Chapter 01: Me, Meds, Milieu
ss ss ss ss
Steele: Keltner’s Psychiatric Nursing, 9th Edition
ss ss ss ss ss
MULTIPLE ssCHOICE
1. A ssnewly sslicensed ssnurse ssasks ssa ssnursing ssrecruiter ssfor ssa ssdescription ssof ssnursing sspractice
in ssthe sspsychiatric sssetting. ssWhat ssis ssthe ssnurse ssrecruiter‘s ssbest ssresponse?
ss
a. ―The ssnurse ssprimarily ssserves ssin ssa sssupportive ssrole ssto ssmembers ssof ssthe sshealth sscare
delivery ssteam.‖
b. ―The ssmultidisciplinary ssapproach sseliminates ssthe ssneed ssto ssclearly ssdefine ssthe
responsibilities ssof ssnursing ssin sssuch ssa sssetting.‖
c. ―Nursing ssactions ssare ssidentified ssby ssthe ssinstitution ssthat ssdistinguishes ssnursing
from ss
other ssmental sshealth ssprofessions.‖
d. ―Nursing ssoffers ssunique sscontributions ssto ssthe sspsychotherapeutic ssmanagement ssof
psychiatric sspatients.‖
ANS: s s D
Professional ssrole ssoverlap sscannot ssbe ssdenied; sshowever, ssnursing ssis ssunique ssin ssits ssfocus sson
ssand ssapplication ssof sspsychotherapeutic ssmanagement. ssNeither ssthe ssfacility ssnor ssthe
ssmultidisciplinary ssteam ssdefine ssthe ssprofessional ssresponsibilities ssof ssits ssmembers ssbut ssrather
ssutilizes sstheir ssunique ssskills ssto ssprovide ssholistic sscare. ssIdeally, ssall ssteam ssmembers sssupport
sseach ssother ssand sshave ssfunctions sswithin ssthe ssteam.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
2. Which sscomponent ssof ssthe ssnursing ssprocess sswill ssthe ssnurse ssfocus ssupon ssto
address ssthe ssresponsibility ssto ssmatch ssindividual sspatient ssneeds sswith ssappropriate
ss
services?
ss
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: s s C
Proper ssassessment ssis sscritical ssfor ssbeing ssable ssto ssdetermine ssthe ssappropriate sslevel ssof ssservices
ssthat sswill ssprovide ssoptimal sscare sswhile ssconsidering sspatient ssinput ssand ssat ssthe sslowest sscost.
ssPlanning ssand ssimplementation ssutilizes ssthe ssassessment ssdata ssto ssidentify ssand ssexecute ssactions
ss(treatment ssplan) ssthat sswill ssprovide ssappropriate sscare. ssEvaluation ssvalidates ssthe sseffectiveness
ssof ssthe sstreatment ssplan.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssAssessment ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
3. An ssadult ssdiagnosed sswith ssparanoid ssschizophrenia ssfrequently ssexperiences ssauditory
sshallucinations ssand sswalks ssabout ssthe ssunit, ssmuttering. ssWhich ssnursing ssaction
ssdemonstrates ssthe ssnurse‘s ssunderstanding ssof sseffective sspsychotherapeutic ssmanagement
ssof ssthis ssclient?
, a. Discussing ssthe ssdisease ssprocess ssof ssschizophrenia sswith ssthe ssclient ssand sstheir
domestic
ss
partner
b. Minimizing sscontact ssbetween ssthis sspatient ssand ssother sspatients ssto ssassure ssa ssstress-
free
milieu
c. Administering ssPRN ssmedication sswhen ssfirst ssobserving ssthe ssevidence ssthat ssthe
ssclient
may ssbe sshallucinating
d. Independently ssdetermining ssthat ssbehavior ssmodification ssis ssappropriate ssto
ssdecrease
the ssclient‘s ssparanoid ssthoughts
ANS: s s A
An ssunderstanding ssof sspsychopathology ssis ssthe ssfoundation sson sswhich ssthe ssthree sscomponents
ssof sspsychotherapeutic ssmanagement ssrest; ssit ssfacilitates sstherapeutic sscommunication ssand
ssprovides ssa ssbasis ssfor ssunderstanding sspsychopharmacology ssand ssmilieu ssmanagement.
