Question
Difficulty: hard. Skill: analyze. Type: ethics professional judgment.
A BCBA notices a service decision may create an ethical risk involving caregiver and personal biases and professional interference. Which action is best? The case file includes 3 recent sessions, 4 implementers, and 4 settings.
AUse a familiar protocol even though it does not address cultural humility and responsive practice
BRely on caregiver's report alone and stop collecting direct evidence
CChange the intervention immediately based on the concern alone
DCollaborate with cultural humility and adapt services without relying on stereotypes or abandoning data 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: Personal biases and professional interference. The case file includes 3 recent sessions, 4 implementers, and 4 settings. Collaborate with cultural humility and adapt services without relying on stereotypes or abandoning data in relation to client's repeating questions after instructions is best because it answers that clue through cultural humility and responsive practice 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: Personal biases and professional interference. The case file includes 3 recent sessions, 4 implementers, and 4 settings.
TrapCommon trapA familiar protocol is not enough unless it matches the assessed variables and the current decision question.
NextIf you missed it, review Cultural humility and responsive practiceThen answer a few related scenarios before moving back to broad practice.
Why the other choices are weaker
AChoice AA familiar protocol is not enough unless it matches the assessed variables and the current decision question.
BChoice BStakeholder input matters, but direct data, context, and integrity checks are still needed for a defensible answer.
CChoice CThis is weaker because it skips the assessment, integrity, or decision rule needed before changing procedures.
Study tags
Cultural humility and responsive practicePersonal biases and professional interferencecultural humilityculturally responsive
Related concept pages
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