ACES FINAL EXAM 2024- 2025 ACTUAL EXAM AND STUDYGUIDE NEWEST QUESTIONS & CORRECT ANSWERS, Exams of Nursing

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ACES FINAL EXAM 2024- 2025 ACTUAL

EXAM AND STUDYGUIDE NEWEST

QUESTIONS AND DETAILED CORRECT

ANSWERS

Providing ABA therapist without completing the new hire training would be a violation of which of the following in the professional ethical compliance code for behavior analyst Correct Answer Boundaries of competence Resigning from position without providing a minimum of a two weeks notice would be a violation of which in the professional and ethical compliance code for behavior analyst Correct Answer Integrity All aces employees are considered mandated reporter Correct Answer True What is not a HIPAA violation? Correct Answer Talking about client with another BI who works with your client Best example of objective note taking Correct Answer Joe screamed, cried, and dropped to the floor when I asked him to go to the bathroom It is acceptable to physically prompt a client when he/she is Correct Answer Trying to run into the street If a BI has an urgent clinical issue, what does the Bi not do Correct Answer Wait until the next overlap or write information down for the supervisor during the session<<

BI should actively participate and ask questions during observation? Correct Answer False During Rapport building Correct Answer Difference in clients so different among them all Consider parents and teacher as well Easy short task and frequent breaks Cry or whine when they see BI at the start of session Overlap depends on Correct Answer The specific of number of hours given to each client by their funding source MODULE 2 Correct Answer Autism Spectrum Disorder (ASD) Which is not a common symptom of ASD Correct Answer Normal verbal skill development Most individual with ASD display most, if to all of the common symptoms Correct Answer False Which is not a possible cause of ASD Correct Answer Parenting issues (T/F) Prevalence of ASD is 1in 88 Correct Answer False - 1 - 59 (T/F) Over 15 million American children and adult are believed to have some form of ASD Correct Answer False ASD if 5 time more likely in boys Correct Answer TRUE Parents have a 28% chance of having another kid with ASD Correct Answer False Almost half of children identified with ASD have average to above average intellectual ability Correct Answer true

Which is not one of the Kubler five stages of grief Correct Answer Frustration Kubler order of grief occurs in order and parent might remain in one stage for several years Correct Answer False MODULE 3 - PT 1 Correct Answer Applied Behavior Analysis (not direct questions) what is the basic principle of behavior? Correct Answer Behavior is a product of the immediate environment Behavior is strengthened or weakened by its consequences Behavior ultimately responds better to reinforcing consequences than punitive consequences Whether behavior is strengthened or weakened is known only by future behavior Target behaviors Correct Answer Behavior we want to increase, decrease, and/or change described specifically in detail in order for others to understand it clearly ABC - What is the three-term contingency Correct Answer The contingent relationship between the antecedent, a behavior/Response, and the consequence Antecedent A stimulus or event that comes just before a behavior and triggers or cues a behavior to occur Behavior A response that comes after a stimulus or event Consequence

What happened immediately after the behavior that affects the rate of future behavior under those or similar conditions 4 main functions of behavior Correct Answer Attention/access to tangibles: social positive reinforcement: getting attention from someone or access to something (increase behavior) escape avoidance: social negative reinforcement: escaping or avoiding someone or a task/activity (increase behavior) Sensory stimulation: Automatic positive reinforcement: stimulating the senses (without social attention) (increase behavior) Pain attenuation: Automatic negative reinforcement: attenuating pain (without social attention) (increase behavior) What are the different types of Assessment procedures? Correct Answer Behavioral and environmental assessments Preference assessments Individual assessments Functional assessments Probing Behavioral and environmental assessments Correct Answer Conducting observation of a client's behavior in his/her natural environmental (ex: home, school, community setting)

Preference assessments: Correct Answer Determining what items are most preferred by a client in order to increase the clients motivation to complete the tasks and instructions Stimulus preference assessments:

