Behavioral Methodologies
Professionalism
Responding to Pbx
Reinforcement, Punishment, and Extinction
Misc.
100

What is pairing and how can we pair?

Pairing is another name for 'stimulus-stimulus pairing' and is how we can effectively pair (or associate) ourselves as a reinforcer to our clients. We do this by engaging with our clients and engaging in different activities they like to play with, so they begin to view us as exciting and fun as well. We can accomplish this by being expressive and silly, playing alongside them in the same toys and activities they are engaging with, not placing demands (or asking questions) during this time, being energetic and having inflection in your voice, narrating play, etc.

100

What are dual-relationships and how do we avoid them?

Also called Multiple Relationships. This is when you act as an RBT while also engaging in some other type of relationship (such as babysitter, friend, etc.). This should be avoided at all times. We can avoid them by refraining from personal conversations (keeping conversations related to the client), not accepting invites to outside activities (i.e. birthday parties), etc.

100

What are the four main functions of behavior? Provide an example of each.

S: sensory/Automatic (i.e., scratching an itch, teeth grinding, skin-picking, etc.)

E: Escape (e.g., when asked to find the color red, the client attempts to elope from the room)

A: Attention (e.g., the client cries and lifts their arms up, rather than asking to be picked "up").

T: Tangibles (e.g., client pushes a peer because they have a toy they want, rather than asking for a turn).

100

Define and contrast reinforcement and punishment

reinforcement increases the future likelihood of a behavior, while punishment decreases the future likelihood of the behavior being acted upon.

100

List at least three things you should do before session starts.

1. Gather client materials (stimuli, materials for programming, etc.)

2. Review client programs and BIP

3. Ask questions, if applicable, on any programs you do not know how to run

4. Gather reinforcements for your client to engage with

200

What is NET and how is it implemented? Provide an example of NET.

NET stands for Naturalistic Environment Training/Teaching. NET is a teaching procedure (not a type of environment or location) where the learner holds the motivation, and the RBT finds programs that fit with the current activity/interest of the learner. These trials are often captured (rather than contrived).

200

What is HIPPA?

HIPPA is a regulation that maintains the privacy of our clients. This means we should not be sharing any personal information with individuals outside the client's immediate circle (i.e., caregivers, BCBA on the case, RBT on the case). Personal information includes, but is not limited to, client's name, client's goals and programs, client progress, etc.

200

What should you reference to better understand the maladaptive behaviors your client engages in and how to best navigate those behaviors?

The Behavior Intervention Plan (BIP), located on CentralReach. 

200

What are the different Intermittent Schedules of Reinforcement? Explain each.

Fixed Ratio (FR) - where you reinforce after every x amount of correct responses 

Fixed Interval (FI) - where you reinforce after every x amount of time/minutes/seconds

Variable Ratio (VR) - where you reinforce after an average amount of responses

Variable Interval (VI) - where you reinforce after an average number of time 


200

The client is currently working on a backward chaining procedure. The client's RBT, Sally, notices the client knows how to complete steps 1 and 2 as well, so she decides it would be most beneficial to change the backwards chain to total task chaining. What is this example in violation of? Why?

Maintaining one's scope of practice. This is a violation of this, as the BCBA is responsible for program changes and interventions used. An RBT should never change programming and should follow teaching instructions as written.

300

What are prompts and when are they used? Explain the correct prompting hierarchy (LTM).

Prompting is a way to cue the learner to a specific, and correct response. Prompts are used when the learner responds to an Sd incorrectly or does not respond within a predetermined latency. The LTM prompting hierarchy is as follows: 

  • Independent Response (ultimate goal of prompting, least intrusive; this is not in itself a prompt)
  • Gestural (e.g., pointing, motioning)
  • Partial Verbal (e.g., saying part of the prompt)
  • Full Verbal (e.g., saying the full prompt)
  • Visual Model (physically demonstrating the correct response)
  • Partial Physical (shadowing and gradual guidance)
  • Full-Physical (most intrusive level)
300

Name at least three ways in which we can show professionalism 

  • Dressing appropriately and per dress code
  • Showing up on time
  • Being consistent
  • Remaining inside your scope of practice and competence
  • Being able to take feedback and administer it within your practice
  • Expressing enthusiasm and a happy work demeanor
  • Not engaging in multiple/dual relationships
  • Behaving with dignity and respect
  • Not discussing personal/private manners at work
  • Being objective
  • Constantly seeking to improve your competence and performance
  • Promoting emotional intelligence
300

Provide at least three examples of common triggers

  • Loud noises
  • Bright lights
  • Crowded spaces
  • Large groups of people
  • Unexpected schedule change
  • Boredom
  • Being asked to wait or being denied access
  • If another individual is too close in proximity to the individual of concern
  • Demands
  • Etc.
300

Sidney has been getting into trouble at school. Sidney's mom has previously attempted to ameliorate these negative behaviors by creating a token economy where she can earn marbles for good days at school and cash them in for bigger prizes at the end of the week. However, this has not been working for Sidney's mother, and Sidney is continuing to get in trouble at school. Sidney's mom now decides she will take away a marble every time Sidney has a 'bad' day at school. This works, and Sidney's bad behavior at school decreases. What is this an example of?

Negative punishment

300

List at least 5 different things to keep in mind when completing your session note.

1. this should not be started more than 15 minutes before the end of session

2. you must change your start/end time, if not starting/ending at that time

3. you can not submit a timesheet until the time the session is projected to end (otherwise you will have to adjust the time).

