Mental Health Help

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Good morning!

I'm going through some NCLEX review questions and I'm kind of stumped at one & I need help.

The question is:

A client who is developmentally disabled is in a group home facility. He has been stealing personal items from other residents in the facility. Which of the following nursing interventions is appropriate?

- Positive reinforcement to increase desired behavior

- Crisis intervention to decrease anxiety

- Aversion therapy to provide distraction

- Systematic desensitization to extinguish the behavior

HELP PLEASE!

I would choose the Aversion Therapy answer since the rest of the answers dont make much sense.

I would pick the third answer (adversion therapy to provide distraction). what is the correct answer?

That's the thing... I don't have the answers. These are questions my teacher gave for extra credit and I've been reading & googling for the last couple hours, but I'm confused on it. I also thought it was the third, but I wanted to see if anyone had rationales as to why.

- Positive reinforcement to increase desired behavior

Why would you provide positive reinforcement for this behavior when it is not desired? Stealing = bad.

- Crisis intervention to decrease anxiety

Nothing in this question even related to a person going through a crisis situation or who is anxious. He is developmentally delayed not in a crisis

- Aversion therapy to provide distraction

Developmentally delayed would put him in a mind set of a younger individual and this would be the best answer because its most *age* appropriate according to this particular situation and patient.

- Systematic desensitization to extinguish the behavior

This involves slowly extuinguishing the behavior and can take a long time and is usually used for phobias.

Hope that somewhat helps.

Thank you so much! You helped out a lot :)

Specializes in NCLEX Tutor, Mental Health, Pediatrics.

Serenitylove14 - good rationales! The answer is all in the type of therapy. The client is not in crisis and systematic desensitization is to help clients be less fearful of things. And we wouldn't want to provide positive reinforcement for an undesired behavior. Knowing the definitions of the various kinds of therapy is the key. When studying and answering NCLEX questions, keep reference materials nearby and look up the things you don't absolutely know what it means! This will help reinforce your learning because you have a reason to look for the answer and therefore, remember it better. So aversion therapy is the correct answer!

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