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?
A.Conflict should be avoided at all costs on inpatient psychiatric units.
B.Conflict should be resolved by the nursing staff.
C.Every interaction is an opportunity for therapeutic intervention.
D.Conflict resolution should only be addressed during group therapy.
C
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?
A.“I’ll talk to Peter and present your concerns.”
B.“Why are you overreacting to this issue?”
C.“You should bring this to the attention of your treatment team.”
D.“I can see that you are angry. Let’s discuss ways to approach Peter with your concerns.”
D
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.”
B.“Group therapy is mandatory. All clients must attend.”
C.“Group therapy is optional. You can go if you find the topic helpful and interesting.”
D.“Group therapy is an economical way of providing therapy to many clients concurrently.”
A
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? A.Peer pressure B.Structured programming C.Visitor restrictions D.Mandated activities
B
To promote self-reliance, how should a psychiatric nurse best conduct medication administration?
A.Encourage clients to request their medications at the appropriate times.
B.Refuse to administer medications unless clients request them at the appropriate times.
C.Allow the clients to determine appropriate medication times.
D.Take medications to the clients’ bedside at the appropriate times.
A
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? A.Dream analysis B.Creative cooking C.Paint by number D.Stress management
D
What is the best rationale for including the client’s family in therapy within the inpatient milieu?
A.To structure a program of social and work-related activities
B.To facilitate discharge from the hospital
C.To provide a concrete demonstration of caring
D.To encourage the family to model positive behaviors
B
How does a democratic form of self-government in the milieu contribute to client therapy?
A.By setting punishments for clients who violate the community rules
B.By dealing with inappropriate behaviors as they occur
C.By setting community expectations wherein all clients are treated on an equal basis
D.By interacting with professional staff members to learn about therapeutic interventions
C
A client has undergone psychological testing. With which member of the interdisciplinary team should a nurse collaborate to review these results?
A.The psychiatrist
B.The psychiatric social worker
C.The clinical psychologist
D.The clinical nurse specialist
C
In the role of milieu manager, which activity should the nurse prioritize?
A.Setting the schedule for the daily unit activities
B.Evaluating clients for medication effectiveness
C.Conducting therapeutic group sessions
D.Searching newly admitted clients for hazardous objects
D
