RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TEST BANK COMPLETE 180 QUESTIONS AND CORRECT, Exams of Nursing

Download RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TEST BANK COMPLETE 180 QUESTIONS AND CORRECT and more Exams Nursing in PDF only on Docsity! RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2024 TEST BANK COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Which adaptive equipment would be most appropriate to use for a severely contracted patient who is unable to bear weight when transferring from bed to chair Patient Lift example hoyer What lab values are expected to be in a patient with end stage renal disease on hemodialysis BUN 32, CREATNINE 8.32 Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she has been having several episodes of acute confusion since being admitted to your unit. What is the most important order you should anticipate from the provider? You're? Hold wayfaring (coumadin) for the next 48 hours Your new admission presents with a cough, unintentional weight loss, frequent knot sweats, and bloody sputum. What type of isolation precautions should you initiate, if any? Airborne precautions Upon entering your patient's room you note that they are having a seizure. What is your 1st action? Position the patient on their side to maintain the airway You find your coworker looking through your patient's medical record.. She States how is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is the best course of action? Tell her you cannot give her information and report her actions to your manager. Your male patient complaints of discomfort while inflating the balloon during insertion of a endwelling urinary catheter. What would be the most appropriate action? Deflate the balloon, advance the catheter further, then reinflate the balloon. Your patient takes regular insulin and NPH twice A-day for glucose control. What times should the patient be taught to be alert for signs of hypoglycemia? Is late afternoon and early morning What is a proton pump inhibitor, such as pantoprazole (protonix) used for? Reduce gastric acid secretion Your patient has a non productive cough and presence of secretions in his tracheostomy. Prior to sectioning the patient, what should you do 1st? Hyperoxygenate patient dietary teaching for a patient with chronic renal failure should include choices that are: Low potassium, low protein, moderate fat Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease(COPD) Impaired gas exchange You were hired to work the medical unit and when you arrive at work the charge nurse has assigned you to the post surgical unit since they are under staffed. Which is the most appropriate action? Report to the post surgical unit What type of personal protective equipment(Ppe) Is applied prior to entering a room for a patient with with C diff? Gown and gloves When would sucralfate(Carafate) 4 times daily be scheduled for? 1 hour before meals and at bedtime Your new patient was admitted with Blunt force trauma to the abdomen Following a motor vehicle accident. A NG Tube is in place for decompression, however, you note during the assessment that the stomach is rigid and hard during palpation. What condition do you suspect. Hemorrhage What is clubbing of the fingers most likely associated with? Chronic oxygen deficiency Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen. What procedure would you anticipate being performed by the provider at the bedside for this patient? Paracentesis Is the provider gives you a telephone order to explain a surgical procedure to your patient and obtain surgical consent. How should you respond? Inform the provider that explaining the procedure is outside the nurse's scope of practice. You're patient Recently had a G Tube Placed and interminent enteral Feedings have been initiated. What symptoms may indicate intolerance to the feedings? Vomiting and diarrhea You are caring for a patient post lobotomy With a chest tube in place for drainage. What is a priority in caring for this patient? Encourage the patient to cough and deep breathe. Your new patient understands very limited English. How should you communicate with them when completing the admission assessment? Use the organizations interpreter services You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp 97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? HOLD DIGOXIN AND CALL PROVIDER Your patient tells you I hope I don't die, but if I do I don't want to be brought back. You notice on her chart and wrist band that she is a full code. What would be the most appropriate action? Discuss code status with the patient and follow up with the provider to ensure the medical record reflects her wishes What are the most common causes of acute onset pancreatitis? Alcoholism and gallstones Your 18 year old female patient was admitted with dehydration secondary to anorexia nervosa. During your assessment you note she has a flat effect and says" I just want to die, I'm tired of my life ". What should be your 1st intervention? Stay with the patient and ask if she has a plan to carry out this wish A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the following? ? To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV, What is the minimum duration the catheter should remain in place before routine replacement. 