Practice question
Ethical and Professional Issues

Confidential-information requirements: Confidentiality and consent.

Original BCBA scenario practice question with answer explanation and wrong-choice notes.

Test this weak areaPractice this domainDomain study hub

Question

Difficulty: medium. Skill: apply. Type: ethics professional judgment.

A BCBA notices a service decision may create an ethical risk involving caregiver and confidential-information requirements. Which action is best? The case file includes 2 recent sessions, 2 implementers, and 3 settings.

A
Base the decision on the descriptive label for repeating questions after instructions and bypass confidential-information requirements
B
Protect confidential information and obtain appropriate authorization before sharing or using client material in relation to client's repeating questions after instructions

Correct answer

C
Use a familiar protocol even though it does not address confidentiality and consent
D
Rely on caregiver's report alone and stop collecting direct evidence

Explanation

Answer B

The clue is the combination of parent report that conflicts with recent session data, repeating questions after instructions, and the required task: Confidential-information requirements. The case file includes 2 recent sessions, 2 implementers, and 3 settings. Protect confidential information and obtain appropriate authorization before sharing or using client material in relation to client's repeating questions after instructions is best because it answers that clue through confidentiality and consent 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

Clue
Key scenario clue

The clue is the combination of parent report that conflicts with recent session data, repeating questions after instructions, and the required task: Confidential-information requirements. The case file includes 2 recent sessions, 2 implementers, and 3 settings.

Trap
Common trap

This is weaker because the label does not answer the Confidential-information requirements decision point or test Confidentiality and consent.

Next
If you missed it, review Confidentiality and consent

Then answer a few related scenarios before moving back to broad practice.

Why the other choices are weaker

A
Choice A

This is weaker because the label does not answer the Confidential-information requirements decision point or test Confidentiality and consent.

C
Choice C

A familiar protocol is not enough unless it matches the assessed variables and the current decision question.

D
Choice D

Stakeholder input matters, but direct data, context, and integrity checks are still needed for a defensible answer.

Study tags

Confidentiality and consentConfidential-information requirementsprivacyauthorization

Turn this into a study plan

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Related study guides

GuideDistractor patternsUse this if the wrong answer sounded plausible.GuideMissed-question reviewUse this if you want to turn the miss into a study rule.GuideScore plateau guideUse this if similar mistakes keep repeating.

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Question FAQ

What BCBA domain does this question cover?

This practice question is tagged to Ethical and Professional Issues. It also includes study tags for Confidentiality and consent, Confidential-information requirements, privacy, authorization.

How should I review this practice question?

Answer the scenario before reading the explanation, compare your reasoning with the correct answer, then review why the distractors are weaker.

Is this an official BACB exam question?

No. This is an original study question for BCBA Scenario Tutor and is not an official BACB exam item.

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