• A variety of procedures used to determine the stimuli a client prefers by gathering a large pool of potential reinforcers and systematically identifying the client's preference by asking the client, observing which item the client engaged with the most, or thought trial based test Reinforcer assessments:
• After completing a Stimulus Preference Assessment, using a variety of direct, empirical methods including concurrent, multiple, or progressive-ration schedules to present one or more stimuli contingent on a target response and measuring their effectiveness as reinforcers Individualized assessments Correct Answer Curriculum based, developmental, and/or social skills assessments conducted typically in an interview format or using a check off list of developmental activities Functional assessments Correct Answer Determining the cause and effect relationship between the environment and a behavior and altering that relationship in order to diminish the occurrences of future problem behavior by either altering Antecedent, altering Consequences, or teaching Alternative/replacement behavior Three types of functional assessments? Functional (experimental analysis): Arranging antecedents and consequences so that their separate effect of a problem behavior can be observed and the possible function(s) of behavior can be determined

--> Contingent Attention --> Contingent Escape --> Alone --> Control Descriptive assessments: direct observation of behavior under naturally occurring conditions --> ABC continuous recording --> ABC narrative recording --> Scatterplot Indirect assessments: Using structured interviews, checklist, rating sales, or questionnaires to obtain information form individuals familiar with the client Probing Correct Answer Asking a client to perform a task that we are unsure he/she can perform without providing any printing or assistance MODULE 3 - PT 2 Correct Answer Applied Behavior analysis Replacement behaviors are appropriate behaviors chosen to replace maladaptive behaviors that require equal or more effort, serve the same function, and provide the same or greater reinfoment than the maladaptive behavior Correct Answer False Which is not an example of an antecedent based intervention? Correct Answer Preparation Deprivation __________ the effectiveness of reinforcer and satiation _________ the effectiveness of a reinforcer Correct Answer increases reduces

Asking a client to touch three different body part (easy task) followed by asking the client his name (difficult tasks) us an example of Correct Answer Behavior momentum Changing the rules of a clients favorite card game is an example of Correct Answer Flexibility training Making up a game using a playground ball and promoting your client to ask peers to play the game is an example of Correct Answer Creating opportunities Reinforcing a client for remaining in the bathroom when the toilet is flushed is an example of Correct Answer Systematic desensitization Providing a client with a First/Then Statement is an example of Correct Answer Priming rules, expectations, and access to reinforcement Setting up several different play activities and providing a high level of reinforcement whenever the client engages in an activity is an example of: Correct Answer Creating a stimulating environment Losing a token for not following direction is an example of Correct Answer Response cost No longer reinforcing a client for crying when she wants a cookie is an example Correct Answer Extinction Providing a client with a break to sit in a bean bag and listen to music is an example of Correct Answer Automatic reinforcement interventions

Providing a client with a choice board to request a cookie instead of providing her with a cookie when she is crying is an example of: Correct Answer Ignore and redirect Asking a client to sit in a chair for 2 minutes where he can hear the television, but can't see it when he is disruption other children watching a reinforcing television program is an example of Correct Answer Time out Providing a client with a sticker each time he completed task and then allowing the client to trade 10 stickers for 10 minutes of computer time is an example of Correct Answer Positive reinforcement systems Reinforcing a client for playing with piece of play dough to stop her hand flapping is an example of... Correct Answer Differential reinforcement MODULE 3 - Pt 3 Correct Answer Applied behavior Analysis Positive reinforcement results in a behavior: Correct Answer Increasing when something reinforcing is added Negative reinforcement result in a behavior: Correct Answer Increasing when something aversive is removed or reduced Intermittent reinforcement (INT_ consist of ratio, Fixed, interval, and variable schedules of reinforcements that create which 4 types of intermittent schedules of reinforcement? Correct Answer FI, FR, VI, VR Fixed interval Fixed ratio Variable interval Variable ratio

What is shaping? Correct Answer Differentially reinforcing a series of successive approximations towards a desired behavior What is chaining? Correct Answer Establishing complex behaviors by linking a series of simpler steps What is task-analysis? Correct Answer Breaking down a complex skill into smaller, teachable units What is prompting Correct Answer Adding a cue or assistance to encourage a desired response Which below is an example of the most and least intrusive prompting hierarchy Correct Answer physical , verbal, gestural, model, visual/positional/material Maintenance is the extent to which: Correct Answer A client continues to perform mastered skills after a portion or all of an intervention has been terminated Stimulus Generalization is the extent to which? Correct Answer The extent to which a performance of a target behavior occurs in environments different than the original training environment Response generalization is the extent to which? Correct Answer A client performs a variety of functional response in addition to the trained response Latency is a continuous measurement procedures that involves Correct Answer Recording the elapsed time from the onset of a stimulus to the initiation of a response