72 hours Your patient was admitted for a hypertensive crisis and has a history of HTN. Parkinson disease, depression and alcohol use. On his 2nd hospitalized day, you notice he is more anxious and restless than his baseline. What would be your 1st nursing intervention? Ask the patient when his last drink of alcohol was Black and tarry Colored stools are classic symptoms of what condition? Bleeding gastric ulcer In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes checking for Parasthesia and paralysis After scrolling through your social media, you notice a coworker posted a photo with a patient from your unit. What is the most appropriate action to take? Report the situation to the hospital compliance officer. Your patient's morning labs revealed a hemoglobin level of 6.3 and hematocrit of 18. What blood product do you expect to administer? ? Patients with diabetes are at a high risk for complications for damage in what body areas? Nerve and kidney damage Your patient is 4 hours post open appendectomy Anne has not voided yet. You note his lower abdomen is distended. What should you do next? Perform a bladder scan You receive a provider's order that is not consistent with evidence based practice.What is your 1st step? Clarify the order with the provider Is what is the earliest sign indicating increased intracranial pressure(ICP)? Level of consciousness What patient population is the pneumococcal vaccine PPSV23 indicated for? Adults aged 65 years and older Your patient takes 5 mg of warfarin(coumadin) day and reports having black cored stool today. What do you most likely suspect? Gastrointestinal bleeding Which of the following could be a replacement behavior for cutting in line? Teaching to stand in line and wait Which of the following is a consequence intervention involving punishment? Taking away a token Which of the following could be a replacement behavior for grabbing or stealing food? Teaching the person to ask for food Which of the following is included in a functional assessment plan: A definition of the behaviors of concern What is an interobserver agreement (IOA)? When 2 data collectors agree on data collected at the same time during a behavior. Consequence interventions involve Reinforcing desired behaviors and reducing the display of undesirable behavior Which of the following could be a prevention strategy for a behavior that involves throwing items? Minimizing the number of items that could be thrown Why are crisis plans incorporated into some behavior intervention plans? Because some behaviors cause a risk to the safety of the individual engaging in the behavior or others in the environment Behavioral function tries to explain: Why the behavior is happening Undesirable behavior can be reduced by: Reinforcing alternative behaviors, using extinction, or punishment Which of the following can RBTs do in relation to implementing intervention plans? Collect data on the effectiveness of the plan Which of the following is an example of a motivating operation: Fred is hungry so crackers work well as a reinforcer for task compliance Automatic reinforcement is associated most closely with: Stereotypic behavior What is the estimated percentage of self-injurious behaviors that have automatic reinforcement as the function according to Hagopian et al. (2015)? 25% Michelle is an RBT who is teaching a mother how to implement a visual schedule for her child. What is Michelle doing? Training a parent how to implement an intervention Which of the following 2 assessments are often used in conjunction to provide an overall picture of an individual's receptive and expressive labeling abilities? The expressive vocabulary test and the peabody picture vocabulary test Which of the following general statements about assessment in relation to ABA programming is correct? Assessment is the foundation for every aspect of the development and implementation of ABA programs The overall goal of the PEAK system is to: Encourage the acquisition of skills that can be generalized and promote higher order thinking in novel contexts Which of the following can be said about social skills assessments not designed specifically for individuals with autism? While they offer a picture of an individual's social functioning, the results are not adequate for making all the decisions necessary for social skill intervention Which of the following activities are web-based ABA curricula and data collection systems designed to replace? Manual data entry on skill acquisition plans Which of the following is an indicator that an intake appointment has been successful? You have a good idea how to proceed with assessment of skills If brief functional analysis data show that rates of problem behavior occur the most during an ignore condition, which of the following is the most logical behavioral function: attention Precursor functional analyses help to prevent: Extensive reinforcement of problem behavior In trial-based functional analysis, control conditions are usually provided: Before the test conditions Functional assessment yields __ results, while functional analysis yields __ results. correlational; causal Prior to Iwata et al.'s original study of functional analysis and self-injury, when differential reinforcement failed, what did alternative treatments consist of: Restrictive interventions such as restraints or aversives Which of the following should happen first before conducting a brief functional analysis? Define the behavior Which of the following is a reason why additional staff are needed to conduct functional analyses: To collect data and to keep the individual and other safe What is the main purpose behind interviews during an IISCA: To gain information about the behavior, precursors, and what happens afterward Prior to the introduction of functional analysis, behavior interventions relied on: Reinforcers and punishers without much consideration around why the person engaged in the behavior Extended functional analyses are not acceptable to some stakeholders because: Evoking problem behavior is counterintuitive. Latency data are useful for comparing The amount of time it took a behavior to start in each condition tested Behavioral function derived from the results of functional analysis tends to produce interventions that: Rely more heavily on reinforcement and are less likely to make use of punishment Because trial-based functional analyses are delivered in natural environments, results have: Higher levels of