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Chapter 17. Behavior Therapy

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Chapter 17. Behavior Therapy

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  • August 29, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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Townsend
PMHN, 10e
Chapter 17 - ETB abirb.com/test
Chapter 17. Behavior Therapy



MULTIPLE CHOICE


1. A kindergarten rule states that if unacceptable behavior occurs, a child’s personalized
fish will be moved to the sea grass. Children who behave keep their fish out of the sea
grass. The school nurse identifies this intervention is based on which principle of
behavior therapy?
1. Classical conditioning
2. Conditioned response
3. Positive reinforcement
4. Negative reinforcement

ANS: 4
Chapter: Chapter 17, Behavior Therapy
Objective: Discuss the principles of classical and operant
conditiaobniribn.cgoma/stesfoundations for behavior therapy.
Page: 292
Heading: Operant Conditioning > Negative Reinforcement
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Easy

Feedback
1. This is incorrect. Classical conditioning is a process of learning demonstrated by
conditioned responses to environmental stimuli.
2. This is incorrect. Conditioned responses are part of the classical conditioning
learning process.
3. This is incorrect. Positive reinforcement refers to a stimulus that increases the
probability a behavior will recur.
4. This is correct. Negative reinforcement increases the probaabbirlbi.tcyomth/teastt a
behavior (appropriate classroom behavior) will recur by the removal of an
undesirable reinforcing stimulus (personalized fish in sea grass).

CON: Health Promotion

,Townsend
PMHN, 10e
Chapter 17 - ETB abirb.com/test

2. An adolescent comes from a family where physical and verbal abuse prevails. The
adolescent bullies and fights with classmates at school. Which of the following is the
probable source of this behavior?
1. Shaping
2. Modeling
3. Premack principle
4. Reciprocal inhibition

ANS: 2
Chapter: Chapter 17, Behavior Therapy
Objective: Identify various techniques used in the modification of client behavior.
Page: 292
Heading: Techniques for Modifying Client Behavior > Modeling
Integrated Processes: Nursing Process: Analysis
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Family Dynamics
Difficulty: Moderate

Feedback
1. This is incorrect. Shaping is a technique in which reinforcements are given for
increasingly closer approximations to the desired response.
2. This is correct. Modeling is the learning of new behaviors by imitating the behaviors
seen in others. The adolescent is imitating physical and verabbiarbl.caobmu/tseest
behavior
3. patterns
This is incorrect.
witnessedThe
at home.
Premack principle is a technique that states that a frequently
occurring response can serve as a positive reinforcement foabirab.rceomsp/teosnt se
that occurs less frequently.
4. This is incorrect. Reciprocal inhibition is a technique that decreases or eliminates a
behavior by introducing a more-adaptive behavior that is incompatible with the
unacceptable behavior.
CON: Family Dynamics


3. A third-grader feigns illness to avoid doing homework. The teacher recommends an
educational program that uses token economy. Which of the following statements by the
school nurse best explains token economy?
1. “Your child will receive green tokens for completing homework that can be cashed in
for desired rewards.”
2. “Your child will receive red tokens when homework is incomplete, and this will result
in school suspension.”
3. “Without any tokens, your child will receive a time-out for eacahbirhb.ocomme/twesot rk
assignment not completed.

, Townsend
PMHN, 10e
Chapter 17 - ETB abirb.com/test

4. “You will use tokens or stars to help your child envision receiving rewards when
homework is completed.”

ANS: 1
Chapter: Chapter 17, Behavior Therapy
Objective: Identify various techniques used in the modification
oafbicrbl.iceonmt/tbesethavior. Page: 293
Heading: Techniques for Modifying Client Behavior > Token Economy
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1. This is correct. Token economy is a type of contingency contracting in which
tokens immediately reinforce appropriate behavior (completed hoambierbw.comrk/te)sat
nd are later
2. This
exchanged for a desired
is incorrect. reward.
The tokens would be considered a reward system, not a
punishment.
3. This is incorrect. The time-out is an aversive stimulus or punishment, not a reward
stimulus.
4. This is incorrect. This is covert sensitization and would not be a component of the
token system of rewards.
CON: Health Promotion


4. A client is diagnosed with an anxiety disorder. The nurse counselor recommends the
behavioral technique of reciprocal inhibition. The client asks, “Wabhirabt.’csomth/teastt?”
Which is the best nursing reply?
1. “At the beginning of this intervention, a contract will be drawn up explicitly
stating
the behavior change agreed upon.”
2. “By introducing an adaptive behavior that is mutually exclusive to your maladaptive
behavior, we will expect subsequent behavior to improve.”
3. “Through a series of increasingly anxiety-provoking steps, we will gradually
increase
your tolerance to anxiety.”
4. “In one intense session, you will be exposed to a maximum level of anxiety that
you will learn to tolerate.”

ANS: 2
Chapter: Chapter 17, Behavior Therapy
Objective: Identify various techniques used in the modification oafbcirbli.ceonmt/tbesethavior.
Page: 293

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