The psychiatricmental health nurse is asked to prepare an ...

[cookcarl]

The psychiatricmental 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.

Question 2

Introspective or meditative techniques may be useful for clients who:
 
  1. Are highly anxious.
  2. Have multiple problems.
  3. Are severely depressed, delusional, or hallucinating.
  4. Are mentally and emotionally healthy.

[cpetit11]

Answer to Question 1

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.

Answer to Question 2

4
Rationale: Individuals who are mentally and emotionally healthy may benefit from the use of introspective or meditative techniques as a form of health promotion and/or stress management. If used with clients who are severely depressed, hallucinating, delusional, or have loss of contact with reality, these techniques may result in an increased loss of contact with reality, withdrawal, or increased rumination. Brief and externally focused techniques would be better for these clients.