SECTION 3: INTERVENTION TRANSCRIPT – KEY CLINICAL
DECISIONS
PRE-INTERVENTION PROCEDURES
QUESTION 1
Before initiating intervention with Oliver, what is the most critical procedural step to
ensure ethical and effective treatment?
A) Select the highest intensity level of cueing to save time
B) Review the previous assessment results and establish behavioral objectives based
on baseline data
C) Allow the client to choose any activity regardless of goal alignment
D) Begin treatment immediately to establish rapport
ANSWER: B
RATIONALE: Intervention must be data-driven. Reviewing baseline data ensures therapy
targets are set at the appropriate level (Zone of Proximal Development)
INTERVENTION TRANSCRIPT PURPOSE
QUESTION 2
In the COMD 674 framework, the "Intervention Transcript" primarily serves to:
A) Document the client's exact words for billing purposes
B) Provide a sequential record of clinician-client interaction including cues, responses,
and modifications
C) Replace the need for a formal IEP
D) List the clinician's personal observations about the client's family
ANSWER: B
RATIONALE: The transcript is a clinical tool for analyzing the contingent relationship
between clinician cues and client responses
, INTERVENTION APPROACH
QUESTION 3
Based on Oliver's developmental delays, which intervention approach is most
appropriate?
A) Whole Language Approach
B) Developmental or Milieu Teaching Approach
C) Facilitated Communication
D) Auditory Verbal Therapy
ANSWER: B
RATIONALE: For pediatric developmental delays involving speech, language, and feeding
concerns, a developmental or milieu teaching approach is typically indicated. This
approach focuses on naturalistic, play-based intervention targeting multiple domains
ESTABLISHING THERAPY GOALS
QUESTION 4
Before presenting the first stimulus or activity, the clinician should ensure:
A) The client is seated in a noisy environment to test resilience
B) The client's attention is secured and they understand the response contingency
C) The lights are dimmed to reduce distraction
D) All verbal models are withheld to encourage independence
ANSWER: B
RATIONALE: Establishing a clear stimulus-response-consequence contingency is
essential for therapy success, especially with young children with developmental delays
DECISIONS
PRE-INTERVENTION PROCEDURES
QUESTION 1
Before initiating intervention with Oliver, what is the most critical procedural step to
ensure ethical and effective treatment?
A) Select the highest intensity level of cueing to save time
B) Review the previous assessment results and establish behavioral objectives based
on baseline data
C) Allow the client to choose any activity regardless of goal alignment
D) Begin treatment immediately to establish rapport
ANSWER: B
RATIONALE: Intervention must be data-driven. Reviewing baseline data ensures therapy
targets are set at the appropriate level (Zone of Proximal Development)
INTERVENTION TRANSCRIPT PURPOSE
QUESTION 2
In the COMD 674 framework, the "Intervention Transcript" primarily serves to:
A) Document the client's exact words for billing purposes
B) Provide a sequential record of clinician-client interaction including cues, responses,
and modifications
C) Replace the need for a formal IEP
D) List the clinician's personal observations about the client's family
ANSWER: B
RATIONALE: The transcript is a clinical tool for analyzing the contingent relationship
between clinician cues and client responses
, INTERVENTION APPROACH
QUESTION 3
Based on Oliver's developmental delays, which intervention approach is most
appropriate?
A) Whole Language Approach
B) Developmental or Milieu Teaching Approach
C) Facilitated Communication
D) Auditory Verbal Therapy
ANSWER: B
RATIONALE: For pediatric developmental delays involving speech, language, and feeding
concerns, a developmental or milieu teaching approach is typically indicated. This
approach focuses on naturalistic, play-based intervention targeting multiple domains
ESTABLISHING THERAPY GOALS
QUESTION 4
Before presenting the first stimulus or activity, the clinician should ensure:
A) The client is seated in a noisy environment to test resilience
B) The client's attention is secured and they understand the response contingency
C) The lights are dimmed to reduce distraction
D) All verbal models are withheld to encourage independence
ANSWER: B
RATIONALE: Establishing a clear stimulus-response-consequence contingency is
essential for therapy success, especially with young children with developmental delays
