ABA Exam Coach

H.8: Collaborate with others to support and enhance client services.

Free practice questions for this part of the BCBA, with an explanation for every option.

A BCBA's plan uses picture exchange for a child's requests at home. The child's speech-language pathologist has introduced a speech-generating device at school. The child now uses different systems in each setting, and progress has slowed. What should the BCBA do?
  1. A. Add the speech-generating device at home without consulting the SLP
    Changing the system without coordination may duplicate or conflict with the SLP's programming.
  2. B. Meet with the SLP and family to review data and agree on a consistent communication modality and teaching approach across settings
    Correct. Collaborating with other professionals and the family, guided by data, serves the client's best interest and makes the program consistent across settings.
  3. C. Ask the school to discontinue the device because ABA programs take priority
    Unilaterally overriding another discipline isn't collaborative and may not reflect the evidence or what the client needs.
  4. D. Continue the home program unchanged, since communication across disciplines is the family's responsibility
    The BCBA is responsible for working with colleagues to serve the client, not for passing coordination off to the family.
A general education teacher says she won't carry out a student's behavior plan because it 'takes too much time.' What is the BCBA's most appropriate first step?
  1. A. Report the teacher to the principal for noncompliance
    Going straight to administration damages the working relationship without addressing the barriers to implementation.
  2. B. Meet with the teacher to identify specific barriers and adjust the plan's procedures to fit classroom routines, while keeping its essential components
    Correct. Asking for the teacher's input and fitting the plan to her context makes accurate, sustained implementation more likely.
  3. C. Implement the plan alone during the BCBA's weekly visits
    Implementing only during brief weekly visits gives too little exposure and doesn't support the plan in the classroom.
  4. D. Tell the teacher the plan is required and must be followed exactly
    Insisting without addressing contextual fit is unlikely to produce accurate implementation.
In the middle of a behavior intervention, a client's psychiatrist starts a new medication that may affect aggression. The guardian has signed consent for information sharing. What is the best action for the BCBA?
  1. A. Immediately change the behavior plan so both interventions start at the same time
    Changing both at once confounds the data, so no one can tell which change affected behavior.
  2. B. Pause data collection until the medication dose has stabilized
    Data during the medication change are especially useful to the physician and the team.
  3. C. Keep the behavior plan constant, note the medication change on the graph, and share the data with the psychiatrist to inform both teams' decisions
    Correct. Holding the behavioral variables steady, noting the change on the graph, and sharing data (with consent) supports collaborative, data-based decisions.
  4. D. Advise the guardian on whether the medication dose is appropriate
    Medication advice is outside the BCBA's scope of competence.

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