The mother of an 8-year-old client being treated for conduct disorder says that the child often threatens to "kung-fu" (kick and strike) the client's sister just like a favorite cartoon character does on TV
Based on behavioral theory, the nurse would suspect that the child's aggressive behavior could best be reduced by: 1. Administering a medication that will increase the neurotransmitter serotonin.
2. Engaging the client and sister in family therapy.
3. Providing positive reinforcement when the child exhibits nonaggressive behavior.
4. Identifying and reframing the negative thoughts that the child has toward the sister.
3
Rationale: Behavioral theory asserts that aggressive behavior is a learned response that tends to be repeated if reinforced. Watching violent TV programs serves as reinforcement. Lack of reinforcement or reinforcing other more desirable behaviors will help extinguish the aggressive behavior. Administration of medication suggests neurotransmitter abnormality as the origin for aggression supporting a biological, not behavioral, etiology. Thought reframing is a cognitive intervention used when it is believed that aggression stems from an individual's negative or distorted thought process. Interpersonal theorists pose that violence stems from poor family dynamics and recommend family therapy as an intervention.
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