QASP EXAM STUDY GUIDE BASED ON
COMPETENCY QUESTIONS WITH
COMPLETE SOLUTION
Define autism spectrum disorder (ASD) - 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 - - difficulty relating to others
- wide range of language and communication disorders
Deficits of ASD - - social and emotional reciprocity
- verbal and nonverbal communicative behaviors used for social interaction
- developing and maintaining relationships appropriate to the developmental level
PDD-NOS - pervasive developmental disorder not otherwise specified
PDD-NOS (pervasive developmental disorder not otherwise specified) - 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 - 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 - - impaired communication
- impaired reciprocal social interaction and restricted
,- repetitive and stereotyped patterns of behaviors or interests
Early autism diagnosis red flags - - 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 - - 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 - one in 36 (2.8%) 8-year-old children have
been identified with ASD
Serial processing in ASD - occurs when the brain computes information step-by-step in a methodical and
linear matter
Parallel processing in ASD - the processing of many aspects of a problem simultaneously
Co-morbid diagnosis of ASD - OCD, intellectual disability, ADHD, childhood onset schizophrenia, epilepsy,
gastrointestinal conditions and mental health conditions such as depression and anxiety
Methods of diagnosis for ASD - 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 - - difficulties in social communication
- restricted, repetitive and sensory behavior or interests
- levels of support
,Role of a QASP-S - 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 - 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 - 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 - 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 - 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 - - 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 - - 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 - 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 - 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 - the obligation to retain all communications of any sort that occur within the
therapist-client relationship as private and privileged
Exceptions to client confidentiality - - 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 - 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 - - 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 - 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 - mental health professional's responsibility to break confidentiality and notify the
potential victim whom a client has specifically threatened
Duty to report - legal responsibility of health and education professionals to report suspected abuse,
neglect, self-harm, or harm to others
Steps in mandated reporting - reports can be make by calling 1-855-GA-Child (1-855-422-4453) or online
at cps.dhs.ga.gov. The Department of Family and Child Services (DFCS) receives the report and then
sends out a social worker to determines if there is cause for an investigation
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