CBHT Implementing Treatment Plans 3 — Questions and Answers
Question 1: A client's treatment plan includes a crisis safety plan. When should the BHT review the safety plan with the client?
- Only during an active crisis
- Only at intake and discharge
- As directed by the treatment plan and supervisor, and during any identified risk situations (Correct answer)
- Whenever the client requests it, regardless of supervisor guidance
Correct answer: As directed by the treatment plan and supervisor, and during any identified risk situations
Safety plans are reviewed according to treatment plan directives and supervisor guidance, and must be activated during identified risk situations.
Question 2: Generalization of a treatment plan skill means the client can:
- Perform the skill only in the training environment
- Perform the skill across different settings, people, and materials (Correct answer)
- Recall the steps of the skill verbally
- Complete the skill faster than baseline
Correct answer: Perform the skill across different settings, people, and materials
Generalization occurs when a learned skill transfers beyond the original training context to other environments and people.
Question 3: A BHT is implementing a naturalistic teaching strategy in a clinic setting. Which of the following best describes this approach?
- Using structured drills at a desk for 30-minute sessions
- Embedding learning opportunities within the client's everyday activities and environment (Correct answer)
- Providing written worksheets for skill practice
- Delivering instructions in a predetermined scripted sequence
Correct answer: Embedding learning opportunities within the client's everyday activities and environment
Naturalistic teaching embeds instruction within the client's natural routines and activities rather than using structured, discrete trials.
Question 4: A BHT records that a client completed a task in 45 seconds from the time the instruction was given. This is an example of:
- Frequency data
- Duration data
- Latency data (Correct answer)
- Interval data
Correct answer: Latency data
Latency data measures the time elapsed between a prompt or instruction and the initiation of the target behavior.
Question 5: When fading prompts during treatment plan implementation, the BHT should fade them:
- All at once after the client demonstrates mastery
- Gradually and systematically as the client gains independence (Correct answer)
- Only at the supervisor's annual review
- Based on the client's request
Correct answer: Gradually and systematically as the client gains independence
Gradual, systematic fading promotes independence while preventing prompt dependency.
Question 6: A client becomes aggressive during a session targeting anger management skills. The BHT's FIRST priority is to:
- Continue the session to practice the target skill in vivo
- Ensure the safety of the client and others and follow the crisis protocol (Correct answer)
- Document the incident and end data collection
- Contact the family immediately
Correct answer: Ensure the safety of the client and others and follow the crisis protocol
Safety always takes precedence; the BHT must follow established crisis protocols before any other action.
Question 7: Which of the following scenarios represents proper implementation fidelity?
- A BHT adapts reinforcement schedules based on personal preference
- A BHT delivers interventions exactly as described in the treatment plan (Correct answer)
- A BHT skips difficult steps to keep the client engaged
- A BHT substitutes unapproved techniques when the plan seems ineffective
Correct answer: A BHT delivers interventions exactly as described in the treatment plan
Implementation fidelity means delivering interventions precisely as designed in the treatment plan to ensure valid data and outcomes.
CBHT Implementing Treatment Plans 3
A client's treatment plan includes a crisis safety plan.
When should the BHT review the safety plan with the client?