external validity Which of the following statements reflects the idea behind Interview- Informed Contingency Analysis (IISCA): Behaviors respond to multiple reinforcers not just one Which of the following types of functional analysis is the best choice for behaviors that occur once like disrobing: Latency-based functional analysis A logical control condition for an ignore condition would be: An attention condition Which of the following is the best definition of data? Data is a quantifiable dimension of behavior Continuous data recording involves: Recording all instances of a behavior Event recording is: The same thing as frequency recording Duration and latency recording both involve: Time When are discontinuous data collection measures used? When behaviors are used at such high rates it would be hard to get an accurate frequency count Buster alternates between quiet and loud humming. Which behavior recording method would be the best to use? Whole interval recording would be best because it is hard to hear him humming at times Which of the following is true about trial by trial collection? Data are recorded on each trial presented Which of the following should be recorded on a naturalistic intervention data collection sheet? Target behavior, prompt level, activity, materials, and number of times the target behavior was addressed Which type of graph provides the most information about variability in the data? Line graphs Which of the following is true about data collection? It is the foundation for creating behavior interventions Why is it important to record data as close to the time the behavior actually occurred as possible? So the data will be more likely to reflect an accurate picture of the behavior Why would the prompt level necessary to perform the skill be an important part of data collection? Skills performed with prompts are not mastered until they are performed without prompts. Which of the following is a drawback of probe data? It is less accurate Which of the following types of graphs are most preferred in the field of ABA? Line Graphs Susan records data after every discrete trial she delivers. What type of data recording is this? Trial by trial The process of defining target behaviors using a precise definition is called: Operationally defining the behavior Which of the following is a discontinuous data recording procedure? Whole interval recording Why are trends sometimes necessary to include on line graphs? Data paths are not always clear Cumulative graphs are used: When progress toward a predetermined number of behaviors should be demonstrated Recently, Mario's tantrums seem to last longer. Which data recording procedure might be the best one to use to determine this? Duration A trend that ascends from left to right means: A behavior is increasing Data collected during naturalistic teaching should always include information about: Target behaviors, prompt levels needed, and activities encompassing, ethical, and effective supervisors providing telehealth supervision can improve rapport with supervisees by: attending to cues such as gestures, tone of voice and eye contact which of the following is an advantage of using telehealth supervision it provides more efficient meeting scheduling Communication delivered electronically instead of face-to-face can sometimes impede a supervision relationship by seeming: distant or impersonal Which of the following activities might an RBT supervisor provide? behavioral skills training to learn how to perform a paired stimulus preference assessment Encryption software is required for telehealth supervision so that? information shared will remain private Which of the following helps to address a concern about treatment fidelity when providing telehealth supervision? using competency checklists in addition to supervisee type, which of the following is a priority when providing telehealth supervision? needs of clients Why is it important to evaluate the effects of supervision to prepare those entering the field of ABA to serve clients safely and correctly Which of the following statements is true regarding the nature of supervision via telehealth? telehealth supervision must meet the same requirements as in-person supervision Which of the following statements is true regarding HIPAA violations? consequences can involve significant monetary fines What is the purpose of behavior analytic supervision? to provide the foundation for ABA staff to engage in decision-making and practices that ensures that services delivered are in a way that benefits the receivers of those services and promotes the advancement of the field Which of the following is the best definition of behavior analytic supervision? it is an active process of systematic shaping of the multiple skills required of those who are practicing or who want to practice ABA Which of the following types of ABA professionals can write skill acquisition programs unsupervised? BCBA How many years should supervision records be kept for BCBA trainees, BCaBA trainees, and BCaBAs? 