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The nurse is planning a social skills training group for clients with schizophrenia. Which techniques should be used to help the clients gain social skills?

-Provide rewards for small approximations of the desired behaviors.
-Use positive reinforcement when a client demonstrates the behavior.
-Use negative reinforcement when a client demonstrates unacceptable behavior.
-Withdraw reinforcement when a client demonstrates undesirable behavior.

User Tbridge
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Final answer:

In social skills training for clients with schizophrenia, positive reinforcement should be used, such as providing rewards for small steps towards the desired behavior and reinforcing when the correct behavior is displayed. Negative reinforcement should not be confused with punishment; it involves removing an aversive stimulus. Techniques like role-playing, real-life practice, occupational therapy, and possibly medication can support social skills development.

Step-by-step explanation:

When planning a social skills training group for clients with schizophrenia, it's imperative to use techniques that help them gain social skills effectively. Applied behavior analysis (ABA) is often used to help enhance social interaction skills. A key component of ABA is the use of positive reinforcement when a client demonstrates the desired behavior, which involves adding a desirable stimulus to increase that behavior. Providing rewards for small steps towards the desired behavior is a technique known as shaping, where successively closer approximations to the target behavior are reinforced.

Negative reinforcement is a concept often misunderstood; it involves the removal of an aversive stimulus to increase a behavior, not punishing undesirable behavior. As such, using negative reinforcement when a client demonstrates unacceptable behavior would not be appropriate. Instead, withdrawing reinforcement, a strategy wherein no attention or rewards are given when undesirable behavior is demonstrated, could be considered in line with the principles of operant conditioning to discourage the behavior.

The social communication groups can also benefit from techniques such as role-playing, practice in real-life scenarios, and the involvement in occupational therapy to enhance daily living and social skills. In some cases, medication options could also support the management of symptoms that interfere with social interactions.

User Rymnel
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