RBT Documentation and Reporting Quiz (2025 Version)

RBT Documentation & Reporting Quiz

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1 / 50

1. Diego receives a text message from his client's father sharing that the client had a successful morning routine at home using the visual schedule. How should Diego document this information?

A. Tell the father to report it directly to the BCBA instead

B. Not document it since it happened outside the therapy session

C. Document the reported success in his next session note, clearly indicating it was reported by the father via text

D. Wait to document it until he observes similar success himself

2 / 50

2. Sofia is documenting an unplanned intervention for a new challenging behavior that emerged during her session. How should she structure this documentation?

A. Focus only on the successful aspects of the regular session plan

B. Mention that she handled an unexpected behavior without specific details

C. Document thoroughly: antecedent, specific behavior observed, intervention implemented, outcome, and plan to consult supervisor for guidance

D. Document that the formal behavior plan needs to be changed immediately

3 / 50

3. Malik observes that his client's behavior deteriorates significantly on days when the client reports getting less than 8 hours of sleep. What information should Malik include when documenting this pattern?

A. His recommendation that the parents enforce an earlier bedtime

B. Only the behavioral data without mentioning sleep, as sleep is outside his scope

C. A note that the client should be referred to a sleep specialist

D. Objective documentation of reported sleep duration and corresponding behavioral data to identify potential correlations

4 / 50

4. Fatima has been collecting data on Marcus's self-injurious behavior for two weeks. When graphing the data for her supervisor, she notices the data points don't show the improvement she expected. What should Fatima do when reporting these results?

A. Adjust some data points to show a clearer trend that matches her therapeutic intuition

B. Present only the data points that show improvement to encourage the family

C. Accurately report all data points exactly as recorded regardless of the trend shown

D. Wait another week before reporting to see if a more positive trend emerges

5 / 50

5. Samira is documenting a parent training session where she taught reinforcement strategies. What key elements should she include in her documentation?

A. Detailed information about which strategies were taught, parent practice opportunities, questions asked, and recommendations for implementation at home

B. Only the successful aspects of the training to encourage the parent

C. Just the duration of the training session and general topic covered

D. A brief statement that parent training was completed successfully

6 / 50

6. Jordan noticed during a session that his 7-year-old client Eliza was less responsive than usual and appeared flushed. When documenting this observation, what should Jordan include in his session notes?

A. Only behavioral data without mentioning physical observations since he is not a medical professional

B. A detailed clinical assessment of what might be causing Eliza's symptoms

C. Objective observations of Eliza's behavior and physical appearance without diagnostic conclusions

D. His personal opinion about whether Eliza should be sent home or remain in therapy

7 / 50

7. Tiana realizes she made an error in yesterday's session note, incorrectly recording that her client completed 80% of tasks independently when the actual figure was 60%. What is the proper procedure for correcting this documentation error?

A. Add a completely new note explaining the error without modifying the original

B. Follow the organization's protocol for amendments, which typically involves striking through the error with a single line, writing the correction, adding her initials and date of correction

C. Leave the incorrect note as is but ensure future notes are accurate

D. Create a new, correct note and delete the original to avoid confusion

8 / 50

8. Sasha needs to document that her client's progress is being affected by inconsistent attendance. What is the most appropriate way to document this pattern?

A. "Client attended 4/8 scheduled sessions in April. Data shows skill acquisition progressing at reduced rate (20% gain) compared to previous month with full attendance (35% gain). Pattern of cancellations noted in documentation."

B. "Family needs to prioritize therapy appointments"

C. "Client's lack of progress is due to poor attendance"

D. "Progress is slow due to family factors"

9 / 50

9. Claire needs to document a parent's concern that their child's behavior is worse on days when a particular therapist works with them. How should she document this sensitive information?

A. Ignore the concern since it involves another staff member

B. Tell the parent to speak directly to the other therapist

C. Investigate whether the concern is valid before documenting

D. Document objectively: "Parent reported on 4/9 that they observe increased tantrums on days when child works with Therapist X. Informed supervisor of concern per protocol."

10 / 50

10. Elena's client had a significant behavioral incident during a session that required implementing crisis procedures. When documenting this event, what approach should Elena take?

A. Document comprehensively including antecedents, behaviors, interventions used, and outcome in objective language

B. Write minimal information to protect the client's dignity

C. Record only that an incident occurred without specific details

D. Emphasize that the incident was unpredictable and not related to the session activities

11 / 50

11. 48
Wei is documenting a program modification suggested by his supervisor. How should he record this change in his session notes?

