Managing challenging behaviours Flashcards
Which of the following definitions best reflects Emerson’s definition of challenging behaviour?
a) A mild, frequent or prolonged culturally abnormal behaviour that poses a significant risk to the safety of self or other.
b) An intense, occasional or prolonged culturally abnormal behaviour that poses a significant risk to the safety of self or other.
c) An intense, occasional or prolonged culturally normal behaviour that poses a significant risk to the safety of self or other.
d) An intense, frequent or prolonged culturally abnormal behaviour that poses a significant risk to the safety of self or other.
e) An intense, frequent or prolonged culturally abnormal behaviour that poses an insignificant risk to the safety of self or other.
d
Which type of units typically offer only minimal levels of perimeter security and supervision?
a) Acute wards.
b) Day hospitals.
c) Low secure units.
d) Regional secure units.
e) Special hospitals.
b
Which of the following falls into the category of ‘difficult to place patients who challenge services’?
a) Middle-aged men with affective psychoses.
b) Middle-aged men with schizophrenia.
c) Middle-aged women with affective psychoses.
d) Young men with affective psychoses.
e) Young women with schizophrenia.
d
What does the ABC stand for in an ABC chart?
a) Affect, Behaviour, Cognition.
b) Affect, Behaviour, Conclusions.
c) Analytical, Behavioural, Cognitive.
d) Antecedent, Behaviour, Conclusions.
e) Antecedent, Behaviour, Consequence.
e
According to operant theory, extinction weakens a behaviour when:
a) A positive condition and negative consequence are both experienced and hence cancel each other out.
b) A positive condition is experienced but a negative condition is not.
c) Punishment in the form of a negative condition is experienced.
d) Reward in the form of a positive condition is experienced.
e) There is a lack of any consequence following the behaviour.
e
When a maladaptive cognitive schema fails, a typical result would be:
a) A decrease in anxiety and disturbances of affect, behaviour and cognition.
b) A temporary increase in anxiety, followed by resolution and recovery.
c) An increase in anxiety, caused by disturbances of affect, behaviour and cognition.
d) An increase in anxiety, followed by further disturbances of affect, behaviour and cognition.
e) Stability in levels of anxiety, but increased disturbances of affect, behaviour and cognition.
b
Psychodynamic theory can help staff understand a patient’s absconding behaviour in terms of:
a) Attachment theory.
b) Family medical history.
c) Mindfulness.
d) Operant conditioning.
e) Realistic behavioural goals.
d
RAID Management refers to which one of the following:
a) A common psycho-analytical theory helping to explain a disorder of attachment.
b) A theory of managing challenging behaviour in the armed forces.
c) An agreement between some hospitals and the police service by which the police are summoned to help nurses manage disturbed patients on a ward.
d) The acronym Removing Aggressive In-patients Decisively.
e) The behavioural strategy: Reinforcing Appropriate, Ignoring Difficult behaviour.
e
Which of the following approaches uses the motivational interviewing technique?
a) Assertiveness training.
b) Cognitive-behavioural therapy.
c) Compliance therapy.
d) Dialectical behaviour therapy.
e) RAID.
c
Ms A is 25 years old and has a history of schizo-affective disorder, substance misuse, some dependent personality traits and self-harm. Her concentration is impaired because of her mental illness and she finds it hard to participate in ward activities. She is feeling anxious and this is exacerbated when she sees other patients participating in activities and receiving attention from nurses. She starts to shout and threaten self-harm, causing the nurses to come over to calm her. What overall function does Ms A’s challenging behaviour primarily serve?
a) It allows Ms A to avoid contact with ward staff.
b) It allows Ms A to avoid participating in ward activities.
c) It allows Ms A to avoid ward activities whilst still receiving staff attention.
d) It allows Ms A to exercise her independence.
e) It decreases Ms A’s anxiety levels.
c
