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The nurse is assessing a client in group therapy on which type of techniques for
modifying behaviors would be most appropriate. The nurse has decided to use covert
sensitization. Which of the following statementbest describes this type of therapy?
A. Decreases or eliminates a behavior by introducing a more adaptive behavior that is
incompatible with the unacceptable behavior. 40%
B. Is an aversion therapy that produces unpleasant consequences for undesirable
behavior. 43% Most selected
C. An aversive stimulus or punishment during which the client is removed from the
environment where the unacceptable behavior is being exhibited. 3%
D. Relies on individual's imagination rather than medication for unpleasant symptoms.
12%
Answer and Explanation
Choice A:
Decreases or eliminates a behavior by introducing a more adaptive behavior that is
incompatible with the unacceptable behavior. Choice A refers to the technique of
"differential reinforcement," where an undesirable behavior is replaced by a more
appropriate behavior. This technique involves reinforcing positive behaviors while
ignoring or providing minimal attention to negative behaviors. It is not the same as
covert sensitization.
Choice B:
Is an aversion therapy that produces unpleasant consequences for undesirable
behavior. Covert sensitization is a form of aversion therapy used to eliminate unwanted
behaviors by associating them with unpleasant imagery or thoughts. It's based on the
principle that if a person can associate a negative response with a certain behavior, they
will be less likely to engage in that behavior. This technique is used for behaviors like
addiction or certain compulsive behaviors.
ATI Custom NSG 133 Mental Health Final Exam Summer (2023) Choice C:
An aversive stimulus or punishment during which the client is removed from the
environment where the unacceptable behavior is being exhibited. Choice C refers to
"time-out," a technique used to decrease undesirable behaviors by removing the
individual from the environment where the behavior is occurring. This is often used with
children and involves giving them a brief break from a situation to help them calm down.
It's not the same as covert sensitization.
Choice D:
Relies on an individual's imagination rather than medication for unpleasant symptoms.
Choice D is not directly related to covert sensitization. Covert sensitization involves
creating a negative association with a behavior using mental imagery. It's not about
relying on imagination instead of medication.
A nurse is interviewing a client during admission to an alcohol treatment center. Which of
the following approaches should the nurse take?
A. Verbalize disapproval of the client's substance abuse. 3%
B. Maintain a nonjudgmental attitude. 90% Most selected
C. Offer sympathetic support. 6%
D. Avoid displaying an emotional response. 0%
Answer and Explanation
Choice A:
Verbalize disapproval of the client's substance abuse. Expressing disapproval can create
a negative environment and hinder the therapeutic relationship. Judgmental attitudes
can make clients feel defensive and less likely to open up about their struggles.
Choice B: Maintain a nonjudgmental attitude. Maintaining a nonjudgmental attitude is crucial in
building trust and rapport with clients. It creates an environment where clients feel safe
discussing their issues without fear of criticism. A nonjudgmental attitude encourages
open communication and helps the nurse gather relevant information to provide
appropriate care.
Choice C:
Offer sympathetic support. While offering support is important, sympathy might
inadvertently convey pity or enable the client's behavior. Empathy, where the nurse
understands and shares the client's feelings without judgment, is more effective in
building a therapeutic relationship.
Choice D:
Avoid displaying an emotional response. While it's important for the nurse to maintain
professionalism, avoiding any emotional response might come across as cold or
detached. Expressing appropriate empathy and emotions can actually enhance the
therapeutic relationship.
A nurse in an emergency department is performing an assessment on a client who
reports being sexually assaulted. Which of the following actions should the nurse take
first?
A. Ask the client for permission to take photographs. 6%
B. Provide community sexual assault support contacts. 6%
C. Document the client's verbatim statements. 40%
D. Determine any physical signs of injury. 46% Most selected
Answer and Explanation
Choice A:
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