RBT Documentation and Reporting Quiz

1. Which federal law mandates healthcare providers, including RBTs, to maintain the confidentiality of patient information?

FERPA

ADA

FMLA

HIPAA

2. Which of the following is an example of proper documentation of reinforcement used during a session?

Jane received a reward.

Jane did well during the session.

Jane received a sticker for completing the task.

Jane was happy during the session.

3. What is the primary purpose of a session note in RBT documentation?

To record only the interventions used

To keep track of the client’s favorite activities

To report subjective opinions about the client’s progress

To provide a summary of the entire session

4. What should an RBT do if they make an error in their documentation?

Erase the error and continue documenting

Leave the error uncorrected to avoid confusion

Ignore the error as long as the document is not finalized

Correct the error and indicate the change

5. When documenting progress, which of the following is important to include?

The client’s favorite activities

The length of the session only

The context in which behaviors occurred

Personal opinions about the client

6. When documenting in a behavior plan, what type of language should be used?

General and vague

Subjective and opinion-based

Clear, objective, and measurable

Emotional and judgmental

7. Of the following scenarios, which situation would you notify your supervisor of immediately after the session?

Your client has a new reinforcer

You couldn’t find a picture needed for a matching program

Your client is usually cooperative, but today, they pushed stimuli away when presented with instructions

Your client exhibited a novel self-harming behavior

8. What should an RBT do if they observe a behavior that is not in the behavior intervention plan (BIP)?

Ignore the behavior and continue with the session

Document the behavior but take no further action

Immediately intervene using their own methods

Report the behavior to the supervisor and follow guidance

9. What does the term “baseline data” refer to?

Data collected at random points in time

Data collected after the intervention has been implemented

Data that only includes client preferences

Data collected before the intervention begins

10. Which of the following is essential when writing progress notes?

Avoiding all references to client behavior

Documenting subjective impressions about the session

Writing in a way that is not understandable to others

Including specific, measurable data regarding client behavior

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