BCBA Mock Exam 4 — 185 Real Exam Questions to Crush the Test (No Signup)

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#1. You are a BCBA providing parent training to the primary caregiver of a 5-year-old client with severe challenging behaviors. Despite weekly training sessions over several months, the parent consistently fails to implement the recommended interventions at home, citing various reasons but demonstrating no consistent effort to follow through. As a result, the client is making minimal to no progress, and their challenging behaviors continue to escalate, posing risks to the client and others. You have attempted various strategies to support the parent, including modifying the training approach and simplifying interventions, all to no avail. Under these circumstances, what is the most ethically appropriate course of action regarding the continuation of services?

Ethical considerations for discontinuing services are critical for BCBAs While behavior analysts have a responsibility to their clients they are not obligated to continue services indefinitely when there is no reasonable expectation of benefit especially due to a lack of cooperation from primary stakeholders According to the BACB Professional and Ethical Compliance Code for Behavior Analysts services can be discontinued when a client no longer needs the service is not benefiting is being harmed by continued service or when the client or agency requests discontinuation BACB 2020 Code 215 In this scenario the parents persistent noncompliance is directly preventing the client from benefiting and making progress Therefore discontinuing services is an ethically permissible option provided the BCBA takes appropriate steps to minimize harm such as discussing the reasons for discontinuation exploring alternative options providing pretermination counseling recommending other providers if appropriate and facilitating a smooth transition of responsibility Option A is incorrect as it implies an indefinite obligation even when services are ineffective Option C is an overreach and generally not an appropriate first or primary course of action Option D while sometimes necessary implies an immediate unqualified transition without due process which might not always be feasible or in the clients best interest if no suitable provider is immediately available and it doesnt fully capture the conditions for discontinuation

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