conners et al. (2019), which approach best prepares trainees for culturally diverse settings?

A. Include modules on cultural awareness, implicit bias, and strategies for collaborating with diverse familiesB. Focus only on technical ABA skillsC. Limit exposure to one cultural group to simplify supervisionD. Assume trainees will acquire cultural skills naturally over time
5. A trainee expresses discomfort working with families whose values conflict with their own. According to Conners et al. (2019), how should the BCBA respond?

A. Explore the discomfort in supervision, provide guidance on cultural humility, and model strategies for respectful engagementB. Advise the trainee to avoid working with these familiesC. Tell the trainee to ignore cultural differencesD. Force the trainee to work without discussion to build resilience
6. A BCBA observes that a caregiver’s cultural beliefs influence reinforcement strategies in the home. How should they respond?

A. Collaborate to integrate culturally meaningful reinforcement methods with behavior-analytic principlesB. Correct the caregiver to use evidence-based strategies exclusivelyC. Ignore the caregiver’s approach and focus on data collectionD. Refer the family to another provider
The ABCs of Incentive-Based Treatment in Health Care

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1. A BCBA is designing an incentive-based intervention to increase medication adherence in adults with a chronic health condition. Which factor is most critical to address first to ensure intervention effectiveness?

A. The magnitude and immediacy of the incentive relative to the target behaviorB. The total cost of incentives over timeC. The ease of data collection for adherenceD. Whether incentives can eventually be faded
2. A BCBA is concerned that an incentive-based program may not generalize once incentives are removed. Which strategy best supports long-term effectiveness?

A. Maintain incentives indefinitely to preserve behavior changeB. Gradually thin incentives while pairing them with naturally occurring reinforcersC. Remove incentives abruptly to test maintenanceD. Increase incentive magnitude before fading
3. A BCBA designs an incentive program that is highly effective in controlled trials but difficult for staff to implement consistently in a community health setting. What should guide program revision?

A. Maintain incentives indefinitely to preserve behavior changeB. Gradually thin incentives while pairing them with naturally occurring reinforcersC. Remove incentives abruptly to test maintenanceD. Increase incentive magnitude before fading
4. Integrity data show incentives are delivered hours after attendance rather than immediately. What does this most directly affect within the ABC framework?

A. The antecedent conditionsB. The motivating operationsC. The consequence-behavior relationD. The response definition
Tolerance of Face Coverings for Children with Autism Spectrum Disorder

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1. When designing a mask-tolerance program, which factor should a BCBA prioritize to remain ethically aligned with ABA practice?

A. Rapid acquisition of complianceB. Use of physical prompting to ensure successC. Respect for the child’s assent and signs of distressD. Consistency across all children regardless of needs
2. A school requests that a BCBA require mask compliance even when a child engages in severe distress behaviors. What is the most appropriate response?

A. Follow school policy regardless of behaviorB. Collaborate to reassess goals, safety, and feasibilityC. Increase response effort to reduce refusalD. Implement punishment procedures
3. A BCBA is asked to help a child with ASD tolerate wearing a face mask for school. The child currently removes the mask immediately upon placement. Which ABA strategy is most appropriate as an initial step?

A. Implement escape extinction until the mask is toleratedB. Begin with full-session mask requirementsC. Use shaping by reinforcing brief, incremental mask toleranceD. Discontinue mask goals due to discomfort
4. A child refuses to wear a mask due to sensory sensitivities. Which intervention adjustment is most consistent with ABA principles?

A. Require mask use only in highly preferred activitiesB. Introduce alternative mask materials and shapes graduallyC. Remove reinforcement to avoid dependencyD. Ignore sensory factors and focus on compliance
Trauma-Informed Care in ABA

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1. A BCBA is asked to address severe escape-maintained behavior in a client with a known trauma history. Which modification best reflects a trauma-informed behavior-analytic approach?

