Competency UPDATED ACTUAL Exam
Questions and CORRECT Answers
Define autism spectrum disorder (ASD) - CORRECT ANSWER - a disorder that appears
in childhood and is marked by significant deficiencies in communication and social interaction,
and by rigidly fixated interests and repetitive behaviors
Common characteristics of ASD - CORRECT ANSWER - - difficulty relating to others
- insistence on environmental sameness
- stereotypic, repetitive, self-stimulatory behaviors
- wide range of language and communication disorders
Deficits of ASD - CORRECT ANSWER - - social and emotional reciprocity
- verbal and nonverbal communicative behaviors used for social interaction
- developing and maintaining relationships appropriate to the developmental level
PDD-NOS - CORRECT ANSWER - pervasive developmental disorder not otherwise
specified
PDD-NOS (pervasive developmental disorder not otherwise specified) - CORRECT
ANSWER - one of several previously separate subtypes of autism that were folded into the
single diagnosis of autism spectrum disorder (ASD) with the publication of the DSM-5
diagnostic manual in 2013
Asperger's Syndrome - CORRECT ANSWER - behavioral syndrome characterized by
varying degrees of difficulty in social and conversational skills but normal-to-above-average
intelligence and language development; often accompanied by obsessive preoccupation with
particular topics or routines.
- higher functioning autism
,Triad of primary impairments - CORRECT ANSWER - - impaired communication
- impaired reciprocal social interaction and restricted
- repetitive and stereotyped patterns of behaviors or interests
Early autism diagnosis red flags - CORRECT ANSWER - - repetitive movements such as
hand or finger posturing, flapping, spinning - seeks out or avoids certain textures, sounds or
movements
- visual differences (fixating on objects or certain kinds of stimuli such as the light coming
through blinds, looking at things in odd ways or tracking such things as fan blades, etc. )
Risk factors to ASD - CORRECT ANSWER - - having a sibling with ASD
- having certain genetic or chromosomal conditions, such as fragile X syndrome or tuberous
sclerosis
- experiencing complications at birth.
- being born to older parents
Current CDC statistics and rates for the prevalence of ASD - CORRECT ANSWER - one
in 36 (2.8%) 8-year-old children have been identified with ASD
Serial processing in ASD - CORRECT ANSWER - occurs when the brain computes
information step-by-step in a methodical and linear matter
Parallel processing in ASD - CORRECT ANSWER - the processing of many aspects of a
problem simultaneously
Co-morbid diagnosis of ASD - CORRECT ANSWER - OCD, intellectual disability,
ADHD, childhood onset schizophrenia, epilepsy, gastrointestinal conditions and mental health
conditions such as depression and anxiety
,Methods of diagnosis for ASD - CORRECT ANSWER - When diagnosing autism
spectrum disorder, professionals like pediatricians, psychiatrists, psychologists and speech
pathologists use the Diagnostic and statistical manual of mental disorders (5th edition, Text
revision), or DSM-5-TR, produced by the American Psychiatric Association
Criteria for ASD diagnosis - CORRECT ANSWER - - difficulties in social communication
- restricted, repetitive and sensory behavior or interests
- levels of support
Role of a QASP-S - CORRECT ANSWER - provides behavioral health services under the
supervision of a QBA or above behavior analyst or a licensed or certified professional within the
scope of Applied Behavior Analysis
QABA code of ethics - CORRECT ANSWER - establishes standards for professional
competence, behavior, and responsibility for both ethical practice and enforceable actions as
outlined in the QABA Policies and Procedures
HIPAA benefits - CORRECT ANSWER - ensure that any information disclosed to
healthcare providers and health plans, or information that is created by them, transmitted, or
stored by them, is subject to strict security controls. Patients are also given control over who their
information is released to and who it is shared with
HIPAA limitations - CORRECT ANSWER - may limit how a covered entity (for example,
a health plan or most health care providers) uses or discloses individually identifiable health
information
HIPAA use - CORRECT ANSWER - make sure that individuals' health information is
properly protected while allowing the flow of health information needed to provide and promote
high-quality healthcare, and to protect the public's health and well-being
Retention of records - CORRECT ANSWER - - laws regarding retention vary from state to
state
- 10 years or length of time on statute of limitations
, -minors: 3 years after age of majority
- medicare/Medicaid patient: a minimum of 6 years
- deceased patient: 2 years
Storage of records - CORRECT ANSWER - - storage of client records must be secure
(lock and key/password protected)
-these are sensitive confidential documents
- all consent-related requirements remain in effect as long as case files are maintained
Transportation of HIPAA records - CORRECT ANSWER - rules state that you must send
PHI-related documents through First Class postal mail. In some situations, you must use certified
mail, and the recipient must sign for it. When sending it certified, it's trackable, as well. You
should never use standard mail
Security of records - CORRECT ANSWER - to maintain the confidentiality of patient's
prescriptions or drug orders, there shall exist adequate safeguards for security of the records
whether kept manually or in an ADP system
Client confidentiality - CORRECT ANSWER - the obligation to retain all communications
of any sort that occur within the therapist-client relationship as private and privileged
Exceptions to client confidentiality - CORRECT ANSWER - - a duty to warn (if someone
plans on killing someone)
- suspected child or elder abuse
- direct threat against a direct entity
(make sure patient knows you cannot promise to keep secrets)
Privileged information - CORRECT ANSWER - client information that the professional
cannot be legally required to provide; information that an accountant obtains from a client is
confidential but not privileged