HESI RN Exit Exam 2023 Capstone Related

Review HESI RN Exit Exam 2023 Capstone related questions and content

An adolescent client with intellectual disability refuses oral hygiene. A behavior modification program is recommended. Which reinforcement is best for the nurse to implement?

  • A. Candy for successful oral hygiene tasks.
  • B. Tokens for each successful oral hygiene task.
  • C. Privilege restrictions for refusing oral hygiene tasks.
  • D. Preferred activities or privileges for compliance.
Correct Answer: D

Rationale: In this scenario, the best reinforcement for the nurse to implement is preferred activities or privileges for compliance. Positive reinforcement with privileges is effective in encouraging behavior change in adolescents, including those with intellectual disabilities. Choice A (Candy for successful oral hygiene tasks) may not be suitable as it involves providing a sugary reward, which contradicts the goal of oral hygiene. Choice B (Tokens for each successful oral hygiene task) could be effective but may not be as motivating as preferred activities or privileges. Choice C (Privilege restrictions for refusing oral hygiene tasks) focuses on negative reinforcement, which is not as effective as positive reinforcement in behavior modification.