RBT Documentation and Reporting Test #1
Jane is assisting a client and is having some issues carrying out the customer's programs. Despite the challenges, Jane keeps working with the client for about a month without requesting feedback. Jane had just started as an RBT and was hesitant to approach her supervisor due to the supervisor's busy schedule and her concern of appearing inept. What are some things to consider about Jane's performance?
If a therapist is having trouble executing a program with a client, the supervisor should be alerted as soon as possible - preferably within 24 hours. Despite the fact that BCBAs are typically overworked, it is critical to contact them. It is not proper to "try and error" over the course of a month when attempting to implement a program.
Being friends with your clients' family is an example of:
Due to the potential impact on the services offered to a client, RBTs are not permitted to date or be acquainted with the client's family.
The timetable of an RBT was revised with less than 24 hours' notice. The RBT is concerned about the last-minute modification since it could indicate that the supervisor is unconcerned about RBT's personal life outside of work. Furthermore, the RBT is already preoccupied with a personal situation at the time the session is set. How should the RBT inform the supervisor about this?
The RBT should express her concerns to the BCBA in a professional manner. Two solutions are problematic because they are poorly phrased and may harm the therapist-supervisor relationship. One possibility is problematic since the RBT does not express any worries. It is critical that RBTs express their concerns in a professional manner. In this scenario, changing the timetable at the last minute without first checking if the RBT is available is improper. If this trend continues, the RBT is unlikely to stay with the organization, resulting in high worker turnover, which is not good for business.
An RBT is concerned about working with a client who is older (13 years old) than the normal client she sees (i.e., 3-7). She wishes to share her concerns with the BCBA. Which of the following is the best method for communicating with your boss?
This is the most professionally communicated choice. Other options, such as being demanding, criticizing the supervisor, and refusing to offer services to a customer owing to the client's age, all have drawbacks (which may be a form of discrimination). The RBT should explain her area of practice to the BCBA and request an overlap so that she can be trained to work with this age range.
RBTs should meet with their supervisor at least ________ to discuss instances.
RBTs and supervisors should meet at least twice a month to discuss cases in accordance with the BACB's supervisory guidelines. Of course, once a week meetings would be excellent. If there are clinical difficulties or new programs / behavior plans being implemented, more sessions should be arranged.
What variables should be submitted to a client's BCBA right away?
Although BCBAs specialize in behavior-environment interactions, any new medicine taken by a client should be reported to the BCBA, especially if the medication has the potential to alter the client's response.
Where are token economies possible to use?
Token economies can be implemented in a variety of contexts and ways. It provides a visible goal for the client to see what they are aiming for.
What types of people should you communicate with professionally?
Although some therapists focus solely on professional communication with clients, it is vital to use professional language with all employees, including supervisors, directors, and members of the administrative or scheduling staff.
You must conduct a preference analysis. What is the initial action?
The client will trust you more and your assessment will go more smoothly the more recommended items you have on the table.
During an RBT session, a client displayed increased levels of physical violence and sobbing. The RBT has attempted to alter the session in order to reduce the problems, but they have persisted in the last week. In this case, how should the RBT react?
In a professional manner, the RBT should tell the BCBA of any concerns that arise during the session. Rather than trying to fix the situation with the BCBA's supervisor, the RBT should try to solve it with the BCBA first. Of course, if the BCBA fails to respond to the RBT's concerns in a timely manner, the BCBA's employer can be brought into the conversation.
An RBT is having difficulty with a client's sessions. The RBT meets with a supervisor in order to discuss the difficulties. Which of the following methods of communication with a supervisor is the most appropriate?
This is the most professionally communicated choice. Other options have certain drawbacks, such as being demanding, refusing to fix the problem and instead striving to avoid it, and blaming the learner.
When should the RBT seek assistance from the BCBA because he or she is working outside of his or her scope of practice?
The scope of practice of a clinician refers to the areas in which they have received professional training. This would be outside of the RBT's scope of practice because the RBT has never worked with a client who masturbates at improper times and places (AKA boundaries of competence). This RBT should immediately notify the BCBA and request more training.
What should an RBT do first to address the matter if he or she believes a BCBA's protocol is unethical?
If an RBT believes a protocol is unethical, he or she should first try to resolve the issue on a personal level by meeting with the client's BCBA. The RBT should contact the BCBA's employer if the BCBA fails to address the situation effectively or in a timely manner. If the organization's proper chain of command fails to resolve the issue, the BABC should be notified.
What is the VB-MAPP?
The VB-MAPP is widely utilized during assessments and contains all of the milestones.
What ethical guideline is most clearly violated if an RBT has never offered services for "stalking" activities (i.e., secretly following certain individuals for long periods of time) but does so without alerting a supervisor?
RBTs must stay within their area of practice. The areas in which you are skilled and have received formal training are referred to as your scope of practice. In this scenario, the RBT should notify the BCBA as soon as feasible that he is unfamiliar with this type of behavior.
Which of the following situations takes precedence and should result in a call to the BCBA as soon as the problem arises?
Although all of the above alternatives should be reported to a BCBA, the only one that requires immediate attention is a new, potentially dangerous behavior. If the conduct is new, there isn't likely to be a behavior plan in place. In terms of the other choices, this is the most crucial information, and the BCBA should be informed of the issue as soon as possible so that a behavior plan may be developed.