7 Which of the following supervision activities would be most beneficial for an RBT? providing feedback on the delivery of a discrete trial Which of the following is the most effective way of presenting performance feedback over time to a supervisee? show them a graph of their progress on specific activities and goals Which of the following is the best definition of behavior analytic supervision? systematic shaping of the multiple skills required of those practicing ABA Which of the following is the best way for supervisors to ensure they are staying informed about advances in the field of ABA? read current research and seek out continuing education The "a" in BCaBA stands for? assistant Which of the following supervision activities best ensures a supervisee has a direction for improving their skills? establishing performance expectations which of the following staff members can supervise RBTS? BCBAs, BCaBAs, and other qualified professionals who have completed supervision training Which item is most likely to be an effective reinforcer for excellent teaching behavior? An individual bonus delivered that day When we think "the rat is never wrong," in regards to our employees- what does that mean? Employees respond to the contingencies within their environment. True or False: 'Staff should not use their cell phones in session' is a good example of a pinpoint. False What's another way to say operationally defining behavior? Pinpointing It is recommended that staff evaluations should be performed: Proactively What are the steps of starting a new client that can be generalized to starting new staff? Obtain informed consent, take baseline, make reachable goals, use effective reinforcers. In the hiring process, it is recommended that you: Give a brutally honest picture of the job so they can make the best decision on whether the risk will be worth the reward. 1. How does encouraging employees to take care of themselves physically and emotionally improve their adherence to performance and ethical standards at work? They catch on more quickly to new information and expectations They will be able to work longer hours They will be less likely to abuse clients They will be less likely to suffer the negative effects of work stress They will be less likely to suffer the negative effects of work stress Supportive supervision has been shown to: Increase stress levels in supervisees Have no effect on supervisees Prevent stress in supervisees Reduce stress for supervisees Reduce stress for supervisees What can supervisors do in an effort to minimize supervisee stress? Provide as many rules as you can think of and hold supervisees accountable. Allow supervisees to navigate issues on their own with minimal guidance. Be supportive as you guide them through tough ethical issues. Make sure they get frequent pay raises. Be supportive as you guide them through tough ethical issues. A research validated theory regarding job stress suggests that Job stress causes unethical behavior in some employees Job stress contributes to a poor work ethic among employees Job stress causes workers to have poor mental health Job stress contributes to negative attitudes and high turnover Job stress contributes to negative attitudes and high turnover Which of the following behaviors could indicate a risk for forming a multiple relationship? Spending time reading about a syndrome a parent revealed about their child one day after therapy Hugging a child goodbye after a therapy session Accepting a birthday gift from a family member of a client Expressing excitement to a parent over a child's new mand repertoire Accepting a birthday gift from a family member of a client What might be the best way to intervene with a family member who has repeatedly asked a supervisee to babysit? Tell the family member what they have asked is inappropriate and to stop asking. Which of the following interventions reflects a behavioral systems analysis approach when dealing with staff who are engaging in patterns of dysfunctional behavior? Counsel each staff member and employ a 3 strikes rule. Offer each staff member an opportunity to change without calling out their behavior. Analyze the variables surrounding the dysfunctional behavior before intervening. Reward all the staff members who are not engaging in the dysfunctional behavior. Analyze the variables surrounding the dysfunctional behavior before intervening. Which of the following contributes most to the feedback provided by the total performance system? Goal statement Receiving system Data Issues Data The fundamental concept of interconnectedness as it relates to behavioral systems analysis refers to: No one part of a system can function without the other Every part of a system is connected to every other part of a system Policies need to relate to one another to be effective Most parts of a system are connected to most other parts of a system Every part of a system is connected to every other part of a system B = f(O,E) means: Behavior equals environments coupled with people Behavior is a function of the equality of people Behavior is a function of the interactions between a person and their environment Behavior is a function of the interactions between a person and their education Behavior is a function of the interactions between a person and their environment Which of the following are characteristics of "living systems"? Defined value sets; variables are homeostatic, dependent on the external environment; and actions are the result of multiple variables Defined value sets; variables are flexible, dependent on the external environment; and actions are the result of multiple variables Defined value sets; variables are homeostatic, independent of the external environment; and actions are the result of multiple variables Value sets shift; variables are homeostatic, dependent on the external environment; and actions are the result of multiple variables Defined value sets; variables are homeostatic, dependent on the external environment; and actions are the result of multiple variables The range of variables necessary for an entity to survive is termed: Range of variables Value set Goal statements Value variables Value set Using the adaptive or total performance system, which of the following is most like the processing system? Environment People Goal statement Data People Which of the following might be an example of dysfunctional homeostasis within an ABA practice? Creating a process for managing billing more efficiently People Behavioral function Environment Behavioral function People Which of the following illustrates the use of the 3-term contingency as it applies to Mikes behavior? Mikes first client is frequently late. Mike arrives 10 minutes after his scheduled