A. Increase response demands to build toleranceB. Focus exclusively on extinction to reduce escape behaviorC. Prioritize safety, predictability, and choice while still addressing functionD. Delay intervention until trauma symptoms resolve
2. A BCBA notices that a standard functional assessment evokes visible distress in a client with a trauma history. What is the most appropriate response?

A. Continue the assessment to maintain methodological rigorB. Modify assessment procedures to reduce distress while still gathering functional informationC. Discontinue assessment entirelyD. Rely solely on indirect assessments without observation
3. A supervisor states that trauma-informed care is “outside the scope” of behavior analysis. Which statement represents the best response?

A. Trauma-informed care replaces functional assessmentB. Trauma-informed care conflicts with behavior analytic principlesC. Trauma-informed care is irrelevant to observable behaviorD. Trauma-informed care can be integrated within behavior analysis through ethical, contextual application
4. A BCBA notices frequent use of restrictive procedures in a setting serving individuals with intellectual and developmental disabilities. What risk does this pose?

A. Reduced data accuracyB. Increased staff workloadC. Potential re-traumatization and worsening behavioral outcomesD. Inconsistent procedural fidelity
Trauma-Informed Care Strategies

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1. A BCBA notices that a client’s challenging behavior increases during transitions and unfamiliar situations. Which factor is most relevant when analyzing this pattern?

A. Inconsistent staff implementationB. Skill deficits in communicationC. Heightened sensitivity to perceived threat due to trauma exposureD. Insufficient reinforcement density
2. A caregiver asks why trauma-related behaviors look different across children with similar histories. What response is most accurate?

A. Trauma responses are biologically predeterminedB. Trauma impacts are uniform regardless of contextC. Outcomes vary based on trauma type, duration, and available supportsD. Differences indicate inaccurate reporting of trauma
3. A BCBA wants to ensure their trauma-informed practices are ethically sound. Which action best aligns with trauma informed care recommendations?

A. Deliver all trauma-related content uniformly to ensure equityB. Avoid discussing trauma altogetherC. Focus only on individual resilienceD. Attend carefully to context, relational dynamics, and participant readiness
4. A BCBA notices that staff burnout increases after implementing trauma-informed initiatives without additional supports. What adjustment is most appropriate?

A. Increase accountability measuresB. Reduce trauma-informed practicesC. Provide adequate structural supports and reflective opportunitiesD. Attribute burnout to resistance to change
Treatment Integrity and Intervention Effectiveness

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1. A BCBA implements an intervention that produces inconsistent outcomes across settings. Integrity data reveal that different components of the intervention are omitted in different environments. What is the most appropriate analytic response?

A. Conclude the intervention is ineffective and select a new oneB. Identify which components are essential for behavior change and prioritize those for integrity supportC. Increase outcome data collection without modifying the interventionD. Require full procedural fidelity before continuing services
2. A BCBA observes that treatment integrity decreases as staff workload increases, but client outcomes remain stable. What conclusion is most consistent with the article’s findings?

A. Treatment integrity is unnecessary if outcomes are acceptableB. The intervention is likely overengineered and may contain nonessential componentsC. Staff should be retrained until integrity reaches 100%D. Outcome data should be disregarded due to integrity concerns
3. A caregiver consistently implements an intervention incorrectly, but the child’s behavior improves. What should guide the BCBA’s next steps?

A. Immediately correct all deviations to ensure procedural fidelityB. Discontinue the intervention due to integrity violationsC. Ignore integrity concerns because outcomes are improvingD. Analyze whether the caregiver’s modifications align with functional principles and adjust the plan accordingly
4. A BCBA is reporting on an intervention that failed to produce change. Integrity data show high overall fidelity, but no improvement in behavior. Which interpretation best aligns with Fryling et al. (2012)?

A. High treatment integrity confirms the intervention was appropriateB. Integrity data alone are sufficient to demonstrate treatment validityC. The lack of effect suggests the intervention may not have addressed the relevant controlling variablesD. The behavior likely requires more time to change
Using Client Strengths to Teach New Skills

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1. A learner demonstrates strong visual discrimination skills but struggles with receptive language tasks. How should a BCBA most effectively leverage this strength?

