. Milieu Therapy—The Therapeutic Community

Document Content and Description Below

1. 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 sho... uld 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 be addressed only during group therapy. ANS: C The nurse’s response should be guided by the basic assumption that every interaction is an opportunity for therapeutic intervention. The nurse can utilize milieu therapy to effect behavioral change and improve psychological health and functioning. KEY: Cognitive Level: Application I Integrated Processes: Nursing Process: Implementation I Client Need: Psychosocial Integrity 2. 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.” ANS: D The most appropriate nursing response involves restating the client’s feeling and developing a plan with the client to solve the problem. According to Skinner, every interaction in the therapeutic milieu is an opportunity for therapeutic intervention to improve communication and relationship-development skills. KEY: Cognitive Level: Application I Integrated Processes: Nursing Process: Implementation I Client Need: Psychosocial Integrity 3. 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.” ANS: A The nurse should explain to the client that the purpose of group therapy is to learn and practice new coping skills. A basic assumption of milieu therapy is that every interaction, including group therapy, is an opportunity for therapeutic intervention. KEY: Cognitive Level: Application I Integrated Processes: Nursing Process: Implementation I Client Need: Psychosocial Integrity 4. 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 [Show More]

Last updated: 1 year ago

Preview 1 out of 8 pages