RUHS, Jaipur, M.Sc Nursing Entrance Exam-2018
Child Health Nursing (Pediatrics)
Easy
Which of the following is a widely used classical conditioning method for treating nocturnal enuresis?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2018
Explanation
- The bell-and-battery technique is a primary behavioral therapy for nocturnal enuresis based on the principles of classical conditioning.
- It utilizes a moisture-sensitive pad or sensor connected to a battery-operated alarm (the bell).
- When urination begins, the moisture completes an electrical circuit, triggering the alarm (Unconditioned Stimulus) and waking the child (Unconditioned Response).
- Through repeated pairing, the child learns to associate the sensation of a full bladder (Conditioned Stimulus) with waking up (Conditioned Response), eventually achieving nighttime continence.
Why Other Options Were Wrong
- Option A: This is a common idiom that means 'having all the latest features and extras.' It is not a medical or therapeutic term.
- Option C: This term is too general. While the bell-and-battery method is a type of alarm system, 'Bell-and-battery technique' or 'bell-and-pad method' is the specific, classical name for this conditioning therapy used for enuresis.
- Option D: This refers to a historical rite of formal excommunication from the Catholic Church. It has no connection to medicine or behavioral therapy.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Behavioral therapy for nocturnal enuresis using classical conditioning as background academic context rather than a clinical decision trigger.
- The bell-and-pad method is a first-line, non-pharmacological treatment for monosymptomatic nocturnal enuresis, often recommended before or alongside medication due to its high success rate and lower rate of relapse.
- Nurses play a key role in educating the child and parents about how the device works, the importance of consistent use every night for 2-3 months, and the need for parental support to ensure the child fully awakens to use the toilet.
- This therapy empowers the child to take an active role in their treatment, often using motivational tools like a star chart for dry nights, which can improve self-esteem.
How to Approach the Question
- First, identify the key concepts in the question stem: 'nocturnal enuresis' (bedwetting) and 'classical conditioning' (learning through association).
- Recall or deduce the specific therapy that pairs a stimulus with the unwanted behavior. For bedwetting, this involves an alarm that sounds upon urination.
- Analyze the options to find the term that best describes a device for this purpose. 'Bell-and-battery' directly points to the components of such an alarm (a bell/alarm powered by a battery).
- Systematically eliminate the other options. Recognize 'Bell-and-whistle' as an idiom, 'Bell book and candle' as a historical religious rite, and 'Alarm system' as too generic compared to the specific technique described.
- Conclude that 'Bell-and-battery technique' is the most precise and correct term for the described therapy.
Concept Tested & Keywords
- Concept Tested: Behavioral therapy for nocturnal enuresis using classical conditioning.
- Stem keywords: nocturnal enuresis, classical conditioning, treating
- Lead-in keywords: Which
- Negative lead-in flag: false
Question ID
Qjkfhj6Qpwq4YMDcj0rZ7-
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. 12336-12338
E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 1099-1101
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 528-530
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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