The psychiatric–mental health nurse is asked to prepare an educational conference for unlicensed staff working in a day treatment program for hyperactive children with borderline intelligence
Using fundamental concepts of cognitive behaviorist theory, which of the following conference exercises would the nurse include? 1. Have a contest to choose the best staff-designed time-out room where children can comfortably spend significant periods alone.
2. Include sessions for staff to practice talking with parents about the benefits of having their child transferred to an institutional setting where he or she would have access to highly trained experts.
3. Ask staff to work in teams to develop a token economy program that uses a prescribed daily routine and reinforcers for the children.
4. Show a brief movie that demonstrates the simplicity of using behavior modification.
3
Rationale: In token economies, clients follow prescribed schedules for daily living in which they are rewarded for desired behavior by token reinforcers, such as food, candy, and verbal approval. Time-outs are only used for short periods of isolation to decease undesired behavior. Children with hyperactivity or borderline intelligence can be treated in the home when parents are taught how to use effective approaches. Treatment no longer requires the presence of highly trained experts. Behavior modification is complex, and nonprofessional staff must be taught the effective use of behaviorist principles to eliminate chronic, maladaptive behavior.
You might also like to view...
Nicotine has a variety of effects on nicotinic receptors throughout the body. Which of the following is NOT an effect of nicotine?
1. Vasodilation and decreased heart rate 2. Increased secretion of gastric acid and motility of the GI smooth muscle 3. Release of dopamine at the pleasure center 4. Stimulation of the locus coeruleus
If a woman has the pre-existing condition of diabetes, the nurse knows that she would be prone to what high-risk factor when pregnant?
1. Vasospasm 2. Postpartum hemorrhage 3. Episodes of hypoglycemia and hyperglycemia 4. Cerebrovascular accident (CVA)
A client with antisocial personality disorder tells a nurse at a psychiatric day-treatment program, "Wow, you look great today! I'm so glad you're on duty today. You're the best nurse who works here, you know"
The nurse should correlate the client's statements with which behavior? A) Impulsivity B) Manipulation C) Failure to conform to norms D) Inability to delay gratification
A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive disorder tells the nurse, "I failed my battalion by giving the wrong order. Fortunately, no one was injured"
Which nursing diagnosis should the nurse assign to this client? A. Chronic low self-esteem B. Risk for self-directed violence C. Powerlessness D. Situational low self-esteem