time each day. Mike walks in the door at the same time his client does. Mike arrives 10 minutes late every day. His client is 10 minutes late. Staff complain about Mike's behavior. Mike makes excuses about being late. Mike is counseled for being late. Mike continues to be late.Mike is late again. His supervisor has warned him. Mike is fired. Mikes first client is frequently late. Mike arrives 10 minutes after his scheduled time each day. Mike walks in the door at the same time his client does. Behavioral systems analysis views the behaviors of organizations as a whole and how they perform: Without resources Under extreme circumstances As usual Under varying circumstances Under varying circumstances What is the goal of using a behavioral systems analysis approach? To develop policies and procedures for a business To create meaningful and lasting change that will impact the business positively To define and analyze each and every variable that might impact a business To use as a tool for identifying employees and managing human performance To create meaningful and lasting change that will impact the business positively What must be constructed in order to turn on functional performance and turn off dysfunctional performance? Systems of rewards and punishers Systems, policies, and procedures Motivational structures and bonuses Management and supervision procedures Systems, policies, and procedures What must be understood in order to improve human performance? The complete learning histories of all individuals Only the reinforcers that drive an individualÂ's behavior What punishers are available for dysfunctional behavior The environmental variables that impact the behavior of individuals The environmental variables that impact the behavior of individuals In-vivo supervision in schools provides opportunities for: Training supervisees in how manage difficult co-workers Learning from other supervisees through case discussions Observing the observation skills of supervisees Training supervisees in how to collect data and deliver interventions Training supervisees in how to collect data and deliver interventions In order to have a positive impact on the success of children they treat in schools, behavior analysts must: Ignore the opinions of other professionals Collaborate with other professionals Assist teachers and other in implementing behavior support plans Serve as dedicated behavioral consultants in schools Assist teachers and other in implementing behavior support plans Which of the following BEST categorizes the work of behavior analyst supervisors in schools? To provide support for behavior plan creation, implementation, and direct services To provide support for implementing direct intervention and completing paperwork To provide support for convincing staff that ABA interventions are worthwhile To provide support for navigating interactions with teachers and other staff To provide support for behavior plan creation, implementation, and direct services When delivering BST in school settings, supervisors should: Deliver feedback to the supervisee so other staff can hear it as well Assess the comfort level of the supervisee in receiving public feedback Only deliver feedback in written form immediately after delivering BST Provide written evaluations with feedback within 2 weeks of the BST Assess the comfort level of the supervisee in receiving public feedback Which of the following statements is true regarding practitioners who use behavior analysis in schools? Many school psychologists and special educators are trained in ABA. Most school psychologists and special educators are not trained in ABA. Behavior analysts are the only professionals trained in ABA. School psychologists and behavior analysts are the only professionals trained in ABA. Many school psychologists and special educators are trained in ABA. Which education legislation requires that functional assessment be conducted for students whose behavior interferes with learning? Individuals with Disabilities Education Act Elementary and Secondary Education Act of 1965 Section 504 of the Rehabilitation Act of 1973 Health Care and Education Reconciliation Act of 2010 Individuals with Disabilities Education Act Which of the following statements is true regarding ABA and multi-tiered system of support (MTSS)? Most of the interventions used in MTSS are not based on ABA. Many of the interventions used in MTSS are based on ABA. Many of the interventions used in MTSS are based on discovery learning. Many of the interventions used in MTSS are unproven. Many of the interventions used in MTSS are based on ABA. Which of the following is true regarding the state of research guidance on implementing ABA services in schools? There is too much research to categorize and sort through. There is no research on ABA service delivery in schools. There is very little research guidance on ABA service delivery in schools. It is unethical to conduct research on ABA services in schools. There is very little research guidance on ABA service delivery in schools. Which of the following practices based on ABA that are included in MTSS models involves programmed instruction designed to increase accuracy and fluency of academic skills? Precision teaching School-Wide Positive Behavior Supports Direct Instruction Discovery learning Precision teaching Which of the following has made it necessary for schools to seriously consider providing ABA services for children with autism in schools? Parents resist pull-out services in the early grades for their children with autism The effectiveness of ABA interventions in-home- and community-based programs ABA services delivered in homes and community settings has proven to be largely ineffective The courts have mandated that ABA services be provided for every student who has an autism diagnosis The effectiveness of ABA interventions in-home- and