Inter-response Time (IRT) is a Continuous measurement procedure that involves? Correct Answer Recording the elapsed time between two successive responses Frequency is a continuous measurement procedure that involves Correct Answer Recording each instance of a behavior Duration is a continuous measurement procedure that involves... Correct Answer Recording the number of seconds each instance of a behavior occurs A discontinuous Measurement procedure that is used for various skill acquisition program where 80-90% accuracy determines if the skill has been acquired Correct Answer percent occurrence A discontinuous measurement procedure that involves observing a client at regular intervals and recoding if the behavior occurred during the entire interval of time Correct Answer Whole interval recording A discontinuous measurement procedure that involves classifying responses into severity codes, duration codes or independence/prompting codes Correct Answer Discrete categorization A discontinuous measurement procedure that involves the number of instances opportunities to respond required to achieve a performance standard Correct Answer Trials to criterion A discontinuous measurement procedure that involves recording whether or not a behavior occurred at any time during an interval of time Correct Answer Partial interval recording A discontinuous measurement procedure that involves observing a client at predetermined times at the end of an internal and

recording if the behavior is occurring at that precise moment Correct Answer Momentary time sampling MODULE 4 Correct Answer Crisis Management Crisis Management Strategies are antecedent based and consequence based interventions utilized to prevent and/or de- escalate clients with challenging behaviors and to keep client and staff ________. Correct Answer SAFE Which is the correct order of the behavior escalation cycle Correct Answer Questioning - information seeking, questioning - challenging, refusal, verbal release, intimidation, tension reduction Intimidation may take the form of Correct Answer Verbal threat grimaces or hyper activity Refusal may take the form of Correct Answer Non-compliance or slight loss of rationalization Questioning - challenging may take the form of Correct Answer avoidance , walking away, or requesting to use the bathroom Tension Reduction may take the form of Correct Answer Drop in energy, appearing exhausted, or falling asleep Questioning - Information seeking - may tale the form of Correct Answer non-responsiveness , eye contact or lack of eye contact, or seeming distracted Verbal release may take the form of Correct Answer Whining, screaming, or throwing objects A physical restraining only considered a last resort when a person is in danger to self for others Correct Answer True

(T/F) BI's need to report restraint to their supervisor only when there is an injury Correct Answer False MODULE 5 Correct Answer Functional Communication Training Why do we promote the use of PECS with some clients who communicate using words but still have speech, language, or social communication delay? Correct Answer PECS promotes initiation and spontaneous communication that may be absent in clients who communicate using words Phase 1 is: Correct Answer Physical exchange - picking up a picture of a desired item, reaching towards a communicative partner's hand Phase II: Correct Answer Expanding Spontaneity - Traveling to a communication board, pulling off a picture, moving to the communicative partner, and releasing the picture into the communicative partners hand Phase III: Correct Answer Picture discrimination - discriminating among a variety of pictures and giving the appropriate picture t the communicative partner Phase 4 (IV): Correct Answer Sentence Structure - Constructing a multi-word phrase using a sentence strip in order to request an item Phase 5 (V): Correct Answer Responding to "what do you want?" by constructing multi-word phrase using a sentence strip Phase 6 (VI) Correct Answer Responsive and spontaneous commenting: correctly answering random questions such as

"what do you want?" "what do you see?" "what do you have?" "what do you hear?" The 4-step error correction procedure us used during which phase of PECS Correct Answer Phase III (T/F) PECS is one of the many types of augmentative communication systems (ACS) available to assist clients with functional communication Correct Answer T What is an example of Expressive language Correct Answer (responding) Repeating what someone says MODULE 6 - Correct Answer Social Stories A social story describes a situation, skill, or concept in terms of relevant social cues, perspective and ____ in a specifically defined style and format. Correct Answer Common responses (T/F) Theory of mind is the ability to accurately guess what another person is thinking or feeling and involves perspective taking and joint attention Correct Answer True Which is not an example of Perspective taking Correct Answer Understanding why someone is feeling a certain way Which is an example of Joint attention? Correct Answer Pointing to show someone/something you see Which is NOT one of the goals of a social story? Correct Answer To address a variety of inappropriate social behaviors (T/F) A video presentation of a social story is acceptable? Correct Answer True

