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Author Question: A nurse is caring for a client who displays addiction behavior toward the use of alcohol. The ... (Read 51 times)

Destiiny22

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A nurse is caring for a client who displays addiction behavior toward the use of alcohol.
 
  The client states to the nurse, I have been in jail twice for driving under the influence. When planning care for this client, which behavioral therapy is most appropriate?
  A) Positive reinforcement
  B) Negative reinforcement
  C) Positive punishment
  D) Negative punishment

Question 2

A nurse manager in the intensive care unit (ICU) notes a pattern for a staff nurse who excessively wastes narcotics, and the manager suspects the staff nurse may be impaired.
 
  Which clinical situation may have contributed to the staff nurse's problem?
  A) Caring for clients who require IV medications
  B) Easy access to prescription drugs
  C) Easy access to client care areas
  D) Caring for clients who require numerous oral medications



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Moriaki

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Answer to Question 1

Answer: C

Consequences that lead to a decrease in undesirable behavior are referred to as punishment. Positive punishment is the addition of a negative consequence if the undesirable behavior occurs; for example, the addict who drives under the influence is jailed or fined. Negative punishment is the removal of a positive reward if the undesirable behavior occurs; for example, the addict who does not show up for work loses his job. Consequences that lead to an increase in a particular behavior are referred to as reinforcement. Positive reinforcement provides a reward for the desired behavior, such as the pleasant sensation, or high, that comes from the use of a substance. Negative reinforcement removes a negative stimulus to increase the chances that the desired behavior will occur. An example of negative reinforcement is when the family of an addict refuses to support the behavior that results from use of the substance.

Answer to Question 2

Answer: B

Easy access to prescription drugs presents an at-risk situation for nurses who abuse substances. The other situations are common for all nurses and do not necessary pose an increased risk for substance abuse.




Moriaki

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