Appropriate Boundaries
HIPAA
Client Confidentiality
Dual Relationships
Scope of Practice
100

Can you accept a small gift (like cookies) from a client’s parent? Why or why not?

Yes, as long as the gift is $10 in value or less, it is considered okay to accept

100

Can you discuss a client’s progress in a public hallway? Why or why not?

No – client information must be kept private, even in casual conversation.

100

You are out shopping and see (who you think) is a parent of a client that just recently started at Ignite. Should you approach that parent to introduce yourself and see if client attends Ignite? Why or why not?

No – even confirming a client attends is a breach of confidentiality. In public situations, it is best practice to only engage with a parent if they first approach you. However, you must never discuss client names and details outside of the work place.

100

Can you babysit or provide respite services for a client’s family on the weekends? Why or why not?

No – this creates a conflict of interest and violates ethical boundaries.

100

Can an RBT write a behavior intervention plan?

No – only supervisors (BCBAs, BCaBAs, or student analysts under the direction of the BCBA) can create behavior plans.

200

Is it appropriate to hug a client if they initiate? Why or why not?

Use professional judgment based on client age, appropriateness, and parental preference

200

True or False: You should always keep your personal device or company tablet password protected if you are logging into Rethink for client programming, scheduling, or data collection purposes. 

True: Personal or company devices must always be password protected using a unique and individualized password that only you know in order to securely store client records.

200

If you overhear a coworker sharing a client’s name in the break room, what should you do?

Address the issue directly and remind them to speak using only client initials. 

200

A client’s parent adds you on social media. What should you do?

Politely decline and remind them of professional boundaries.

200

Who is responsible for supervising an RBT and what percentage of supervision does an RBT need each month?

A BCBA or BCaBA.

5% of direct hours

300

You’re invited to a client’s birthday party outside of session hours. What should you do?

Decline politely – attending events outside of session may blur professional boundaries.

300

What’s an example of a HIPAA-compliant way to share data with a supervisor?

Encrypted email or use of client initials when communicating 

300

Why is it important to use initials or ID numbers when sharing client info?

To protect the client’s identity and maintain confidentiality.

300

Why are dual relationships considered unethical in ABA?

They interfere with objectivity and can impair judgment.

300

You notice a new behavior during session. Should you address it on your own?

No, report the behavior to your supervisor for assessment.

400

Why should RBTs avoid discussing personal life details with clients or their families?

It may compromise professional roles and lead to blurred boundaries.

400

What does HIPAA stand for?

Health Insurance Portability and Accountability Act.

400

What’s the best way to store client data to ensure confidentiality?

Store in locked cabinets or password-protected digital systems.

400

 If you were friends with a client’s family before working with them, what should happen?

Notify your supervisor to make sure you will not be staffed on the case. 

400

What should an RBT do if asked to perform a task they haven’t been trained for?

Tell your supervisor and request proper training before proceeding.