(T/F) social stories are written in a story format and should always include pictures or photos Correct Answer False (T/F) social stories addressing a behavior should only be read when the behavior occurs Correct Answer False (T/F) a social story should take no more than a few weeks to be effective Correct Answer False (T/F) the inability to read should not hinder the use of social stories Correct Answer True MODULE - 7 Correct Answer Discrete Trial Training (DTT) What are the three parts of a discrete trial? Correct Answer Discriminative stimulus (Sd), response (R), reinforcing stimulus (Sr) List the five steps of a discrete trial in order Correct Answer Mass trial, distractor trial, random rotation, expanded trial, mastery/generalization What is an expanded trial? Correct Answer Presenting one target along with two or more previously mastered targets What is a random rotation? Correct Answer Presenting one target along with one previously mastered target Which is the correct Discrete Trial Error Correction Procedure using "no, no, show(prompt)" when a client answers incorrectly two times in a row during a receptive drill? Correct Answer Bi's should not change the position of the target each time the client answers incorrectly and should not change the position of the target after prompting the Correct Answer

Which is an example of a Visual/Positional/Material Prompt? Correct Answer BI places the correct picture closer to the client Which is an example of a physical prompt? Correct Answer BI taps the client's elbow to start a hand-washing task Which is an example of a verbal prompt Correct Answer BI holds an apple and says "a" after saying, "what is it?" Which is an example of a Gestural Prompt? Correct Answer BI points to the correct picture Which is an example of a model prompt? Correct Answer BI touches his own head and says "touch head" MODULE 8 Correct Answer Stereotypic Behavior Interventions Which is NOT one of the five sense Correct Answer All of the above are the five sense Which is NOT one of the three power sensations Correct Answer Auditory Which below is an example of a behavior surrounding vestibular stimulation? Correct Answer Poor eye contact Which below is an example of a behavior surrounding proprioceptive stimulation Correct Answer Bangs into walls Which below an example of a behavior surrounding Tactile Stimulation Correct Answer Over or under sensitive to pain Which below is an example of a behavior surrounding Dyspraxia Correct Answer Splintered skills

Which of the following is a definition of systematic desensitisation Correct Answer Gradually providing longer and longer exposures and closer approximations to feared sound, environment, items, and or activities while encouraging relaxation Which of the following is a definition or replacement behavior? Correct Answer Providing access to appropriate stimulation matching the sensory stimulation function of a stereotypic behavior Which of the following is a definition of sensory extinction? Correct Answer Masking or removing the sensory consequences of a behavior Which of the following is a definition of differential reinforcement? Correct Answer Reinforcing a desired replacement behavior while withholding or masking reinforcement for an undesirable stereotypic behavior MODULE - 9 Correct Answer Visual Strategies Which is NOT one of the five reasons TEACCH gives for utilizing visual strategies? Correct Answer Helps individuals with ASD to follow instructions Name the Four (4) components of structure TEACCHing Correct Answer Physical organization → individual daily schedule → work/activity systems → material/task organization Which is NOT a way to create Physical Organization Correct Answer Eliminate all visuals and auditory distractions The individual daily schedule Correct Answer All of the above

Explains the daily routine, list the work sequence, Teaches flexibility _____ should be built into routine by changing the sequence of activities frequently Correct Answer Flexibility The (4) Questions to ask when setting up a work/activity system include Correct Answer What work? How much work? Concept of finished? What happens next? Match the component of material task organization with the correct technique Correct Answer Visual instructions → product sample Visual organization → limiting the area Visual Clarity → color coding Which is NOT a visual strategy Correct Answer (All of the above are visual strategies) Utilizing a finished box, providing reinforcement utilizing tokens and choice boards, providing instruction tiling first/then strips , providing safety directions visually , utilizing visuals to teach self-regulation strategies Conduct an ABC analysis of a client checking his/her schedule Correct Answer A - BI hands client a transition card/item B - Client checks schedule C - Client receives verbal praise for checking schedule (T/F) structure should be blended into and not faded out of clients lives similar to prosthetics for an individual with a physical disability Correct Answer TRUE MODULE - 10 Correct Answer Pivotal Response Training

