Question 1

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?&#10;A)Dream analysis&#10;B)Creative cooking&#10;C)Paint by number&#10;D)Stress management

Accepted Answer

Stress management is an appropriate group topic for an inpatient psychiatric unit as patients are likely experiencing stress and anxiety. Dream analysis and paint by number may be too specific and not applicable to all patients, and creative cooking may not be appropriate for a mental health setting.

Question 2

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 and psychiatrist
B)Occupational therapist and psychologist
C)Recreational therapist and art therapist
D)Social worker and hospital volunteer
E)Mental health technician and chaplain

Occupational therapist and psychologist
Recreational therapist and art therapist
Mental health technician and chaplain

Accepted Answer

Occupational therapists, psychologists, recreational therapists, art therapists, social workers, mental health technicians, and chaplains are all typically included as members of the interdisciplinary treatment team in psychiatry.

Question 3

To promote self-reliance, how should a psychiatric nurse best conduct medication administration?&#10;A)Encourage clients to request their medications at the appropriate times.&#10;B)Refuse to administer medications unless clients request them at the appropriate times.&#10;C)Allow the clients to determine appropriate medication times.&#10;D)Take medications to the clients' bedside at the appropriate times.

Accepted Answer

Encouraging clients to request their medications at the appropriate times promotes self-reliance by allowing clients to take an active role in their medication administration. Refusing to administer medications unless clients request them may be unsafe and could potentially cause harm. Allowing clients to determine their medication times could also be unsafe and lead to missed doses or incorrect administration. Taking medications to the clients' bedside at the appropriate times does not necessarily promote self-reliance as it does not involve the client actively requesting the medication.

Question 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

Accepted Answer

The milieu provides structured programming, including therapy, education, and recreational activities, that can be helpful in managing symptoms and maintaining stability. This type of structure may not be present in the home environment, which could contribute to the client's decompensation after discharge. Peer pressure, visitor restrictions, and mandated activities are not necessarily beneficial or present in all hospital settings or for all clients, and would not necessarily be missing in the home environment.

Question 5

A newly admitted client asks, &#34;Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest.&#34; Which is the most appropriate nursing reply?&#10;A)&#34;Group therapy provides the opportunity to learn and practice new coping skills.&#34;&#10;B)&#34;Group therapy is mandatory.All clients must attend.&#34;&#10;C)&#34;Group therapy is optional.You can go if you find the topic helpful and interesting.&#34;&#10;D)&#34;Group therapy is an economical way of providing therapy to many clients concurrently.&#34;

Accepted Answer

The nursing reply should explain the purpose and benefits of group therapy, which includes learning and practicing new coping skills. Option B is incorrect as it is not true that group therapy is mandatory for all clients. Option C is not a complete answer as it only explains that group therapy is optional without elaborating on its benefits. Option D is also incorrect as it only focuses on the economical aspect of group therapy and does not provide a complete explanation.

Question 6

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."

Unlock Deck

Unlock for access to all 12 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

Option D shows empathy towards the client's emotions and suggests discussing ways to approach Peter with their concerns. This response validates the client's concerns and promotes problem-solving instead of dismissing their feelings or redirecting the issue to someone else.

Question 7

What is the best rationale for including the client's family in therapy within the inpatient milieu?&#10;A)To structure a program of social and work-related activities&#10;B)To facilitate discharge from the hospital&#10;C)To provide a concrete demonstration of caring&#10;D)To encourage the family to model positive behaviors

Accepted Answer

Including the client's family in therapy within the inpatient milieu can facilitate discharge planning by involving the family in the treatment process and helping to ensure a smooth transition back into the community. It can also help address any family dynamics or issues that may be contributing to the client's presenting problem. A, C, and D may also be valid rationales for including the client's family in therapy, but they are not as directly related to the inpatient milieu or the importance of discharge planning.

Question 8

In the role of milieu manager, which activity should the nurse prioritize?&#10;A)Setting the schedule for the daily unit activities&#10;B)Evaluating clients for medication effectiveness&#10;C)Conducting therapeutic group sessions&#10;D)Searching newly admitted clients for hazardous objects&#10;

Accepted Answer

As a milieu manager, the nurse's priority should be the safety of the patients. Searching newly admitted clients for hazardous objects is an essential activity that ensures the safety of patients and staff. While setting the daily unit activities schedule is important, it is not as crucial as establishing a safe environment. Evaluating clients for medication effectiveness and conducting therapeutic group sessions are important but fall outside the scope of the milieu manager's responsibilities.

Question 9

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.

Accepted Answer

The basic assumption of milieu therapy is that every interaction is an opportunity for therapeutic intervention. Therefore, the nurse's response should be focused on using the interaction as an opportunity to help the client identify and express their feelings about their missing lunch while also exploring potential solutions. The focus should be on promoting the client's sense of self-worth and empowerment while also maintaining a safe and respectful environment for all clients.

Question 10

How does a democratic form of self-government in the milieu contribute to client therapy?&#10;A)By setting punishments for clients who violate the community rules&#10;B)By dealing with inappropriate behaviors as they occur&#10;C)By setting community expectations wherein all clients are treated on an equal basis&#10;D)By interacting with professional staff members to learn about therapeutic interventions

Accepted Answer

A democratic form of self-government in the milieu establishes a sense of equality among all clients and sets community expectations that promote fairness and respect. This can create a sense of belonging and cooperation which can lead to more effective therapy. Punishments and dealing with inappropriate behaviors are important, but they do not directly contribute to therapy outcomes. Interacting with professional staff members to learn about therapeutic interventions may be helpful, but it is not related to the democratic self-government in the milieu. Therefore, C is the best choice.

Question 11

Which of the following are accurate descriptors of a therapeutic community? (Select all that apply.)&#10;A)The unit schedule includes unlimited free time for personal reflection.&#10;B)Unit responsibilities are assigned according to client capabilities.&#10;C)A flexible schedule is determined by client needs.&#10;D)The individual is the sole focus of therapy.&#10;E)A democratic form of government exists.

Accepted Answer

The answer of Which of the following are accurate descriptors...

Question 12

A client has undergone psychological testing. With which member of the interdisciplinary team should a nurse collaborate to review these results?&#10;A)The psychiatrist&#10;B)The psychiatric social worker&#10;C)The clinical psychologist&#10;D)The clinical nurse specialist

Accepted Answer

The answer of A client has undergone psychological testing. With...

Deck 12: Milieu Therapy - the Therapeutic Community