Deck 12: The Therapeutic Environment

Question 1

The goal in treating a client with a chronic mental illness is to prevent recidivism.Which factor is crucial in this effort?

A)Increased use of psychotherapeutic medications
B)Increased lengths of stay on the inpatient unit
C)Increased commitment to the plan of care by the client
D)Group residential homes with vocational training

Answer 1

Group residential homes with vocational training

Question 2

A male client is in the process of being admitted to a mental health facility.He is sure that the nurse is the administrator of the hospital,despite the nurse's insistence that he is a staff nurse on the unit.This client is experiencing:

A)Acute confusion
B)Visual hallucinations
C)Delusions
D)Auditory hallucinations

Answer 2

Delusions

Question 3

The nurse should monitor the temperature of the environment of a client who becomes easily agitated,with awareness that increased temperatures sometimes may cause the client to become:

A)Calm
B)Confused
C)Cooperative
D)More distressed

Answer 3

More distressed

Question 4

The nurse is aware that during the admission process to a mental health facility,the anxious client:

A)Is acutely aware of his or her surroundings
B)Often forgets some of what is said in the unfamiliar surroundings
C)Has a keen memory in his or her heightened state of awareness
D)Frequently has no recollection of what is said by the staff during admission

Question 5

Which is an accepted criterion for inpatient admission to a mental health facility?

A)The client likes the security and comfort of the mental health facility.
B)The client feels that he is no longer able to cope with life stressors or maintain control of his behavior.
C)A client's behavior becomes unusual.
D)The client suffers from depression.

Question 6

When establishing a client's level of consciousness,the nurse is aware that this is determined by assessing the client's:

A)Level of awareness
B)Ability to tell the nurse where he or she is at any given time
C)Accuracy in expressing the current month,date,or year
D)Capability to explain why he or she is in the facility

Question 7

An adult female inpatient client with a diagnosis of paranoid schizophrenia will not take her medications from the nurse.She states,"I know you are poisoning that medicine." Which nursing action is most appropriate?

A)Promise the client that the staff would not do anything to harm her.
B)Let the client watch the medication preparation process.
C)Administer medications to the client in unit dose packages so that she can open the packages herself.
D)Allow the client to retrieve the medications out of the medication cart with supervision.

Question 8

Encouragement for clients to practice good hygiene habits not only meets basic physiological needs,but it also meets the hierarchal need of:

A)Love and belonging
B)Safety and security
C)Infection control
D)Self-care

Question 9

The use of therapeutic touch as a relaxation technique in the mental health setting is beneficial for clients displaying which symptoms?

A)Aggression
B)Paranoia
C)Depression
D)Anxiety

Question 10

A female client on the mental health unit experiences periods of psychosis at intervals.She often asks what day she came to the facility and what day it is now,and she seems never to be aware of the time.Which nursing intervention would help this client the most?

A)Remind her of the time of day every time she asks.
B)Assist her to keep a written schedule,including her day of admission,on a calendar posted in her room and a clock beside the calendar.
C)Tell her it doesn't really matter what day she came to the facility;what matters is what day and time it is now.
D)Instruct the staff to not answer her repetitive questions because she has been told numerous times her day of admission,and there is a clock on the wall.

Question 11

Bright colors in the environment of the client are often:

A)Depressing
B)Stimulating
C)Calming
D)Frightening

Question 12

A 22-year-old woman is brought to the inpatient unit for attempting suicide.Her clothes are clean and her general appearance is neat and well groomed.She appears to be well nourished.In considering Maslow's hierarchy of needs,which is a priority for this client?

A)Physiologic
B)Love and belonging
C)Self-actualization
D)Safety and security

Question 13

Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis;it usually lasts for:

A)1 to 2 days
B)2 to 4 days
C)4 to 6 days
D)6 to 8 days

Question 14

A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia that the medication may be poisoned.Frequent inpatient readmissions to the facility occur as a result.Which term is given to repeated inpatient admissions?

A)Milieu
B)Chronicity
C)Noncompliance
D)Recidivism

Question 15

With regard to the environment,it is important for the nurse to be aware of lighting for some clients.Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger:

A)Overstimulation
B)Hallucinations
C)Aggressive behaviors
D)Photophobia

Question 16

A male inpatient client who is experiencing depression has no interest in eating.He skips meals frequently and has been losing weight.What is the best nursing action in this situation?

A)Ask the client to "Please eat one meal for me."
B)Leave food with the client at mealtime and offer snacks frequently.
C)Give the client information on the benefits of good nutrition.
D)Remove client privileges every time the client doesn't eat.

Question 17

A 15-year-old female client is noted to often sit alone in the activity room of the facility while watching television.She often begins to join in activities on the unit but then retreats back to her room.Which intervention is most appropriate in this situation?

A)Encourage her to join in on a group activity and actively participate in the activity with her until she feels more comfortable on her own
B)Keep encouraging her to participate in the group activity
C)Offer her rewards,such as extended television privileges,for joining in a group activity
D)Offer her support as she tries to become more involved in activities

Question 18

Inpatient services provide care mainly for mental health clients who are experiencing which conditions? (Select all that apply. )

A)Acute mental or emotional problems
B)Chronic mental or emotional problems
C)Depression
D)Crisis
E)Bipolar disorder

Question 19

A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated.Which action by the nurse would be most appropriate in this situation?

A)Turn up the volume on the television to distract the client
B)Bring him to sit at the nurses' station while the staff is doing shift report
C)Keep him in the lounge and attempt to converse with him
D)Accompany him to a room where soft music is playing

Question 20

The nurse can assist a client best in meeting his or her needs for self-esteem and/or self-actualization by:

A)Setting rules and regulations
B)Allowing the client to set rules and regulations for the inpatient unit
C)Informing the client what the treatment team has decided regarding the plan of care
D)Allowing the client to make choices involving his or her care when appropriate

Question 21

Which are common causes for client noncompliance in the plan of care? (Select all that apply. )

A)Financial concerns
B)Lack of support by family
C)Staff dislike of a client
D)Inability to understand the treatment plan
E)Lack of access to treatment services

Question 22

__________ refers to the process of achieving one's full potential in life.

Question 23

Admission to an inpatient mental health unit is often a stressful event.Which actions on the part of the health care provider will help to decrease the anxiety of the client? (Select all that apply. )

A)Conduct the admission interview with a team of health care providers
B)Answer any questions the client may have
C)Support the client in being oriented to the unit
D)Provide simple,clear instructions and repeat if needed
E)Communicate concern for the client

Question 24

__________ describes the setting or environment in which mental health care is provided.

Question 25

Discharge planning for an inpatient mental health facility client begins on __________.