Competency
Define autism spectrum disorder (ASD) - verified answers; 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 - verified answers; - difficulty relating to others
- insistence on environmental sameness
- stereotypic, repetitive, self-stimulatory behaviors
- wide range of language and communication disorders
Deficits of ASD - verified answers; - social and emotional reciprocity
- verbal and nonverbal communicative behaviors used for social interaction
- developing and maintaining relationships appropriate to the developmental level
PDD-NOS - verified answers; pervasive developmental disorder not otherwise specified
PDD-NOS (pervasive developmental disorder not otherwise specified) - verified answers; 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 - verified answers; 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 - verified answers; - impaired communication
- impaired reciprocal social interaction and restricted
,- repetitive and stereotyped patterns of behaviors or interests
Early autism diagnosis red flags - verified answers; - 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 - verified answers; - 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 - verified answers; one in 36 (2.8%) 8-year-
old children have been identified with ASD
Serial processing in ASD - verified answers; occurs when the brain computes information step-by-step
in a methodical and linear matter
Parallel processing in ASD - verified answers; the processing of many aspects of a problem
simultaneously
Co-morbid diagnosis of ASD - verified answers; OCD, intellectual disability, ADHD, childhood onset
schizophrenia, epilepsy, gastrointestinal conditions and mental health conditions such as depression
and anxiety
Methods of diagnosis for ASD - verified answers; 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 - verified answers; - difficulties in social communication
- restricted, repetitive and sensory behavior or interests
,- levels of support
Role of a QASP-S - verified answers; 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 - verified answers; 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 - verified answers; 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 - verified answers; 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 - verified answers; 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 - verified answers; - 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 - verified answers; - 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 - verified answers; 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 - verified answers; 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 - verified answers; the obligation to retain all communications of any sort that
occur within the therapist-client relationship as private and privileged
Exceptions to client confidentiality - verified answers; - 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 - verified answers; client information that the professional cannot be legally
required to provide; information that an accountant obtains from a client is confidential but not
privileged
Dual relationships between an RBT and a client include - verified answers; - babysitting or provided
respite care for a client that you work with
- attending a social gathering at the invitation of a client or his mother
- providing treatment services to the son or daughter of a friend
Unethical relationship with client - verified answers; sexual or romantic relationships with clients
directly violate one of the fundamental principles of professional ethical behavior — nonmaleficence,
or avoiding actions that cause harm.
Duty to warn - verified answers; mental health professional's responsibility to break confidentiality
and notify the potential victim whom a client has specifically threatened