ssMinimizing sscontact ssbetween ssthe sspatient ssand ssothers ssand ssadministering ssPRN ssmedication
ssindiscriminately ssare ssnontherapeutic ssinterventions. ssUsing ssbehavior ssmodification ssto
ssdecrease ssthe ssfrequency ssof sshallucinations sswould ssneed ssto ssbe ssincorporated ssinto ssthe ssplan ssof
sscare ssby ssthe sscare ssteam.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
4. An ssadult ssdiagnosed sswith sschronic ssdepression ssis sshospitalized ssafter ssa sssuicide ssattempt.
Which ssintervention ssis sscritical ssin ssassuring sslong-term, sseffective ssclient sscare ssas
ss
described ssby sspsychotherapeutic ssmanagement?
ss
a. Involvement ssin ssgroup sstherapies
b. Focus ssof ssclose sssupervision ssby ssthe ssunit ssstaff
c. Maintaining sseffective sscommunication sswith sssupport
sssystem
d. Frequently ssscheduled ssone-on-one sstime sswith ssnursing ssstaff
ANS: s s D
A sscritical sselement ssof sspsychotherapeutic ssmanagement ssis ssthe sspresence ssof ssa sstherapeutic
nurse-patient ssrelationship. ssOne-on-one sstime sswith ssnursing ssstaff sswill sshelp ssin ssestablishing
ssthis ssconnection. ssWhile ssthe ssother ssoptions ssare ssappropriate ssand ssclient sscentered, ssthe ssnurse-
client ssrelation ssis sscritical ssin ssthe sslong-term ssdelivery ssof ssquality sseffective sscare ssto ssthis ssclient.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssPsychosocial ssIntegrity
5. A sspatient‘s sshaloperidol ssdosage sswas ssreduced ss2 ssweeks ssago ssto ssdecrease ssside sseffects.
ssWhat ssassessment ssquestion ssdemonstrates ssthe ssnurse‘s ssunderstanding ssof ssthe ssresulting
ssneeds ssof ssthe ssclient?
a. ―Will ssyou sshave ssany ssdifficultyssgetting ssyour ssprescription ssrefilled?‖
b. ―Have ssyou ssbegun ssexperiencing ssany ssforms ssof sshallucinations?‖
c. ―What ssdo ssyou ssexpect sswill ssoccur sssince ssthe ssdosage sshas ssbeen ssreduced?‖
d. ―What sscan ssIssdo ssto sshelp ssyou ssmanage ssthis ssreduction ssin sshaloperidol
sstherapy?‖
,ANS: s s B
It sswill ssbe ssnecessary ssfor ssthe ssnurse ssto ssassess ssfor ssexacerbation ssof ssthe sspatient‘s sssymptoms
ssof sspsychosis ssas sswell ssas ssfor ssa sslessening ssof ssside sseffects. ssDosage ssdecrease ssmight sslead ssto
ssthe ssreturn ssor ssworsening ssof sspositive sssymptoms sssuch ssas sshallucinations ssand ssdelusions, ssand
ssnegative sssymptoms sssuch ssas ssblunted ssaffect, sssocial sswithdrawal, ssand sspoor ssgrooming.
ssWhile ssthe ssother ssoptions ssmay ssbe ssappropriate ssassessment ssquestions, ssthey ssare ssnot ssdirected
ssat ssthe sscurrent ssneeds ssof ssthe ssclient sswhich ssis ssthe ssidentification ssof ssemerging sspsychotic
ssbehaviors.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAssessment ssMSC: s s Client ssNeeds: ssPhysiologic ssIntegrity
, 6. Which ssstatement ssforms ssthe ssfoundation ssupon sswhich ssa ssnurse ssshould ssbase ssthe
implementation ssof sspsychotherapeutic ssmanagement ssto ssthe sscare ssof ssa sspatient sswith ssmental
ss
illness?
ss
a. The ssnurse‘s ssrole ssin ssclient sscare ssis sssupported ssby ssthe ssmultidisciplinary ssteam.
b. Omitting ssany ssone sscomponent sswill sscompromise ssthe sseffectiveness ssof ssthe
sstreatment.
c. The ssmost ssimportant sselement ssof sspsychotherapeutic ssmanagement ssis ssdrug
sstherapy.
d. A sstherapeutic ssnurse-patient ssrelationship ssis ssthe ssmost ssimportant ssaspect ssof
sstreatment.