community-based programs Which of the following is the first line antecedent for preventing challenging staff behavior? Specifying consequences Hiring qualified staff Training staff on policy Providing positive reinforcement Hiring qualified staff What do antecedents do for an organization? Determine how staff should be rewarded or disciplined. Specify consequences for engaging in challenging behaviors Provide minimal guidance in developing procedures Offer the structure for organizational processes and job performance Offer the structure for organizational processes and job performance Why is it unwise to manage staff using negative reinforcement contingencies? It leads to anxiety, low morale, and lower productivity. It leads to anxiety that results from high productivity. It is considered harassment and is subject to legal action. It leads to high productivity and a compliant workforce. It leads to anxiety, low morale, and lower productivity. Which of the following are reasons for staff attrition in ABA organizations documented by research? Unable to find an ABA position in the local area Dissatisfaction with the larger field of ABA Dissatisfaction with training and supervision Unable to gain the skills necessary to be competent Dissatisfaction with training and supervision Which of the following staff behaviors could be addressed informally? Failing to collect data correctly after multiple training attempts Leaving a client unsupervised while taking a break Showing up for work 10 minutes late due to traffic issues Making harassing comments to a co-worker based on religion Showing up for work 10 minutes late due to traffic issues Which of the following terms best describes the guidance from the ABA literature and professional organizations on addressing challenging staff behavior? Abundant Sparse Prescriptive Incorrect Sparse Which of the following is an example of an organizational process level goal? A policy for addressing tardiness before client sessions A work from home policy for non-billable activities and data analysis A policy prohibiting harassment at clinics and homes A way of supervising staff so they do not have the opportunity to engage in challenging behavior. A framework for structuring discussion and change efforts at the organization, process, and job performer levels. Which is the best reason to define expected staff behavior? To prevent challenging staff behavior So staff will understand there are negative consequences So client families will know that the organization is healthy To prevent backlash from staff later when they are reprimanded To prevent challenging staff behavior Which of the following staff behaviors could likely result in immediate termination? Being late for work two times Forgetting to upload data Failing to put materials away Leaving client unsupervised Leaving client unsupervised Employees and supervisees who make errors or do not perform as expected may have: Attitude issues Dislike for the job Skills deficits Performance deficits Skills deficits Why are clinical skills issues a particularly concerning challenging staff behavior? Because clients will almost certainly regress behaviorally Because interventions will not be as effective as they could be Because the organization will not be able to bill for that time Because the staff member will feel bad about their performance Because interventions will not be as effective as they could be After creating a policy, which of the following should be done? Punishing staff for not following the policy Training all staff on how to follow the policy Identifying when the policy is being followed Identifying when the policy is not followed Training all staff on how to follow the policy A workflow process is created by: Having enough managers to supervise staff so they follow all policies and procedures Communicating strategies and tasks but withholding information about goals and the mission Telling all staff what to do on a need to know basis and informing them of changes as soon as possible Communicating goals, tasks, and strategies in order to achieve measurable results Communicating goals, tasks, and strategies in order to achieve measurable results Which type of environment encourages staff to follow policies? One where structure and policies are clear and enforced intermittently by managers One where the structure is clear but not necessarily all the policies are monitored and reinforced One where the structure and policies are clear and following them is reinforced One where the structure is loose but policies are mostly followed by most of the staff One where the structure and policies are clear and following them is reinforced Which of the following is true regarding supervisors and diversity? A BCBA incorporating a family's religious traditions in their child's discrete trial program Research on language instruction preference of children with autism from Spanish speaking homes indicates: Children preferred difficult instructions be provided in English. Children preferred difficult instructions be provided in Spanish. Children preferred difficult instructions be provided in both languages. Children preferred simple instructions be provided in both languages. children preferred difficult instructions be provided in Spanish. Which of the following sources defines culture as a configuration of learned behaviors and the results of engaging in those behaviors whose component elements are shared and transmitted by members of a particular society? Media outlets Business Psychology Public opinion Psychology The best example of the bi-directional nature of culture within the context of ABA service delivery is: An African-American BCBA conducting a functional analysis with an African-American client in their home An RBT who is Muslim requesting to reschedule a session with a Christian client because of a specific religious holiday A