CMN 350 EXAM 1 2025 QUESTIONS AND
ANSWERS
What does Me, Meds, and Milieu mean? - ANS -Nurse/patient relationship
-Medications and skills
-Safe and therapeutic environment
What are the tools of a psychiatric nurse? - ANS Me, Meds, and Milieu
What does Psychotherapeutic Management mean? - ANS proposes a real-world approach
that recognizes the interdependence of the mental health profession and exploits the strengths
of psychiatric nursing
What question does psychotherapeutic management answer? - ANS What do psychiatric
nurses do that is different from other mental health professionals, such as social workers,
psychiatrists, and psychologists?
What is used in the application of psychotherapeutic management? - ANS -words
-drugs
-environment
-somatic therapies
-behavioral conditioning
What is emphasized in psychotherapeutic management? - ANS -words
-drugs
-environment
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,what is "one size does not fit all"? - ANS how you talk to the patient, what medications the
patient should be taking, and what environmental modifications that promote health and
safety will not be the same for every patient. what works for one might not work for another.
What trumps all other patient concerns? - ANS patient safety
What is milieu management? - ANS proactive approach to care that forges therapeutic
benefits from the patients surroundings
What are the elements used in creating a therapeutic milieu? - ANS -safety
-structure
-norms
-limit setting
-balance
-(sometimes) environmental modifications
inpatient settings treatment activities - ANS occupational therapy, recreational therapy,
psychoeducation, group therapy, spirituality groups, community meetings
types of group therapy - ANS cognitive-behavioral, psychodynamic, gestalt, attachment-
based, interpersonal, family systems
state forensic hospitals - ANS -patients that have committed (and been convicted of) crimes
carried out under the influence of a severe mental illness and are deemed too dangerous to
reside in the community
-most restrictive of all treatment environments; secure environment with strict rules and
regulations to ensure safety for the general population
state psychiatric hospitals - ANS -for forensic pts who are more severely psychotic
-some facilities focus on rehab and recovery
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, community treatment settings - ANS takes place in group homes, day programs, home
health visits.
-the pts are more acutely ill than ever before
nursing and the therapeutic environment:
aim - ANS -create a relationship of trust
-cooperation b/w nurse and pt where they both work purposely and effectively toward the
attainment of pt recover
nursing and the therapeutic environment:
elements - ANS -safety
-structure
-norms
-limit setting
-balance
nursing and the therapeutic environment:
safety- clinical example - ANS John is angry w another pt and is threatening him w bodily
harm. the nurse intervenes by directing john that she will take him to his room. the nurse stays
with john and encourages him to talk about what he's feeling. "i understand you're upset, can
you share w me whats going on for you?"
nursing and the therapeutic environment:
structure - ANS physical environment, daily schedules, treatment activities, and informal
rules of interacting b/w pts and staff
-essential component
nursing and the therapeutic environment:
safety - ANS -MOST IMPORTANT
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
ANSWERS
What does Me, Meds, and Milieu mean? - ANS -Nurse/patient relationship
-Medications and skills
-Safe and therapeutic environment
What are the tools of a psychiatric nurse? - ANS Me, Meds, and Milieu
What does Psychotherapeutic Management mean? - ANS proposes a real-world approach
that recognizes the interdependence of the mental health profession and exploits the strengths
of psychiatric nursing
What question does psychotherapeutic management answer? - ANS What do psychiatric
nurses do that is different from other mental health professionals, such as social workers,
psychiatrists, and psychologists?
What is used in the application of psychotherapeutic management? - ANS -words
-drugs
-environment
-somatic therapies
-behavioral conditioning
What is emphasized in psychotherapeutic management? - ANS -words
-drugs
-environment
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 1
,what is "one size does not fit all"? - ANS how you talk to the patient, what medications the
patient should be taking, and what environmental modifications that promote health and
safety will not be the same for every patient. what works for one might not work for another.
What trumps all other patient concerns? - ANS patient safety
What is milieu management? - ANS proactive approach to care that forges therapeutic
benefits from the patients surroundings
What are the elements used in creating a therapeutic milieu? - ANS -safety
-structure
-norms
-limit setting
-balance
-(sometimes) environmental modifications
inpatient settings treatment activities - ANS occupational therapy, recreational therapy,
psychoeducation, group therapy, spirituality groups, community meetings
types of group therapy - ANS cognitive-behavioral, psychodynamic, gestalt, attachment-
based, interpersonal, family systems
state forensic hospitals - ANS -patients that have committed (and been convicted of) crimes
carried out under the influence of a severe mental illness and are deemed too dangerous to
reside in the community
-most restrictive of all treatment environments; secure environment with strict rules and
regulations to ensure safety for the general population
state psychiatric hospitals - ANS -for forensic pts who are more severely psychotic
-some facilities focus on rehab and recovery
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 2
, community treatment settings - ANS takes place in group homes, day programs, home
health visits.
-the pts are more acutely ill than ever before
nursing and the therapeutic environment:
aim - ANS -create a relationship of trust
-cooperation b/w nurse and pt where they both work purposely and effectively toward the
attainment of pt recover
nursing and the therapeutic environment:
elements - ANS -safety
-structure
-norms
-limit setting
-balance
nursing and the therapeutic environment:
safety- clinical example - ANS John is angry w another pt and is threatening him w bodily
harm. the nurse intervenes by directing john that she will take him to his room. the nurse stays
with john and encourages him to talk about what he's feeling. "i understand you're upset, can
you share w me whats going on for you?"
nursing and the therapeutic environment:
structure - ANS physical environment, daily schedules, treatment activities, and informal
rules of interacting b/w pts and staff
-essential component
nursing and the therapeutic environment:
safety - ANS -MOST IMPORTANT
Copyright ©2025 BRIGHTSTARS ALL RIGHTS RESERVED 3
