Accurate documentation is both a professional responsibility and a legal requirement for RBTs. This 10-question quiz covers essential documentation practices, including session notes, data collection procedures, reporting protocols, confidentiality requirements, and compliance standards. Proper documentation skills protect both clients and practitioners.
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RBT Documentation & Reporting Practice
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Question 1 of 10
1. Question
Which statement best describes appropriate ongoing communication between an RBT and their supervisor?
Correct
Effective supervision involves bidirectional communication where both parties provide constructive feedback. This collaborative approach promotes professional growth, improves service quality, and strengthens the supervisory relationship through open dialogue.
Incorrect
Effective supervision involves bidirectional communication where both parties provide constructive feedback. This collaborative approach promotes professional growth, improves service quality, and strengthens the supervisory relationship through open dialogue.
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Question 2 of 10
2. Question
During your session, your typically compliant client suddenly begins banging their head against the wall – a behavior you’ve never observed before. When should you contact your supervisor?
Correct
Novel challenging behaviors, especially those involving self-injury, require immediate supervisor notification after ensuring client safety. New behaviors may indicate medical issues, environmental changes, or need for immediate intervention modifications.
Incorrect
Novel challenging behaviors, especially those involving self-injury, require immediate supervisor notification after ensuring client safety. New behaviors may indicate medical issues, environmental changes, or need for immediate intervention modifications.
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Question 3 of 10
3. Question
You arrive for your session but cannot locate the specific picture cards needed for your client’s receptive identification program. What should you do?
Correct
When materials are unavailable or you’re unsure about program implementation, seek supervisor guidance promptly. This ensures treatment integrity and prevents incorrect implementation that could interfere with client progress.
Incorrect
When materials are unavailable or you’re unsure about program implementation, seek supervisor guidance promptly. This ensures treatment integrity and prevents incorrect implementation that could interfere with client progress.
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Question 4 of 10
4. Question
You arrive at your client’s home at 9:00 AM for a scheduled session. The parent informs you that their child has been vomiting all night and has a fever. The parent suggests proceeding with a shortened session. What should you do?
Correct
Client illness requires immediate session cancellation and supervisor notification. Sick children cannot participate effectively in therapy, and continuing services could worsen their condition or spread illness to staff.
Incorrect
Client illness requires immediate session cancellation and supervisor notification. Sick children cannot participate effectively in therapy, and continuing services could worsen their condition or spread illness to staff.
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Question 5 of 10
5. Question
During your session, your client’s mother mentions that their doctor started them on a new medication yesterday for attention difficulties. When should you report this information to your supervisor?
Correct
Medication changes must be reported immediately as they can significantly impact behavior, learning, and treatment effectiveness. Supervisors need this information to monitor for side effects and adjust programming if necessary.
Incorrect
Medication changes must be reported immediately as they can significantly impact behavior, learning, and treatment effectiveness. Supervisors need this information to monitor for side effects and adjust programming if necessary.
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Question 6 of 10
6. Question
Which session note entry demonstrates the most objective documentation?
Correct
Objective documentation uses specific, measurable, observable terms without subjective interpretations. Counting specific behaviors and interventions provides clear, factual information that other team members can understand and use for treatment planning.
Incorrect
Objective documentation uses specific, measurable, observable terms without subjective interpretations. Counting specific behaviors and interventions provides clear, factual information that other team members can understand and use for treatment planning.
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Question 7 of 10
7. Question
Which information must be included in every session note according to documentation requirements?
Correct
Complete session notes must include essential factual information: date/time of service, skills targeted, client responses to interventions, data collected, and any relevant observations or caregiver reports. This ensures accurate service verification and treatment continuity.
Incorrect
Complete session notes must include essential factual information: date/time of service, skills targeted, client responses to interventions, data collected, and any relevant observations or caregiver reports. This ensures accurate service verification and treatment continuity.
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Question 8 of 10
8. Question
If you observe signs that suggest your client may be experiencing abuse or neglect, what is your immediate obligation as an RBT?
Correct
RBTs are mandated reporters legally required to report suspected abuse or neglect immediately to supervisors and appropriate authorities (CPS/DCS). This obligation supersedes confidentiality and cannot be delayed for additional evidence.
Incorrect
RBTs are mandated reporters legally required to report suspected abuse or neglect immediately to supervisors and appropriate authorities (CPS/DCS). This obligation supersedes confidentiality and cannot be delayed for additional evidence.
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Question 9 of 10
9. Question
Your client receives services at both home and school. How should you transport their confidential data sheets between locations?
Correct
HIPAA requires secure transportation of protected health information. Data must be stored in locked containers within locked vehicles to prevent unauthorized access and maintain confidentiality during transport between service locations.
Incorrect
HIPAA requires secure transportation of protected health information. Data must be stored in locked containers within locked vehicles to prevent unauthorized access and maintain confidentiality during transport between service locations.
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Question 10 of 10
10. Question
According to federal regulations, what is the minimum time period for retaining client records?
Correct
BACB ethical guidelines require maintaining client records for at least 7 years from the last date of service provision, or longer if required by state/local laws. Proper record retention protects clients, supports continuity of care, and ensures legal compliance.
Incorrect
BACB ethical guidelines require maintaining client records for at least 7 years from the last date of service provision, or longer if required by state/local laws. Proper record retention protects clients, supports continuity of care, and ensures legal compliance.
Continue to Final Practice Unit
Unit F: Professional Conduct →