4. you must ALWAYS pull data into your session note

5. you must write objectively

6. you must use proper grammar and syntax

7. you must write in third person

8. you must provide information on what occurred during your session and how that was achieved (e.g., through differential reinforcement and using NET teaching procedures).

400

What is the difference between chaining and shaping? Provide an example of each.

Shaping is when you reinforce successive approximations of a terminal goal (same topography), while Chaining is breaking a larger task into smaller, completable steps and working your way through each step until all are mastered. Some examples of shaping are vocal mands (i.e., cookie, dinosaur), learning how to walk/run, and how to write the letter 'A'. Some examples of Chaining are learning how to brush your teeth, make a recipe, tie your shoes, and ride a bike.

400

Name at least three ways in which we can appropriately respond to feedback

  • Maintaining eye contact
  • Acknowledging the feedback
    • this can be done by shaking your head, vocally agreeing/accepting the feedback, and/or reiterating the feedback in your own words
  • Asking appropriate follow-up questions
  • Responding in a calm, friendly, and neutral tone
  • Body language is calm, relaxed, and neutral
  • Indication of appreciation for the feedback
  • Facing the speaker, sitting/standing up right, and keeping open posture/body language
  • Do not try and argue, explain, or make excuses in response to corrective feedback
  • Engaging in active listening
  • Apologize when applicable and appropriate
  • Not interrupting
  • Determine a plan of action to ameliorate corrective feedback and communicate your plan of action to the individual providing the feedback to you
  • Implementing the feedback immediately after it being provided (if applicable)
400

Name 5 different examples of things you should do or keep in mind when dealing with problem behaviors

  • No matter how difficult the situation might be we, as the learner's therapist, need to communicate and express dignity and respect at all times!
  • Be aware of your tone of voice and how you word your language
    • Do not nag
    • Do not engage in a power struggle with the client
      • Examples of power struggles may include (but are not limited to): arguing, imitating posture, loud/sarcastic/angry tone of voice, setting unreasonable expectations, making promises that cannot be kept, retaliation, using threats or inappropriate consequences, and nagging.
    • Make sure to keep any instructions clear and concise
    • Do not make promises you cannot uphold
    • Use age-appropriate language
    • Use a positive and NEUTRAL tone of voice
    • Be aware of the volume of your voice (keep your volume low, even when the learner is being loud)
    • Pause and give the learner time to think after placing demands or providing instructions
    • Do not argue with the client
    • Accept and validate the client's feelings
    • Be aware of the client's non-verbal language
    • Have good posture
      • Do not do things like cross your arms or squint your eyebrows--these behaviors could come off as intimidating and unapproachable.
400

What is non-contingent reinforcement (NCR), and how is it different from differential reinforcement?

NCR is when you reinfroce a client based on intervals of time, and is not contingent on any specific behavior occurring or not occurring. Differential reinforcement is when you reinforce an individual, contingent on a specific behavior occurring or not occurring. This may or may not include a time contingency as well (think fo VI and FI schedules; these are contingent on both behavior and time).

400

Teresa is able to accurately mand for a break with her ABA therapist. When Teresa is at home however, she often cries and will not appropriately ask for a break. Teresa's BCBA's decides she and the RBT will conduct a session with Teresa at home, with her Mom. The BCBA helps coach Mom on how to appropriately prompt Teresa to mand for a break when appropriate. Now, Teresa will appropriately mand for a break both at her home and at ABA. What behavioral methodology is being explained here?

Stimulus control transfer

500

Describe the Error Correction Procedure and when to use it.

After a client errors or does not respond

1) present original SD; client errors or does not respond

2) repeat SD with prompt

3) Transfer trial (Sd and fade prompt)

4) Expanded trials (1-3 high-probability tasks)

5) Sd without prompt

6) Reinforce or repeat if errored again

500

Name at least three examples of topics that should be redirected or brought to your BCBA's attention

  • Questions about client information or programming
  • Company policies/information--if above RBT level
  • If a parent attempts to discuss IEP with you
  • If new behaviors arise (especially challenging behaviors)
  • Feelings of burn-out
  • Uncomfortable conversations with caregivers
  • Possible abuse/neglect of client
  • Etc
500

Client, Axel is engaging in headbanging because a peer is talking to his favorite staff member. Axel's therapist (and favorite staff member) runs over to block Axel's head banging, while telling him it will be okay. Once calm for at least five seconds, Axel's therapist asks him, "What do you want?". Axel says he wants to play chase with the RBT, and he and the RBT begin to play chase together. What did the RBT do wrong in this scenario?

The RBT provided attention by saying, "It will be okay.". Since the perceived function here is attention, we want to limit excessive comments and eye contact as much as possible (while still maintaining safety of our client).
500

What is an Extinction Burst, and how can we ameliorate it?

An Extinction Burst is when a behavior has not been reinforced for some time and has experienced zero levels of responding before ultimately showing a random increase/spike in responses that have been withheld from reinforcement. In order to ameliorate an Extinction Burst, one must continue withholding reinforcement from that behavior (aka stick to the plan!)

500

Learner Jimmy is working on receptive identification of different community helpers. This program has been difficult for Jimmy so his BCBA decides they are going to put the target picture closer to Jimmy, compared to the other community helpers in the array. What is this an example of?

Stimulus prompting (more specifically this is a positional prompt).

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