A client diagnosed with a CVA is receiving IV NS infusing per an IV pump at 75 mL/hr. The pump malfunctions. The nurse uses tubing with a drop factor of 15 gtt/mL with volume control set to avoid fluid overload.  How will the nurse set the IV to infuse per gravity (gtt/min) while awaiting delivery of a functioning IV pump?

[U4Q] Tristan, a BCBA, has been working with six-year-old Charley on compliance with parental requests. Charley has made significant progress, and Tristan decides that treatment is no longer necessary. While the caregivers are pleased with the therapy’s results, they are surprised by the abrupt ending and have questions about continuing strategies as Charley grows older. Which ethics standard is being violated in this scenario?

[U4Q] Orlando, a behavior analyst, is contracted to work with a few clients at a school in his local school district. Mr. Dan, the school’s principal, provides Orlando with information on a new client they would like Orlando to provide services for while he’s at the school. As he reads the information, Orlando realizes the client is his girlfriend’s little sister. He tells Mr. Dan that he cannot take the case due to this. Mr. Dan tells Orlando that it is not a problem because he will provide the services at the school. Mr. Dan also says that no one else can provide services to this client. Orlando agrees to provide these services. Which ethics standard is being violated?

[U4Q] Gemma has provided services to her client, Joey, for over five years. His parents mention that they’re moving in the next three months for a new job. They say they will transfer Joey to a provider closer to their new home who accepts the new job’s insurance. While they initially agree to continue services until the move, Gemma realizes the current behavior plan will expire in one month. Not wanting to complete additional paperwork for little benefit, she suggests they take a break from services when the plan ends so Joey and family can focus on the move. After collaborating with the new ABA company, they all agree on the transition plan. Which ethics standard is being violated in this scenario? 

[U4Q] Kojo works as a BCBA in a school district. One of the students has had a recent increase in challenging behavior, and he wants to implement a response-cost procedure. Kojo discusses it with the teacher but is unable to contact the parents. The teacher says the parents are very easygoing and generally approve of any suggested procedures, so Kojo puts the procedure in place. Which ethics standard is being violated 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] 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] When Eric meets with his new client’s parents in their home, they mention they recently attended a holistic medicine retreat and would love to implement some of the practices with their son Julian. Eric is wary about these practices. However, the parents are excited to record data on Julian’s progress under the new practices. Eric agrees, hoping the process encourages the parents’ commitment to monitor data and that, eventually, they will see the ineffectiveness of these practices. What ethics standard is Eric violating most in this scenario?

[U4Q] Leo’s client, Jorge, will attend a new school in the fall. Jorge will receive special education, speech therapy, and occupational therapy services. The school has requested that Leo provide treatment goals to each of these teams and attend monthly meetings to discuss Jorge’s progress. Which ethics standard should Leo consider in this scenario?

In the documentary, “Chasing Zero: Winning the War on Healthcare Harm,” what is the overarching (overall) concept behind the strategies proposed to reduce harm?