Chapter 8: Milieu Therapy—The Therapeutic Community. With Answers Explained

Document Content and Description Below

Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. An angry client on an inpatient unit approaches a nurse stating, “Someone took my lunch! Pe... ople 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? 1. Conflict should be avoided at all costs on inpatient psychiatric units. 2. Conflict should be resolved by the nursing staff. 3. On inpatient units, every interaction is an opportunity for therapeutic intervention. 4. Conflict resolution should only be addressed during group therapy. ____ 2. A client on an inpatient unit angrily says 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? 1. “I’ll talk to Peter and present your concerns.” 2. “Why are you overreacting to this issue?” 3. “You should bring this to the attention of your treatment team.” 4. “I can see that you are angry. Let’s discuss ways to approach Peter with your concerns.” ____ 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 response? 1. “The purpose of group therapy is to learn and practice new coping skills.” 2. “Group therapy is mandatory. All clients must attend.” 3. “Group therapy is optional. You can go if you find the topic helpful and interesting.” 4. “Group therapy is an economical way of providing therapy to many clients concurrently.” ____ 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? 1. Peer pressure 2. Structured programming 3. Visitor restrictions 4. Mandated activities ____ 5. To promote self-reliance, how should a psychiatric nurse best conduct medication administration? 1. Encourage clients to request their medications at the appropriate times. 2. Refuse to administer medications unless clients request them at the appropriate times. 3. Allow the clients to determine appropriate medication times. 4. Take medications to the clients’ bedside at the appropriate times. ____ 6. 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? 1. Dream analysis 2. Creative cooking 3. Paint by number 4. Stress management ____ 7. What is the best rationale for including family in the client’s therapy within the inpatient milieu? 1. To structure a program of social and work-related activities 2. To facilitate discharge from hospitalization 3. To provide a concrete demonstration of caring 4. To encourage the family to model positive behaviors ____ 8. How does a democratic form of self-government in the milieu contribute to client therapy? 1. By setting punishments for clients who violate the community rules 2. By dealing with inappropriate behaviors as they occur 3. By setting expectations wherein all clients are treated on an equal basis 4. By interacting with professional staff members to learn about therapeutic interventions ____ 9. A client is to undergo psychological testing. Which member of the interdisciplinary team should a nurse consult for this purpose? 1. The psychiatrist 2. The psychiatric social worker 3. The clinical psychologist 4. The clinical nurse specialist Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 10. A nurse attends an interdisciplinary team meeting regarding a newly admitted client. Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? (Select all that apply.) 1. Respiratory therapist and psychiatrist 2. Occupational therapist and psychologist 3. Recreational therapist and art therapist 4. Social worker and hospital volunteer 5. Mental health technician and chaplain ____ 11. Which of the following conditions promote a therapeutic community? (Select all that apply.) 1. The unit schedule includes unlimited free time for personal reflection. 2. Unit responsibilities are assigned according to client capabilities. 3. A flexible schedule is determined by client needs. 4. The individual is the sole focus of therapy. 5. A democratic form of government exists. Completion Complete each statement. 12. A scientific structuring of the environment in order to affect behavioral changes and to improve the psychological health and functioning of the individual is defined as ________________________ therapy. [Show More]

Last updated: 1 year ago

Preview 1 out of 10 pages