UP NHM CHO 7 Sept 2022(shift-1st)
Mental Health Nursing
Medium
A form of behaviour therapy that may be used to enhance desired behaviour in mentally challenged clients would be:
Appeared in: UP NHM CHO 7 Sept 2022(shift-1st)
Explanation
- The question asks for a therapy to 'enhance desired behaviour', which points to techniques based on reinforcement.
- Enhancing social interaction is a therapeutic goal achieved through Social Skills Training, a well-established behavior therapy technique.
- Social Skills Training uses methods like modeling, role-playing, and positive reinforcement to teach and strengthen appropriate social behaviors.
- This approach focuses on building positive skills rather than punishing negative actions, making it ideal for promoting desired conduct.
Why Other Options Were Wrong
- Option A: Strict discipline is a punitive, non-therapeutic approach that can be harmful and is not a recognized technique in modern behavior therapy.
- Option B: Dispelling false beliefs is the primary goal of Cognitive Therapy, which focuses on changing thought patterns, not a behavior therapy that directly reinforces actions.
- Option D: Punishment, whether described as 'benign' or not, is a technique used in operant conditioning to decrease or eliminate an undesirable behavior, not to enhance a desired one.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Application of behavior therapy principles for enhancing desired behaviors helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses play a key role in implementing behavioral plans on inpatient units, using techniques like token economies and providing positive reinforcement for desired behaviors like attending group therapy or maintaining personal hygiene.
- Understanding the difference between reinforcement and punishment is critical for patient safety and effective care. Using punitive measures can damage the therapeutic relationship and worsen a client's condition.
- What if the goal was to stop a client from repeatedly shouting out during group sessions? The nurse would use a technique to decrease behavior, such as planned ignoring (extinction) or response cost (if a token economy is in place), while also reinforcing the desired behavior of speaking at appropriate times.
How to Approach the Question
- First, identify the key phrase in the question stem: 'enhance desired behaviour'. This is the central goal.
- Recall the basic principles of behavior therapy, especially operant conditioning. 'Enhancing' or 'increasing' a behavior is achieved through reinforcement.
- Evaluate each option against this principle.
- Eliminate 'punishment' as its purpose is to decrease behavior.
- Differentiate between behavior therapy and cognitive therapy. 'Dispelling false beliefs' belongs to cognitive therapy.
- Eliminate 'strict discipline' as it is not a formal, therapeutic technique.
Concept Tested & Keywords
- Concept Tested: Application of behavior therapy principles for enhancing desired behaviors.
- Stem keywords: behaviour therapy, enhance desired behaviour, mentally challenged clients
- Lead-in keywords: a form of
- Negative lead-in flag: false
Question ID
QGICuKTUUmge5cLor8EhtJ
Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 151-153
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2431-2433
Practise the full UP NHM CHO 7 Sept 2022(shift-1st)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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