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Results
#1. A 3-year-old girl with autism exhibits a behavior of putting coins in her mouth. When her caregiver tells her to stop, she typically smiles and continues the behavior, strongly suggesting that the behavior is maintained by attention. Although she has not yet swallowed any coins, the potential for a serious choking hazard or other internal injury is significant. Given the dual considerations of the behavior’s maintaining function and the immediate safety risk, what would be the BEST and QUICKEST intervention to implement in this scenario, according to ABA principles highlighted in the text?
The text emphasizes finding the best and quickest intervention especially when a behavior poses a potential safety risk even if it hasnt resulted in harm yet While the behavior is hypothesized to be attentionmaintained the immediate safety concern takes precedence A Implementing an extinction procedure ignoring the behavior directly addresses the attention function but is explicitly stated in the text as not quick and presents an opportunity where we arent paying attention putting her at risk for danger This makes it an inappropriate choice for a safetysensitive behavior B Administering a timeout procedure would likely still provide attention eg escorting to timeout verbal instructions thus continuing to feed into the function of the behavior as explained in the text making it ineffective and potentially counterproductive C Routinely explaining dangers and prompting safety skills while wellintentioned is dismissed by the text as giving attention to the behavior and not actually addressing the behavior through any sort of manipulation of consequences Its neither the best nor the quickest especially for a 3yearold with unknown receptive language skills D Removing all accessible coins antecedent control and using response blocking a physical intervention to prevent the completion of the behavior is highlighted as the superior option The text states this approach will avoid giving attention for putting coins in their mouth because how can we give attention for that behavior if she isnt able to and crucially it will make sure she cannot put herself in any more harm This strategy immediately prevents the dangerous behavior thereby eliminating the opportunity for reinforcement and directly addressing the safety risk fulfilling both the best by addressing safety and preventing the behavior and quickest criteria
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