CBHT Implementing Treatment Plans 2 — Questions and Answers
Question 1: A BHT notices a client is not making progress toward a treatment plan goal despite consistent implementation. What is the most appropriate next step?
- Continue the current approach for several more weeks
- Document the lack of progress and report it to the supervising clinician (Correct answer)
- Independently modify the intervention technique
- Reduce session frequency to give the client a break
Correct answer: Document the lack of progress and report it to the supervising clinician
BHTs must document and report lack of progress to the supervising clinician, who is responsible for modifying the treatment plan.
Question 2: When implementing a token economy system as part of a treatment plan, which step must occur FIRST?
- Deliver tokens immediately after target behavior
- Identify the specific target behaviors to be reinforced (Correct answer)
- Choose the backup reinforcers
- Determine the exchange rate for tokens
Correct answer: Identify the specific target behaviors to be reinforced
Target behaviors must be clearly defined before any other component of a token economy can be implemented.
Question 3: A client's treatment plan includes a goal to reduce self-injurious behavior. During a session, the client engages in the behavior. What should the BHT do?
- Ignore the behavior entirely to avoid reinforcing it
- Follow the behavior intervention plan protocols and ensure client safety (Correct answer)
- End the session immediately
- Provide verbal reprimands to discourage the behavior
Correct answer: Follow the behavior intervention plan protocols and ensure client safety
The BHT must follow established behavior intervention plan protocols while prioritizing client safety.
Question 4: Which data collection method is most appropriate when implementing a treatment plan targeting the frequency of verbal outbursts?
- Duration recording
- Interval recording
- Frequency (event) recording (Correct answer)
- Latency recording
Correct answer: Frequency (event) recording
Frequency recording counts discrete occurrences of a behavior, making it ideal for measuring verbal outbursts.
Question 5: A BHT is implementing a prompting hierarchy for a client learning to dress independently. Which prompt type is LEAST intrusive?
- Full physical guidance
- Partial physical prompt
- Gestural prompt
- Verbal prompt (Correct answer)
Correct answer: Verbal prompt
Verbal prompts are the least intrusive level of assistance in a least-to-most prompting hierarchy.
Question 6: A treatment plan goal states the client will "maintain eye contact for 3 seconds during greetings." This is an example of a goal written with:
- Vague, non-measurable terms
- Observable and measurable criteria (Correct answer)
- Clinically inappropriate benchmarks
- Long-term rather than short-term objectives
Correct answer: Observable and measurable criteria
Specifying a duration (3 seconds) and context (during greetings) makes the goal observable and measurable.
Question 7: During implementation of a social skills training goal, a BHT uses role-play to practice skills. After a successful role-play, the BHT immediately praises the client. This represents:
- Negative reinforcement
- Extinction
- Positive reinforcement (Correct answer)
- Punishment
Correct answer: Positive reinforcement
Delivering praise immediately after a desired behavior increases the likelihood of that behavior occurring again, which is positive reinforcement.
CBHT Implementing Treatment Plans 2
A BHT notices a client is not making progress toward a treatment plan goal despite consistent implementation.
What is the most appropriate next step?