A unit secretary is chronically late returning from breaks. The rest of the secretary's work is excellent and he is always helpful and supportive of nurses and client families
The nurse manager has discussed the lateness with him, but it has not stopped. Thinking this might be an attention-seeking behavior, the manager decides to use extinction as a strategy. What should the manager do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Offer the secretary a free lunch if he can go 1 week without being late.
2. Ignore the behavior.
3. Place a large alarm clock in the break room and set it each time the secretary takes a break.
4. Plan to be away from the secretary's area during his break times.
5. Tell the secretary that one more late return will result in a written critical incident report.
2,4
Rationale 1: This is a reward, not extinction.
Rationale 2: Extinction occurs when the stimulus to continue the behavior is removed. In this case, the secretary will no longer get the manager's attention.
Rationale 3: This is a not the way an adult should be disciplined.
Rationale 4: If the manager is not there to see the lateness and "reward" the employee with attention, perhaps the behavior will stop.
Rationale 5: If the manager is correct and this is an attention-seeking behavior, a written critical incident is reinforcing the behavior.
Global Rationale:
You might also like to view...
A client who is prescribed losartan for hypertension has stopped taking the drug immediately after experiencing adverse reactions. The nurse would be alert for which of the following due to abrupt discontinuation?
A) Breathing difficulty B) Rebound hypertension C) Orthostatic hypotension D) Anginal attacks
As the patient begins the acute phase of a burn, cautious administration of fluids and electrolytes continues. The nurse knows that this caution is because of what? (Mark all that apply.)
A) Patient is considered in critical condition B) Cardiac function is decreased C) Patient's physiologic responses to the burn injury D) Losses of fluid from large burn wounds E) Shifts in fluid from the interstitial to the intravascular compartment
The common theme between the ANA (2001) Code of Ethics and the ICN (2000) Code of Ethics is:
a. Ethical responsibility to the patient b. Patient care aimed at alleviating suffering c. Promoting health and preventing illness d. Moral reasoning to be used in clinical decision-making
A patient has an international normalized ratio [INR] that is elevated to an unsafe level. A nurse administers vitamin K expecting which therapeutic result?
A. Decrease in pulse pressure B. Increase in mental alertness C. Decrease in bleeding tendency D. Increase in red blood cell [RBC] indices