PRT is a behavioral method that addresses the need for client to learn in a naturalistic ______ way Correct Answer Client-centered Pivotal behaviors are central to ___ areas of functioning and result in collateral gains to untargeted behaviors that improve a client's overall development Correct Answer Wide What are the three components of PRT Correct Answer Cue (c) , Response (R) , Consequence (C) Responses Correct Answer All of the above verbal , nonverbal, related to an activity, must meet specific criteria Which is not one of the seven strategies for effective PRT Correct Answer Turn taking opportunities (T/F) any reasonable attempts should be reinforced when implementing PRT Correct Answer True Maintenance tasks should be interspersed with _____ tasks Correct Answer Acquisition When implementing PRT, Bis should Correct Answer All of the above should be done Define physical boundary of the instructional environment , define time parameters, be aware of proximity, provide a wide selection of motivating activities , minimize all disruptive auditory stimuli, consider sensory needs Which is NOT one of the three main prompting strategies for PRT Correct Answer Verbal

(T/F) the progression of language includes songs, verbal approximation, and clear imitation in that order Correct Answer True MODULE - 11 Correct Answer Shadow Aide and Social Skill Training A shadow Aide follows a client in a school setting providing _____ to the environment/material as needed until the client is independently functioning in all areas Correct Answer Prompting and Modifications Which example below demonstrates Shadow aide Phase 2 Correct Answer Fade Prompt Promote language use Target appropriate classroom directives and rules And prompt for interactive play Which examples below demonstrates shadow Aide phase 3 Correct Answer Target more independent functioning and increase the frequency of independent peer interactions Parallel play is defined as? Correct Answer A client playing next to his/her peers, preferably with the same items but not interacting directly with them Which is NOT a role that a peer can play in the classroom and other areas Correct Answer Shadow aide Social skills training involves utilizing ABA principles to teach social skills, increase social interactions between clients and their peers and generalize social skills to other ______ Correct Answer All of the above People, setting, material

Which is NOT an ABA principle involved in social skill training? Correct Answer Requiring language Which of the following is an example of incidental teaching? Correct Answer Client-initiatives activities that are highly structured and planned ahead of time by an adult in the natural environment to attract the client's attention adn to focus the session on targeted skills/goals Which of the following is an example of prompting Correct Answer Designed to assist the client to learn to respond to cues in the natural environment Which of the following is an example of Priming? Correct Answer Practicing a task/activity or explaining a situation before it occurs to prepare the client, allowing the client to preview an event and proactively increasing attention and participation while decreasing potential behavior issues Role of a Board Certified Behavior Analyst (BCBA or BCBA-D) Correct Answer Conducts descriptive and systematic behavioral assessments Develops/implements appropriate assessment and interventions Delivers appropriate instruction and supervises BCaBAs and BIs/RBTs Role of a Board Certified Assistant Behavior Analyst (BCaBA) Correct Answer Similar as BCBA but under their supervision Assists BCBA with design and delivery of introductory level instruction in behavior analysis Role of Registered Behavioral Technician (RBT) Correct Answer Paraprofessional who practices under BCBA or BCaBA primarily responsible for direct implementation of skill acquisition, behavior reduction plans, etc.

Collects data/conducts certain types of assessments under BCBA's guidance Professional and ethical compliance code for behavioral analysts Correct Answer Responsible Conduct of Behavior Analysts:

1. Reliance on scientific knowledge
2. Boundaries of competence
3. Maintaining competence through professional development
4. Integrity
5. Professional and scientific relationships
6. Multiple relationships and conflicts of interest
7. Exploitative relationships Behavioral Analyst's responsibility to clients:
8. Responsibility
9. Rights and prerogatives of clients
10. Maintaining confidentiality
11. Maintaining records
12. Disclosures
13. Documenting professional work and research
14. Records and data Assessing behavior - behavior-analytic assessment Behavioral analyst and behavior-change program - avoiding harmful reinforcers ethical responsibility - affirming principles, disseminating behavior analysis to colleagues - promoting ethical culture, ethical violations ofothers and risk of harm

public statements - avoiding false/deceptive statements, intellectual property, statements by others, testimonials and advertising, in-person solicitation research - conforming with laws and regulations, accuracy and use of data ethical responsibility to BACB - truthful and accurate info, timely responding, confidentialty and intellectual property, honesty, Additional guidelines for professional conduct and scope of practice Correct Answer 1. ethics and professionalism

