NCL (MP) Nursing Officer - 2020
Mental Health Nursing
Medium
Putting a Bitter substance on the nails of kids who used to bite it is an example of which of the following therapy?
Appeared in: NCL (MP) Nursing Officer - 2020
Explanation
- Aversion therapy is a behavioral technique that pairs an undesirable behavior with an unpleasant (aversive) stimulus to reduce or eliminate that behavior.
- In the given example, the undesirable behavior is nail-biting, and the unpleasant stimulus is the bitter substance.
- The principle is based on classical conditioning: the child learns to associate the act of nail-biting with the negative experience of the bitter taste, which leads to the suppression of the nail-biting habit.
- This method aims to make the previously rewarding or neutral behavior become unpleasant, thus discouraging it.
Why Other Options Were Wrong
- Option A: Flooding is an exposure therapy used for phobias and anxiety disorders. It involves intense and prolonged exposure to the feared object or situation until the fear response is extinguished. It does not involve pairing a behavior with a separate unpleasant stimulus.
- Option C: Hypnosis involves inducing a trance-like state of focused attention and heightened suggestibility. While it can be used to modify behaviors, its mechanism is not based on pairing a behavior with an aversive stimulus.
- Option D: Systematic desensitization is another therapy for phobias that involves gradual exposure to a feared stimulus while the person is in a state of deep relaxation. It is a step-by-step process, unlike the immediate negative consequence in aversion therapy.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Behavioral Therapy Techniques helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses, especially in community health and pediatrics, can educate parents on simple, safe behavioral modification techniques like using bitter substances for nail-biting or thumb-sucking.
- In psychiatric nursing, understanding the principles of different behavioral therapies is essential for implementing and supporting a client's treatment plan effectively.
- It is crucial to distinguish aversion therapy from punishment. In aversion therapy, the goal is to condition an unpleasant feeling to the stimulus that triggers the behavior (SRC_16109).
How to Approach the Question
- First, analyze the scenario presented in the question: A specific action (applying a bitter substance) is used to stop a specific behavior (nail-biting).
- Identify the nature of the intervention. The bitter substance is an unpleasant, or 'aversive', stimulus.
- The goal is to link the behavior with the unpleasant stimulus. This is a form of conditioning.
- Review the definitions of the therapy options provided.
- Aversion therapy explicitly means creating an aversion (a strong dislike) to something by pairing it with an unpleasant stimulus. This perfectly matches the scenario.
- Eliminate the other options based on their definitions. Flooding and systematic desensitization are for phobias and involve exposure, not pairing with a separate stimulus. Hypnosis is a different therapeutic modality altogether.
Concept Tested & Keywords
- Concept Tested: Behavioral Therapy Techniques
- Stem keywords: Bitter substance, nails, kids, bite, therapy
- Lead-in keywords: example of
- Negative lead-in flag: false
Question ID
QplqnppAtAedWQ3ACaQVaq
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 9190-9192
E6 Psychology Morgan King 9e Part 2 p. 301-303
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2430-2432
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