Question
Difficulty: hard. Skill: analyze. Type: ethics professional judgment.
A BCBA notices a service decision may create an ethical risk involving caregiver and discontinuing services and transitions. Which action is best? The case file includes 12 recent sessions, 4 implementers, and 1 setting.
ATreat the most recent data point as proof of the final conclusion
BBase the decision on the descriptive label for repeating questions after instructions and bypass discontinuing services and transitions
CUse a familiar protocol even though it does not address scope of competence
DPause, document the concern, and seek consultation, supervision, referral, or training before proceeding in relation to client's repeating questions after instructionsCorrect answer
Explanation
Answer DThe clue is the combination of parent report that conflicts with recent session data, repeating questions after instructions, and the required task: Discontinuing services and transitions. The case file includes 12 recent sessions, 4 implementers, and 1 setting. Pause, document the concern, and seek consultation, supervision, referral, or training before proceeding in relation to client's repeating questions after instructions is best because it answers that clue through scope of competence instead of treating the scenario as a generic behavior problem. On exam items like this, name the decision point first, then eliminate options that rely on one report, a label, a familiar protocol, or an action that skips the relevant data check.
Why this question is hard
ClueKey scenario clueThe clue is the combination of parent report that conflicts with recent session data, repeating questions after instructions, and the required task: Discontinuing services and transitions. The case file includes 12 recent sessions, 4 implementers, and 1 setting.
TrapCommon trapA single point rarely supports a strong conclusion without considering trend, variability, and context.
NextIf you missed it, review Scope of competenceThen answer a few related scenarios before moving back to broad practice.
Why the other choices are weaker
AChoice AA single point rarely supports a strong conclusion without considering trend, variability, and context.
BChoice BThis is weaker because the label does not answer the Discontinuing services and transitions decision point or test Scope of competence.
CChoice CA familiar protocol is not enough unless it matches the assessed variables and the current decision question.
Study tags
Scope of competenceDiscontinuing services and transitionscompetencereferral
Related concept pages
Turn this into a study plan
If this question felt difficult, practice a short drill from Ethical and Professional Issues and use the review page to turn missed items into a weak-area plan.
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