2. maintain confidentiality
3. maintaining client dignity
4. least restrictive alternatives
5. records and data keeping
6. communication with parents
7. social media contacts
8. responding to feedback Prohibited activities Correct Answer to maintain safety and professional working relationship with clients:
9. cannot be left alone with client without guardian/parent/teacher
10. cannot drive/transport clients
11. cannot swim/be near water
12. cannot administer medications
13. cannot fraternize with clients
14. cannot exchange emails/texts/social media (HIPAA) Mandated reporting Correct Answer WHO - all ACES employees are mandated reporters WHAT - any reasonable suspicion of child abuse or neglect

CHILD ABUSE/NEGLECT - physical injury, willful endangerment, corporal punishment, sexual abuse, neglect, emotional abuse INDICATORS - environmental problems, parental/caregiver clues, physical indicators in the child, behavioral indicators in child REPORTING PROTOCOLS - contact Case Supervisor and HR department, give info PENALTIES - 6 mo in jail and/or $1000 fine SAFEGUARDS - immunity from criminal and civil liability for reporting, no supervisor/admin can restrict or inhibit report CONFIDENTIALITY - disclosed only to specific persons and agencies FOR ELDERLY/ADULT DEPENDENT ABUSE - past 18 years of age who has a physical/mental limitation that restricts abilities to carry out normal activities and protect rights HIPAA Correct Answer Health Insurance Portability and Accountability Act protects privacy and security of Protected Health Information (PHI) minimum necessary standard - use least amount of info needed to do job report HIPAA violations to HR can be fined (ACES or you personally) for up to 50,000 to 250,000 per violation Patient/client rights Correct Answer reviewed with parents through a Parent/Guardian Information Sheet prior to beginning services

Additional documentation and reporting Correct Answer generate objective session notes describing what occurred during session collect data consistently, report all variables that might affect client to Supervisors Injury and Illness Prevention Program (IIPP) Correct Answer no lifting/physical prompting wear proper footwear/protective clothing obey all traffic laws when driving wash hands to prevent illness be proactive about environment client specific - no activities near water, have adult, safety walks with parents, etc. infectious disease control procedures BI Communications Correct Answer 1. communication w supervisor DURING schedule sessions, no personal cell phone usage

2. if not urgent - wait til your supervisor overlaps with you or leave note
3. if urgent- schedule time to talk during first/last 15 min of session
4. submit communication request to Supervisor using ACES messaging system
5. contact ACES during emergency but explain urgency of matter Observation etiquette Correct Answer 1. pleasant introduction to group, client, fam, staff
6. observe w/o participation unless asked
7. use quiet voice, write down questions to ask during break or end of session
8. avoid touching client unless requested
9. stay with assigned staff/clients except to bathroom
10. no cell phones

7. refrain from having conversations with staff that are not related to session
8. refrain from engaging in behavior that may be misinterpreted by others (i.e. yawning)
9. have fun, take notes! Flexibility Correct Answer programs look different depending on age of client, funding sources, etc. Rapport building Correct Answer 1. become a reinforcer by having fun, engaging in client's preferred activities
10. ask parents to save big reinforcers for when you are present
11. start w easy, short tasks + frequent breaks
12. listen to Supervisor's advice
13. don't worry if client whines/cries when they see you
14. build rapport with parents/teachers but maintain personal boundaries
15. leave personal problems at door
16. do not offer too many breaks or downtime
17. have fun during sessions Training expectations Correct Answer adhere to all anti- harassment lawas follow policies/questions as needed be on time come with a positive attitude inform teacher/supervisor/parent that you need more materials demonstrate OCB's return from all breaks promptly no cell phone use no notes during trainings submit hours in ACES time keeper tool Training formats Correct Answer pre-test course material + fluency checks