Chapter 12 Flashcards
An angry client on an inpatient unit approaches a nurse, stating, “Someone took my lunch! People need to respect others, and you need to do something about this now!” The nurse’s response should be guided by which basic assumption of milieu therapy?
C. Every interaction is an opportunity for therapeutic intervention.
A client on an inpatient unit angrily states to a nurse, “Peter is not cleaning up after himself in the community bathroom. You need to address this problem.” Which is the appropriate nursing response?
D. “I can see that you are angry. Let’s discuss ways to approach Peter with your concerns.”
A newly admitted client asks, “Why do we need a unit schedule? I’m not going to these groups. I’m here to get some rest.” Which is the most appropriate nursing reply?
A. “Group therapy provides the opportunity to learn and practice new coping skills.”
A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?
B. Structured programming
To promote self-reliance, how should a psychiatric nurse best conduct medication administration?
A. Encourage clients to request their medications at the appropriate times.
A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What should the nurse identify as an appropriate group topic?
D. Stress management
What is the best rationale for including the client’s family in therapy within the inpatient milieu?
B. To facilitate discharge from the hospital
How does a democratic form of self-government in the milieu contribute to client therapy?
C. By setting community expectations wherein all clients are treated on an equal basis
A client has undergone psychological testing. With which member of the interdisciplinary team should a nurse collaborate to review these results?
C. The clinical psychologist
In the role of milieu manager, which activity should the nurse prioritize?
D. Searching newly admitted clients for hazardous objects
A nurse attends an interdisciplinary team meeting on an inpatient unit. Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? Select all that apply.
A. Respiratory therapist B. Occupational therapist C. Recreational therapist D. Social worker E. Mental health technician
B, C, D, E
Which of the following are accurate descriptors of a therapeutic community? Select all that apply.
A. The unit schedule includes unlimited free time for personal reflection.
B. Unit responsibilities are assigned according to client capabilities.
C. A flexible schedule is determined by client needs.
D. The individual is the sole focus of therapy.
E. A democratic form of government exists.
B, E