Caucasian female conducting a parent training with a Caucasian family from the same community in their home on the weekend A Protestant RBT working with a Catholic family to help their child perform in a Christmas play at church An RBT who is Muslim requesting to reschedule a session with a Christian client because of a specific religious holiday Which of the following statements is true regarding the effects of language on functional analysis outcomes for an individual from a non-English speaking home? The individual engaged in lower levels of challenging behavior when English was spoken during conditions. The individual engaged in the same level of challenging behavior when both languages were spoken during conditions. The results of the functional analysis were inconclusive as there were multiple methodological issues in the execution of the study. The individual engaged in higher levels of challenging behavior when English was spoken during conditions. The individual engaged in higher levels of challenging behavior when English was spoken during conditions. Which of the following statements best describes the difficulty of defining culture? The definition depends on your area of study, the region of the world you are in, and your personal perspective. The definition is fairly static. However, because many people do not agree with it, it is not accepted. The definition of culture shifts with time, so attempts to define it are not worth the effort. There is a widely agreed-upon definition of culture by many individuals but policymakers do not agree. The definition depends on your area of study, the region of the world you are in, and your personal perspective. To respect an individual's needs, which of the following is the way clients should be treated when being assessed? In the target environment as judged by the clinician As if they existed in any given environment As if they were moving to a better environment Within the context of their environment Within the context of their environment cultural humility training was initially developed because of the negative effects of implicit bias by: Behavior analysts toward those from marginalized communities Special education teachers toward those from marginalized communities To take care of yourself so you will be physically able to practice ABA in your later years To take care of yourself so you can provide the best service possible to clients If you do not, you will face ethical complaints by parents and colleagues and be reported If you do not, you will engage in inappropriate and biased behavior toward clients To take care of yourself so you can provide the best service possible to clients Which of the following statements is true regarding reporting of demographics in the literature on ABA intervention? Cultural and language backgrounds were rarely reported. Cultural and language backgrounds were almost always reported. Cultural and language backgrounds did not need to be reported. Cultural backgrounds were reported but not language backgrounds. Cultural and language backgrounds were rarely reported. Which of the following best summarizes the need for training ABA clinicians on cultural diversity? Most ABA clinicians receive extensive training on the role of culture in the provision of ABA service delivery. Currently, there is no need to train ABA clinicians to deliver culturally sensitive services at all. It is safe to say that most clinicians need more training and experience in cultural variables related to ABA service provision. There is not currently a need to train ABA clinicians on the role of culture in the provision of services so no research is available. It is safe to say that most clinicians need more training and experience in cultural variables related to ABA service provision. What makes it difficult for ABA practitioners to become more culturally competent? Limited demographics on ABA clinicians, bias in communities, and the difficulty of accessing services for many from diverse backgrounds The lack of interest on the part of many ABA clinicians regarding the needs of those from diverse backgrounds inhibiting cultural competence Limited demographics on ABA clinicians, political correctness, and the difficulty of accessing services for many from diverse backgrounds The dearth of knowledge in any healthcare field on how to become culturally competent in an ever- increasing pluralistic society Limited demographics on ABA clinicians, bias in communities, and the difficulty of accessing services for many from diverse backgrounds Which of the following is a source of assistance for complex ethical issues in addition to the ethics code? Contacting practitioners in related professions . Discussing the situation among supervisees Contacting the ABA Ethics Hotline Reading the vast body of research literature on ABA and ethics Contacting the ABA Ethics Hotline The current ethics document published by the BACB is: A set of moral principles A helpful document to guide practice A list of suggestions for practice An enforceable code of ethics An enforceable code of ethics Which of the following could be a human rights challenge faced by small ABA agencies? Access to training and information on how to ensure the implementation of evidence-based practices for clients Access to an external human rights board to oversee complex interventions for clients with difficult behavior Access to information regarding the use of punishment and physical restraint when clients exhibit self-injurious behavior Access to information regarding the policies of other providers regarding the use of reinforcement and punishment Access to an external human rights board to oversee complex interventions for clients with difficult behavior Rely on the science of human behavior when designing and implementing ABA intervention plans If health, safety, or fraud are ethical concerns, what is