Chapter 12, Milieu Therapy—The Therapeutic Community Video Solutions, Psychiatric Mental Health Nursing

Problem 1

Which of the following are basic assumptions of milieu therapy? (Select all that apply.)
a. The client owns his or her own environment.
b. Each client owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
d. Inappropriate behaviors are punished immediately.

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01:25

Problem 2

John tells the nurse, "I think lights out at 10 o'clock on a weekend is stupid. We should be able to watch TV until midnight! Which of the following is the most appropriate response from the nurse on the milieu unit?
a. "John, you were told the rules when you were admitted."
b. "You may bring it up before the others at the community meeting, John."
c. "Some people want to go to bed early, John."
d. "You are not the only person on this unit, John. You must think of others besides yourself."

Anand Jangid

Numerade Educator

05:59

Problem 3

In prioritizing care within the therapeutic environment, which of the following nursing interventions would receive the highest priority?
a. Ensuring that the physical facilities are conducive to achievement of the goals of therapy.
b. Scheduling a community meeting for $8: 30$ each morning.
c. Attending to the nutritional and comfort needs of all clients.
d. Establishing contacts with community resources.

Jennifer Stoner

Numerade Educator

01:52

Problem 4

In the community meeting, which of the following actions is most important for reinforcing the democratic posture of the therapy setting?
a. Allowing each person a specific and equal amount of time to talk.
b. Reviewing group rules and behavioral limits that apply to all clients.
c. Reading the minutes from yesterday's meeting.
d. Waiting until all clients are present before initiating the meeting.

Jennifer Stoner

Numerade Educator

Problem 5

One of the goals of therapeutic community is for clients to become more independent and accept self-responsibility. Which of the following approaches by staff best encourages fulfillment of this goal? a. Including client input and decisions into the treatment plan.
b. Insisting that each client take a turn as "president" of the community meeting.
c. Making decisions for the client regarding plans for treatment.
d. Requiring that the client be bathed, dressed and attend breakfast on time each morning.

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Problem 6

Client teaching is an important nursing function in milieu therapy. Which of the following statements by the client indicates the need for knowledge and a readiness to learn?
a. "Get away from me with that medicine! I'm not sick!"
b. "I don't need psychiatric treatment. It's my migraine headaches that I need help with."
c. "I've taken Valium every day of my life for the last 20 years. I'll stop when I'm good and ready!"
d. "The doctor says I have bipolar disorder. What does that really mean?"

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01:17

Problem 7

Which of the following activities would be a responsibility of the clinical psychologist member of the IDT?
a. Locates halfway house and arranges living conditions for client being discharged from the hospital.
b. Manages the therapeutic milieu on a 24 -hour basis.
c. Administers and evaluates psychological tests that assist in diagnosis.
d. Conducts psychotherapy and administers electroconvulsive therapy treatments.

Asma Venkitta

Numerade Educator

Problem 8

Which of the following activities would be a responsibility of the psychiatric clinical nurse specialist on the IDT team?
a. Manages the therapeutic milieu on a 24-hour basis.
b. Conducts group therapies and provides consultation and education to staff nurses.
c. Directs a group of clients in acting out a situation that is otherwise too painful for a client to discuss openly.
d. Locates halfway house and arranges living conditions for client being discharged from the hospital.

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Problem 9

On the milieu unit, duties of the staff psychiatric nurse include which of the following? (Select all that apply.)
a. Medication administration
b. Client teaching
c. Medical diagnosis
d. Reality orientation
e. Relationship development
f. Group therapy

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02:19

Problem 10

Sally was sexually abused as a child. She is a client on the milieu unit with a diagnosis of borderline personality disorder. She has refused to talk to anyone. Which of the following therapies might the IDT team choose for Sally? (Select all that apply.)
a. Music therapy
b. Art therapy
c. Psychodrama
d. Electroconvulsive therapy

Alexa Moschella

Numerade Educator