1.
Emerson et al (1987) offered which of the following as a definition of challenging behaviour
Correct Answer
B. Behaviour of such an intensity, frequency or duration that the pHysical safety of the person or others is likely to be placed in serious jeopardy, or behaviour which is likely to seriously limit or delay access to and use of ordinary community facilities
Explanation
The correct answer defines challenging behavior as behavior that poses a serious risk to the physical safety of the person or others, or behavior that significantly restricts or delays access to and use of community facilities. This definition emphasizes the potential harm or limitations caused by challenging behavior, highlighting the importance of addressing and managing such behavior effectively.
2.
When caring for a service user who has challenging behaviour, what should the RNLD first look at/review if the behaviours become more intense and/or frequent?
Correct Answer
A. The health care needs of the individual
Explanation
The RNLD should first look at/review the health care needs of the individual if their challenging behaviors become more intense and/or frequent. This is because changes in behavior could be indicative of underlying health issues or unmet healthcare needs. By assessing and addressing these needs, the RNLD can potentially alleviate or manage the challenging behaviors more effectively.
3.
What assessments can be done to gain insight in to the function of a persons challenging behaviour? ()
Correct Answer
D. ABC Assessment
Explanation
The ABC Assessment is a tool that can be used to gain insight into the function of a person's challenging behavior. ABC stands for Antecedent, Behavior, and Consequence, and this assessment involves observing and recording these three components of the behavior. By analyzing the antecedents (what happens before the behavior), the behavior itself, and the consequences (what happens after the behavior), professionals can identify patterns and potential triggers for the challenging behavior. This assessment can provide valuable information for developing effective interventions and support strategies.
4.
What can be deemed as challenging behaviour?
Correct Answer
E. All of the above
Explanation
Challenging behavior can encompass a range of actions that are difficult to manage or may cause harm or distress to others. Verbal abuse involves using offensive or aggressive language to intimidate or hurt someone. Biting is a physical act of aggression that can cause injury. Sexual harassment involves unwelcome sexual advances or behavior that creates an uncomfortable or hostile environment. Obsessional behaviors refer to repetitive or excessive actions that may disrupt daily functioning. Therefore, all of the listed behaviors can be considered challenging behavior.
5.
A service user in your care exhibits extreamly challenging behaviour and has become obsessed with having chocolate. After taking the service users weight it becomes apparent that the service user is clinically obese. If denied chocolate the service user will become violent. How as the RNLD would you respond to the situation?
Correct Answer
C. Consult with the MDT including a dietician on how the situation should be dealt
Explanation
In this situation, it is important for the RNLD to consult with the MDT (Multi-Disciplinary Team) including a dietician. This is because the service user's extreme obsession with chocolate and their violent behavior when denied could be indicative of an underlying issue that needs to be addressed. The MDT, along with the dietician, can assess the service user's overall health and develop a comprehensive plan that takes into account their clinical obesity while still addressing their challenging behavior. This collaborative approach ensures that the best possible care and support is provided to the service user.
6.
What does MAPA stand for?
Correct Answer
A. Management of Actual and Potential Agression
Explanation
MAPA stands for Management of Actual and Potential Aggression. This acronym refers to a system or approach used to effectively manage and handle situations involving aggression, both current and potential. It suggests that there are specific strategies and techniques in place to address and de-escalate aggressive behavior, ensuring the safety and well-being of individuals involved.
7.
What is an anticedent?
Correct Answer
A. The 'trigger' of a behaviour
Explanation
An antecedent refers to the 'trigger' of a behavior. It is the event or stimulus that occurs before a behavior happens and serves as a cue or signal for the behavior to occur. In other words, it is the event that precedes and leads to the behavior. Understanding the antecedents of a behavior can help in identifying and managing the factors that contribute to the behavior occurring.
8.
What is the assumption that behavioural therosits associate with cahllenging behaviour?
Correct Answer
A. That challenging behaviour is learned and maintained
Explanation
The assumption that behavioral therapists associate with challenging behavior is that it is learned and maintained. This means that challenging behavior is not instinctual or impulsive, but rather a result of environmental factors and reinforcement. Behavioral therapists believe that challenging behavior can be modified and changed through learning new behaviors and replacing maladaptive ones.