A. Note that the program was changed because it wasn't working

B. Simply implement the change without documentation

C. Document specifically: "Per BCBA direction on 4/8, modified prompt hierarchy for handwashing program from least-to-most to most-to-least. Baseline data collected today using new procedure."

D. State that the supervisor thinks the new approach will work better

12 / 50

12. Zara is documenting a reduction in her client's self-stimulatory behavior during focused tasks. Which documentation approach is most appropriate?

A. "Self-stimulatory behavior (hand flapping) observed 15 times during focused tasks this week, decreased from baseline average of 27 times per session. Independent task completion increased from 60% to 75% during same period."

B. "Client is finally controlling his stims when working"

C. "Client is making good progress with reducing inappropriate behaviors"

D. "Client's stims are less disruptive to learning now"

13 / 50

13. Mateo needs to report that his client's challenging behavior may be linked to a reported change in medication. How should he document this observation?

A. Suggest that the doctor should change the medication back

B. Note that medication adjustments are making therapy difficult

C. Make a definitive statement that the medication is causing behavior changes

D. Document objectively: "Parent reports medication changed from X to Y three days ago. Data shows challenging behavior frequency increased from average of 5 instances per session to 12 instances per session during this same timeframe. BCBA notified of potential correlation."

14 / 50

14. Omar is writing a progress note after working with his client on tooth brushing skills. The client completed 4 out of 10 steps independently. How should Omar document this information?

A. "Client completed 4/10 steps of tooth brushing task analysis independently: wetting toothbrush, applying toothpaste, brushing front teeth, and rinsing toothbrush."

B. "Client still struggling with tooth brushing routine but trying hard."

C. "Client completed less than half of tooth brushing steps, needs significant improvement."

D. "Client had a good session and is making progress with tooth brushing."

15 / 50

15. Imani has been instructed to track her client's prompt dependence during academic tasks. What information should she include when documenting this data?

A. Specific data on prompt levels required for each step of the task, frequency of prompt requests, and any independent responses

B. Her assessment of why the client requires so many prompts

C. Only information about successful completion of academic tasks

D. General statements about whether the client seems dependent on prompts

16 / 50

16. Rafael is writing a session note about a community outing where his client practiced crossing streets safely. What specific safety information should he document?

A. Statement that the client needs more practice with safety skills

B. Detailed safety data: "Client responded to safety instructions with 1 verbal prompt at 3/4 street crossings. One instance of moving toward street without looking required physical prompt for safety. Continued practice recommended with focus on scanning before stepping off curb."

C. Only successful instances of safe street crossing

D. General statement that safety skills were practiced

17 / 50

17. Gianna needs to document her client's progress in a social skills group setting. What specific information should her notes include?

A. Focus only on whether the client seemed to enjoy the group

B. General statement that the client participated in group activities

C. Detailed information: which social skills were targeted, client's specific interactions with peers, prompting required, and progress toward individual social goals in the group context

D. Comparison of the client's performance to other group members

18 / 50

18. Jackson needs to document a phone conversation with a client's grandmother who has questions about implementing behavior strategies at home. What should his documentation include?

A. Only that he referred the grandmother to the BCBA

B. His assessment of whether the grandmother will implement strategies correctly

C. Comprehensive documentation: date/time of call, specific questions asked, information provided, clarification that implementation guidance should come from BCBA, and that supervisor was informed of the conversation

D. Brief note that a family member called with questions

19 / 50

19. Noah is filling out his contact note after a particularly challenging session where several crisis procedures were needed. What should he avoid when documenting this difficult session?

A. Recording the duration and intensity of behavioral incidents

B. Using emotional or judgmental language like "client was defiant" or "terrible session"

C. Documenting the specific crisis procedures implemented

D. Including specific information about behaviors observed

20 / 50

20. Raj notices that his client's attention-seeking behavior increases significantly when the grandfather is present during sessions compared to when only parents are home. How should Raj document this observation?

A. Suggest to the family that the grandfather should leave during sessions

B. Simply note that the client was more distracted than usual

C. Not mention the grandfather's presence as it might seem accusatory

D. Document objectively: "During today's session, client exhibited attention-seeking behavior (interrupting, loud vocalizations) 15 times during 20-minute period when grandfather was present, compared to average of 3 times during same timeframe in previous sessions when only parents were present."

21 / 50

21. Damon is creating a graph of his client's data for a progress report. The graph shows high variability in performance. How should he represent this information?

A. Only include the best performance days to show capability

B. Create a more smoothed trend line that shows general progress

C. Plot all actual data points accurately, even if variable, and include phase change lines for any program modifications

D. Average the data into weekly points to reduce visible variability

22 / 50

22. Theo is documenting program data for a 5-year-old client working on identifying emotions. The data shows inconsistent performance across different emotions. How should Theo report this data?

A. Specific performance breakdowns: "Client correctly identified 'happy' 9/10 trials, 'sad' 8/10 trials, 'angry' 3/10 trials, and 'scared' 2/10 trials across 5 different activities"

B. "Client is making good progress with emotions identification"

C. "Client correctly identified emotions 55% of the time"

D. "Client struggles with identifying emotions"

23 / 50

23. Hector is documenting data on his client's tantrum behavior. The data shows the behavior occurs most frequently during transitions between activities. How should he present this observation?

A. "Transitions should be minimized to prevent tantrums"

B. "Data indicates tantrum behavior occurred during 7/8 observed transitions (88%) compared to 2/14 (14%) during structured activities. Average duration during transitions was 4.3 minutes."

C. "Client needs more work on transitions"

D. "Client hates transitions and always tantrums"

24 / 50

24. Kai has been collecting data on his client's aggressive behavior using a frequency count. During today's session, he forgot his data sheets and recorded tallies on a napkin. What should Kai do when officially documenting this data?

A. Transfer the exact data from the napkin to the official data sheet, noting that it was initially recorded on alternate material

B. Round up the numbers to account for any instances he might have missed

C. Estimate what the data might have been based on previous sessions

D. Wait until tomorrow's session to restart data collection with proper materials

25 / 50

25. Zach is writing a session note about a community outing with his teenage client. During the outing, the client successfully ordered food at a restaurant but became overwhelmed in the crowded environment afterward. What is the most appropriate way for Zach to document this session?

A. Primarily document the difficulties to ensure the BCBA doesn't schedule more community outings

B. Write a detailed note including both the successful ordering and the client's subsequent difficulty, objectively describing behaviors observed

C. Simply state that the community outing was "partially successful" without specific details

D. Focus only on the successful ordering to keep the session note positive

26 / 50

26. Luis needs to document that his client's mother reports implementing behavior strategies inconsistently at home. What is the most appropriate way to document this information?

A. "Family needs more parent training to ensure compliance"

B. "During check-in, mother reported implementing reinforcement protocol 'about half the time' due to 'being too busy with other children.' Offered to review simplified strategies next session."

C. "Mother is non-compliant with home program recommendations"

D. Not document this information since it might appear critical of the parent

27 / 50

27. Yara observes that her client responds differently to token reinforcement depending on which items are available in the token store. How should she document this observation?

A. "Token system needs modification"

B. "Client is being picky about reinforcers"

C. "Client only works for electronic privileges"

D. "Data indicates differential responding to token system based on available backup reinforcers. When electronic items available, client earned average 85% of possible tokens; when only art supplies available, client earned average 40% of possible tokens."

28 / 50

28. Lina observes that her client Aiden has started taking a new medication according to his mother. What is the most appropriate way for Lina to document this information?

A. Simply write that Aiden seems different without mentioning medication

B. Not document it as medication information is private medical information

C. Note that Aiden is taking "some new medicine" without recording specific details

D. Document the specific medication name, dosage, and start date as reported by the mother

29 / 50

29. Mira needs to document a conversation where the client's teacher shared concerns about the client's performance in the classroom. What is the most appropriate documentation approach?

A. Tell the teacher to contact the BCBA directly instead of documenting the conversation

B. Offer solutions to the teacher's concerns in the documentation

C. Document specific concerns shared by the teacher, using quotation marks for direct quotes, and note the plan to relay this information to the BCBA

D. Paraphrase the teacher's concerns in general terms

30 / 50

30. Layla needs to report an ethical concern regarding another RBT's documentation practices. What information should she include in her report?

A. A suggestion for appropriate disciplinary action

B. General concerns without specific details to avoid causing trouble

C. Her interpretation of why the other RBT might be making documentation errors

D. Objective, factual observations of specific incidents witnessed, dates, times, and any relevant documentation discrepancies noted

31 / 50

31. Marco notices that his client's maladaptive behaviors have increased significantly since returning from winter break. What information should Marco include when reporting this observation to his supervisor?

A. A recommendation to change the behavior intervention plan immediately

B. Objective comparison of data before and after the break, noting specific behavior changes without speculation about causes

C. A statement that the client is being uncooperative since returning from break

D. His opinion that the parents likely didn't follow through with the behavior plan during the break

32 / 50

32. Ahmed discovers that he accidentally documented data for the wrong client yesterday. What is the appropriate correction process?

A. Follow proper amendment procedures: mark the error according to organizational protocol, correctly reassign the data, document the error and correction, and inform supervisor

B. Leave the documentation as is since correcting it would call attention to the error

C. Delete the incorrect documentation and create a new correct entry

D. Create new documentation for the correct client without addressing the error

33 / 50

33. Bianca is writing a discharge summary for a client who has completed their authorized therapy hours. What essential elements must be included in this documentation?

A. Only positive outcomes to ensure family satisfaction

B. Brief statement that services were completed successfully

C. Focus primarily on goals not yet achieved to justify continued services

D. Comprehensive summary including initial presenting concerns, goals addressed, progress data, current status, and recommendations for maintaining gains

34 / 50

34. Lin is documenting her client's progress with a toilet training protocol. Her client had two successful uses of the toilet and three accidents during today's 3-hour session. What information should Lin include in her documentation?

A. Complete data: "Client independently used toilet 2/5 opportunities (10:15am, 11:30am) and had accidents 3/5 opportunities (9:30am, 12:15pm, 1:00pm). Each success followed the protocol prompt hierarchy."

B. A general statement that toilet training is progressing slowly

C. Emphasis on the accidents to justify continuing the program

D. Only the successful toilet uses to focus on progress

35 / 50

35. Aaliyah notices while reviewing her data that her client has mastered one target skill but is showing no progress on another after three weeks. How should she document this observation for her supervisor?

A. Document objectively: "Data indicates client has met mastery criteria (80% independent across 3 sessions) for requesting with picture exchange, but shows no improvement in waiting tolerance (baseline 5 seconds, current average 4 seconds) after 3 weeks of intervention."

B. Note that the client is being resistant to learning the second skill

C. Focus only on the mastered skill in her report

D. Suggest modifications to the program for the skill showing no progress

36 / 50

36. Darius observes that his adolescent client appears to be responding to internal stimuli (laughing at nothing, talking to self) during today's session, which is new behavior. How should he document this observation?

A. Document objectively: "Client observed laughing without apparent external stimulus at 10:15, 10:42, and 11:05. Client observed making whispered statements to self while looking at empty corner at 10:30 for approximately 3 minutes."

B. Simply note that the client was distracted today

C. Label the behavior as "hallucinations" in his documentation

D. Not mention it since it might be diagnostic in nature

37 / 50

37. Nico is documenting a skill maintenance program for a client who previously mastered greetings but has shown regression. What should his documentation include?

A. "Maintenance probe data indicates decline in greeting skills from previous mastery level (100% independent) to current performance (40% independent). Recommendation to reintroduce direct instruction on this target."

B. "Client has forgotten previous skills"

C. "Client inconsistently uses greeting skills"

D. "Client isn't trying to maintain previous skills"

38 / 50

38. Victor needs to document that his session started late because the client was finishing homework when he arrived. What information should be included in his note?

A. Just the actual session duration without explaining the late start

B. Simply adjust the scheduled start time in the documentation

C. "Session began at 4:15pm instead of scheduled 4:00pm because client was completing homework upon arrival. Session extended to 5:15pm to provide full 60 minutes of therapy."

D. "Family was not ready for session on time"

39 / 50

39. Keisha's client has been working on independent handwashing. Today, he completed all steps independently for the first time. What is the most appropriate way to document this milestone?

A. "Handwashing goal has been achieved"

B. "Hooray! Client finally mastered handwashing today!"

C. "Client did great with handwashing today"

D. "Client independently completed all 8 steps of handwashing sequence on 3/3 opportunities today, requiring no prompts. This represents first instance of complete independence since program began on 3/15."

40 / 50

40. Priya needs to document a significant change in her client's routine - the family is moving to a new home next week. How should she record this information?

A. Advise the family against moving during ongoing therapy

B. Document objectively: "Parent reported family is moving to new home on 4/15. Will monitor for any effects on client's program."

C. Schedule extra sessions to help the client adjust

D. Not document it since it's personal family information

41 / 50

41. Carlos is writing daily session notes for insurance billing purposes. Which of the following would be considered inappropriate content in these notes?

A. Personal judgments about family dynamics: "Parents don't seem committed to the program"

B. Documentation of specific techniques implemented during the session

C. Objective description of client progress toward treatment goals

D. Specific data on target behaviors addressed during the session

42 / 50

42. Jasmine needs to document a conversation with her client's mother who reported concerns about new behaviors at home not seen during therapy sessions. What should Jasmine include in her documentation?

A. The mother's specific concerns, using quotation marks for direct quotes, noting that the behaviors were reported rather than observed

B. Her clinical impression of what might be causing these home behaviors

C. Only therapeutic goals addressed during the session, since the home behaviors weren't observed directly

D. A reassurance that the behaviors are probably nothing to worry about

43 / 50

43. Devon's client made significant progress on her communication goal during today's session, using her communication device independently for the first time. How should Devon document this breakthrough?

A. "Great progress today on communication goals."

B. "Amazing session today! Client finally used her communication device!"

C. "Client demonstrated independent use of communication device to request preferred items during 5/7 opportunities, a significant improvement from previous sessions requiring physical prompting."

D. "Client successfully used communication device with minimal prompting."

44 / 50

44. Nadia needs to report a minor injury that occurred during her session when her client scraped his knee during outdoor play. What information must be included in her incident report?

A. A detailed account including antecedents, description of the injury, first aid provided, and notification of parents and supervisor

B. Just enough information to satisfy paperwork requirements while downplaying the incident

C. A promise that such incidents won't happen again in future sessions

D. Only the basic fact that an injury occurred to avoid liability issues

45 / 50

45. Jamal needs to write a cancellation note when his client is not available for a scheduled session due to illness. What information should his documentation include?

A. Only that the session was cancelled

B. His opinion about whether the illness seemed legitimate

C. Date, time, reason for cancellation as reported by parent, who provided notification and when, and any rescheduling arrangements discussed

D. A request for a doctor's note to verify the illness

46 / 50

46. Niko has been tracking his client's mealtime behavior for a feeding program. Today, the client tried a new food texture for the first time. How should this be documented?

A. "Client willingly placed and tolerated puréed vegetables in mouth for 5 seconds before expelling, representing first acceptance of this texture category. Previously rejected at approach phase."

B. "Client tried vegetables today"

C. "Great progress in feeding therapy today"

D. "Feeding program moving in positive direction"

47 / 50

47. Ayesha is documenting a skill acquisition program for tooth brushing. Her client has made progress but still requires gestural prompts for some steps. How should she document the current prompt level?

A. "Client needs help with tooth brushing"

B. "Client is doing great with tooth brushing"

C. "Client still not independent with tooth brushing routine"

D. "Client requires varying levels of prompts for tooth brushing steps: steps 1-3 independent, steps 4-6 gestural prompts, step 7 independent"

48 / 50

48. Olivia notices her client shows increased stereotypy during sessions that occur immediately after physical education class. How should she document this pattern?

A. "Client can't focus after PE class"

B. "Client needs to calm down after physical activity"

C. "Schedule should be changed to avoid therapy after PE"

D. "Data indicates stereotypical behavior (body rocking) occurs at increased frequency (15-20 instances per hour) during sessions following PE compared to other sessions (3-5 instances per hour). Pattern observed across 4 consecutive weeks."

49 / 50

49. Amara's client has a seizure during their session, which was handled according to the client's safety plan. After ensuring the client's wellbeing, what documentation must Amara complete?

A. A note that the session was interrupted without specific medical details

B. Basic session notes only, since the seizure is a medical event

C. Comprehensive incident report including seizure description, duration, actions taken, and notifications made according to the organization's protocol

D. Documentation can wait until the supervisor reviews the situation

50 / 50

50. Leila needs to document that her session ended 15 minutes early because her client became ill. What is the most appropriate documentation approach?

A. Reschedule the missed 15 minutes without documenting the early termination

B. Simply reduce the billable time without explanation

C. Note the early termination and reason objectively: "Session ended at 4:45 pm instead of scheduled 5:00 pm due to client exhibiting symptoms of illness (vomiting once, complained of stomach pain). Parent was notified immediately."

D. Write that the session was "adjusted for client comfort"

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RBT Documentation and Reporting Quiz (2025 Version)

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