A. Increase verbal instructions to build toleranceB. Reduce visual supports to encourage listeningC. Incorporate visual cues and stimuli into receptive language instructionD. Delay receptive language goals
2. A BCBA wants to teach tacting to a learner who has a strong echoic repertoire. Which approach best reflects strength-based instruction?

A. Require independent tacting without promptsB. Use echoic prompts and systematically fade themC. Avoid echoics to prevent prompt dependencyD. Teach tacting only through incidental teaching
3. A BCBA notices that a learner performs well in massed trials but struggles during mixed trials. Which strength-based adjustment is most appropriate?

A. Eliminate mixed trials entirelyB. Use massed trials exclusivelyC. Gradually thin massed trials while introducing mixed trialsD. Increase trial difficulty immediately
4. A learner demonstrates strong imitation skills but limited independent responding. Which strategy most effectively uses this strength to build independence?

A. Continue imitation indefinitelyB. Fade models systematically to promote independent respondingC. Avoid imitation to reduce prompt dependencyD. Use only verbal instructions
Organizational Resilience

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1. During supervision, a BCBA wants to encourage persistence in difficult tasks among staff. Which method aligns with ABA principles and builds resilience?

A. Provide immediate, contingent reinforcement for completing challenging tasksB. Allow staff to self-select tasks without guidanceC. Use a quota system and punish missed deadlinesD. Ignore persistence, focusing only on task completion
2. A BCBA wants to create a culture of workplace resilience. Which strategy aligns best with ABA principles?

A. Relying solely on annual performance reviews for feedbackB. Providing immediate positive feedback for collaborative problem-solvingC. Punishing mistakes to discourage failureD. Limiting communication about challenges to reduce stress
3. During team meetings, one staff member shows signs of burnout and decreased participation. From an ABA perspective, what is a data-driven approach to support workplace resilience?

A. Assign them easier tasks permanentlyB. Focus only on their emotional state and avoid structured interventionsC. Monitor participation and provide reinforcement contingent on engagementD. Ignore participation patterns, assuming they will improve naturally
4. A BCBA notices that a colleague consistently avoids challenging tasks at work. Which ABA strategy is most likely to promote resilience and adaptive coping?

A. Ignore avoidance behaviors and let the colleague continue at their own paceB. Use shaping to reinforce small steps toward engaging in challenging tasksC. Implement a strict punishment for avoidance to eliminate the behaviorD. Provide only verbal encouragement without contingencies
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Quiz

Autism & Puberty

Behavior Analysis Soft Skills: Compassion and Understanding

Autism Inclusion for ABA

Behavior Analysis & Burnout

Behavior Analytical Tips & Resources to Facilitate Remote Learning & Telehealth for Individuals with Disabilities

Behavior Skills Training: Importance and Considerations

Best Practices in Human Services Supervision and Management

Conducting Functional Analyses is the Ethical Choice

Culturally Sensitive Practices in ABA

Effective Supervision Practices for Behavior Analysts

Feeding Interventions 2.0

Humble Behaviorism & Compassionate Care

Improving Cultural Competence: Toward an Understanding of Racial Trauma

Interprofessional Collaboration

LGBTQ+ & Autism

Navigating Social Situations

Practical Considerations for ABA Services with Culturally-Diverse Families

Professional Boundaries

Professional Skills for Behavior Analysts

Social Media for the Neurodivergent Community

Successful Supervision

Support for Culturally and Linguistically Diverse Families during ABA

The ABCs of Incentive-Based Treatment in Health Care

Tolerance of Face Coverings for Children with Autism Spectrum Disorder

Trauma-Informed Care in ABA

Trauma-Informed Care Strategies

Treatment Integrity and Intervention Effectiveness

Using Client Strengths to Teach New Skills

Organizational Resilience

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