1. Milieu Therapy: Milieu refers to the environment in which holistic treatment oc-
curs and includes all members of the treatment team in a positive physical setting,
with interactions among those who are hospitalized and activities that promote
recovery.
The psychiatric mental health registered nurse provides, structures, and maintains
safe, therapeutic, recovery oriented environment collaboration with health care
consumers, families, and other health care clinicians.
Among other things milieu management includes orienting patients to their rights
and responsibilities. Milieu management also includes informing patients in a cul-
turally competent manner about the need for structure, maintenance of a safe
environment, and limits set on the unit.
,The nurse selects activities (both individual and group) that meets the patient's
physical and mental health needs. The patient should always be maintained in the
least restrictive environment.
2. Mental health: Successful performance of mental functions, resulting in the abil-
ity to engage in productive activities, enjoy fulfilling relationships, adapt to change,
and cope with adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional
growth, resilience, and self-esteem throughout the life span.
It is a STATE OF WELL-BEING in which individuals are able to realize their abilities
as well as contribute to their community within the context of life stressors.
3. Mental illness: Actual diagnoses, gets in the way of obtaining mental health.
Medical conditions that affect a person's thinking, feeling, mood, ability to relate to
others, and daily functioning. Basically, mental illness can be seen as the result of
,flawed biological, psychological, or social processes.
Fortunately mental illnesses are treatable, and individuals can experience symptom
relief, and complete cure in some cases, with treatment and support.
4. Maslow's hierarchy of needs: Needs are placed conceptually on a pyramid, with
the most basic and important needs on the lower level.
The higher levels, the more distinctly human needs, occupy the top sections of the
pyramid. According to Maslow, when lower level needs are met, higher level needs
, are able to emerge.
**Physiological needs first, safety second
5. Physiological needs: Food, water, oxygen, elimination, rest, and sex
6. Safety needs: Security, protection, stability, structure, order, and limits.
7. Love and belonging needs: Affiliation, affectionate relationships, and love
8. Esteem needs: Self-esteem related to competency, achievement, and esteem
from others.
9. Self-actualization needs: Becoming everything one is capable of.
10. Self-transcendence: When a person experiences a sense of identity that tran-
scends or extends beyond the personal self.
11. The Id: The primitive, pleasure-seeking part of our personalities that lurks in the
unconscious mind.
12. The Ego: Our sense of self. (Also unconscious mind)
Acts as an intermediary between the id and the world by using ego defense