the most important first step for reporting? Call the appropriate authorities and/or regulatory bodies. Attempt to correct the situation directly with the individual. Use the BACB's web-based reporting system to make the allegation. Consult the local media in order to adequately protect the public. Call the appropriate authorities and/or regulatory bodies. Which of the following best describes the way that using ABA-based interventions helps in respecting the autonomy of individuals? Tools such as shaping, chaining, fading, and the use of conditioned reinforcers all promote the independence of individuals and organizations served by behavior analysis. Respecting the autonomy of individuals is more important than ensuring the health, safety, and general welfare in home and community-based settings. Punishing undesirable behaviors can diminish the autonomy of individuals with developmental disabilities, autism, and other conditions that affect communication and social skills. Interventions based on ABA are always delivered in an ethical manner resulting in increased autonomy of individuals who receive treatment. Tools such as shaping, chaining, fading, and the use of conditioned reinforcers all promote the independence of individuals and organizations served by behavior analysis. Which of the following moral principles is shared with physicians but also applicable to behavior analysts? Respect autonomy Be just Do no harm Be kind Do no harm Which of the following conditions must be present when making an allegation of ethical misconduct to the BACB? The violation occurred at any time prior to the allegation being made. The allegation can be against anyone who claims to be implementing ABA-based interventions. The allegation is made against a person holding a BACB credential or a credential candidate. The allegation involves only accusations of compromise of the health and safety of clients. The allegation is made against a person holding a BACB credential or a credential candidate. Which of the following is likely to happen if staff feel overworked and overwhelmed? Implementation can slip Implementation is ensured Implementation will not occur Implementation is likely Implementation can slip Which of the following places clients at-risk when interventions are not adequately supervised by behavior analysts? Interventions will probably be implemented consistently anyway Staff will know what to do when an intervention is not working Only parts of interventions may be implemented instead of the entire intervention Therapeutic practices will probably be used by experienced staff Only parts of interventions may be implemented instead of the entire intervention Some BCBAs have identified parts of the Professional and Ethical Compliance Code that could be conflicting depending on the circumstances. Which of the following is an example of this conflict? Accepting clients without regard to their ability to pay for services and practicing economic discrimination Providing more than adequate supervision to a supervisee and continuing to employ them despite their unwillingness to be ethical Responding to a client's cultural norms by accepting an offer of a glass of water yet violating the code for accepting a gift Refusing to engage in casual conversation with a client's parent before a session and charging them for the time they attempted to speak to you As the demand for services and the number of credentialed practitioners increase, so will allegations. Since the ethical code is now enforceable, the number of allegations of ethical misconduct will decrease. As the demand for services and the number of credentialed practitioners increase, so will allegations. In studies that support the efficacy of risperidone and aripiprazole, decreased levels of irritability were measured by: Informant measures of behavior. Functional analyses of behavior. Brief functional analyses. Interview informed functional analyses. Informant measures of behavior. Medications approved by the FDA for individuals with autism are designed to target: Irritability Spinning objects Concrete thinking Restrictive interests Irritability Extrapyramidal side effects of psychotropics are more common in: Antiepileptics and stimulants. Anti-depressants and sedatives. Atypical or second generation psychotropics. Typical or first generation psychotropics. Typical or first generation psychotropics. Which strategies are best for preparing clients for medical procedures? Provide them with materials that explain the purpose of the procedure Have the prescriber verbally explain why the procedure is important Promise a reinforcer if the client is compliant with the procedure Simulations with non-contingent reinforcement and behavioral shaping. Simulations with non-contingent reinforcement and behavioral shaping. The best way to ensure that you know a new client is taking medication is to: Refuse to serve them if caregivers do not reveal medication status. Call the primary medical care provider and ask them directly. Obtain all medical records before setting an intake appointment time. Obtain a developmental and medical history during intake. Obtain a developmental and medical history during intake. Two medications approved by the FDA for treatment in autism are: Risperidone and aripiprazole. Amphetamines and methylphenidate. Clonidine and valproate. Haloperidol and fluphenazine. Risperidone and aripiprazole. Medication to address behavioral issues in children under the age of five is largely: Endorsed by most medical societies and professionals. Off-label because it has not been tested in children that young. Is unethical and ill-advised under any circumstances. Unnecessary under all circumstances because children under 5 are small. Off-label because it has not been tested in children that young. Lack of access to ABA services and the appropriate amount of services has led to: