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[U4Q] Keefe has been contracted to provide services in several classrooms at a local elementary school. During a recent meeting, the school asked Keefe to recommend a placement change for Alicia, a client in one of the classrooms. Alicia has made progress with her peers in the classroom, and a placement change may disrupt this progress. Which ethics standard should the behavior analyst consider in this scenario?

[U4Q] Harmony has been working with a client for almost five years. She conducted the initial assessment for the client and had the parents sign a parent handbook at that time. The parent handbook included all relevant information about services, BACB requirements, licensure requirements, and additional policies. Since the initial assessment, BACB and licensure requirements have changed. Harmony has verbally discussed these changes with the parents but has not provided them with an updated parent handbook to sign. Which ethics standard is being violated in this scenario?

[U4Q] Deb is working with a client whose parents are separated. When services began, all parties agreed not to conduct services at the mother’s house. Recently, both parents have asked that Deb conduct services when the client is visiting his mother. They also asked that Deb include the client’s mother in all relevant updates. Which ethics standard should the behavior analyst consider in this scenario?

[U4Q] Haile is a BCBA who has completed an assessment for a client. He presents the assessment findings and his professional recommendation of hours to the parent. The parent informs Haile that they believe the client needs more hours than recommended because having a therapist at home helps them keep the client occupied while they work. Which ethics standard should Haile consider in this scenario?

[U4Q] Moira is a BCBA who works with Gina. During a skills assessment, Moira notices that Gina has significant motor deficits. When asked, Gina’s mom says they do not have an OT and they do not want to begin OT services. Moira’s cousin is an OT who works for Moira’s company, so she brings him in to do an assessment of Gina without speaking with her mother. Which ethics standard is being violated in this scenario?

[U4Q] Samuel has started working at a new agency and is beginning to build his caseload. He reviews a case file and decides to work with a client who has significant feeding issues. Although Samuel does not currently have experience working with feeding issues, he believes he can gain the necessary experience quickly while working with this client. Which ethics standard is being violated in this scenario?

[U4Q] Lorena started working with a client on Monday. After implementing services, she meets with the client’s caregivers a week later to discuss compensation and billing practices. Which ethics standard is being violated in this scenario?

[U4Q] Jaxson, a BCBA, receives notice of a personal emergency that will interrupt the services he provides his clients for two months or more. Due to the nature of the emergency, Jaxson has not had time to arrange for the continuation of behavioral services. What is Jaxson’s best course of action in this scenario?

[U4Q] Aisha is a BCBA working with a client who also receives speech therapy and occupational therapy (OT) services. The parent wants Aisha to collaborate with all of the providers on their team, sharing assessment results, the behavior plan, and any collected data. Aisha is suspicious of OT services in general, as she has read that sensory integration, a popular OT intervention, is not evidence-based. Which is the best course of action for Aisha to take in this situation?

Establishing __________ is the priority element to the nurse/patient relationship.