ANS: s s B
When ssone sselement ssis ssmissing, sstreatment ssis ssusually sscompromised. ssNo sssingle sselement ssis
ssmore ssimportant ssthan ssthe ssothers; sshowever, sspatients‘ ssneeds ssgovern ssthe ssapplication ssof ssthe
sscomponents ssand sspermit ssjudicious ssuse. ssThe ssremaining ssoptions ssidentify sscomponents ssof
ssthe sspsychotherapeutic ssmanagement ssprocess.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAnalysis ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
7. Which ssstatement ssmost ssaccurately ssdescribes ssa ssnurse‘s ssrole ssregarding sspsychopharmacology?
a. ―You sswill ssneed ssto ssfrequently ssmake ssdecisions ssregarding ssthe ssadministration ssof
PRN
ss
medications ssto sshelp ssthe ssclient ssmanage ssanger.‖
b. ―It‘s ssa ssnursing ssresponsibilityssto ssadjust ssa ssmedication ssdose ssto ssassure sseffective
sspatient ssresponses.‖
c. ―Nurses ssadministers ssmedications sswhile ssevaluating ssdrug sseffectiveness ssis ssa
ssmedical ssresponsibility.‖
d. ―To ssbest ssassure ssappropriate ssresponse, ssa sspatient‘s ssquestions ssabout ssdrug
sstherapy ssshould ssbe ssreferred ssto ssthe sspsychiatrist.‖
ANS: s s A
Nursing ssassessment ssand ssanalysis ssof ssdata ssmight sssuggest ssthe ssneed ssfor ssPRN ssmedication ssas
sspatient ssanxiety ssincreases ssor sspsychotic sssymptoms ssbecome ssmore ssacute. ssThe ssnurse ssis ssthe
sshealth ssteam ssmember sswho ssmakes ssthis ssdetermination. ssNurses ssare ssresponsible ssfor
ssmonitoring ssdrug sseffectiveness ssas sswell ssas ssadministering ssmedication. ssNurses ssshould
ssassume ssresponsibility ssfor ssteaching sspatients ssabout ssthe ssside sseffects ssof ssmedications. ssNurses
sscannot ssalter ssprescribed ssdosages ssof ssmedications ssunless ssthey sshave ssprescriptive ssprivileges.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAnalysis ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
8. When ssconsidering ssenvironmental ssaspects ssof ssmilieu ssmanagement, sswhich ssintervention sshas
the sshighest sspriority ssfor ssa ssclient ssadmitted ssafter ssa ssfailed sssuicide ssattempt?
ss
a. Sending ssthe ssclient‘s ssnew ssmedication ssprescriptions ssto ssthe sspharmacy
b. Assigning ssa ssstaff ssmember ssto ssone-on-one ssobservation ssof ssthe ssclient
c. Orienting ssthe ssclient ssto ssthe ssmilieu‘s sspublic ssand ssprivate ssspaces
d. Having ssall sspotentially ssdangerous ssitems ssremoved ssfrom ssthe ssclient‘s
ssbelongings
ANS: s s B
Milieu ssmanagement ssprovides ssa ssproactive ssapproach ssto sscare. ssSafety ssoverrides ssall ssother
ssdimensions ssof ssthe ssmilieu. ssInitiation ssof sssuicide ssprecautions ssare ssthe sspriority ssfor ssthis ssclient.
ssAll ssthe ssremaining ssoptions ssare ssappropriate ssbut ssnone ssprotect ssthe ssclient ssfrom ssthe ssrisk ssof
ssanother ssattempt ssto ssself-harm ssas sseffectively ssas ssone-on-one ssobservation ssas sspart ssof sssuicide
ssprecautions.
ss ss ss ss
Steele: Keltner’s Psychiatric Nursing, 9th Edition
ss ss ss ss ss
MULTIPLE ssCHOICE
1. A ssnewly sslicensed ssnurse ssasks ssa ssnursing ssrecruiter ssfor ssa ssdescription ssof ssnursing sspractice
in ssthe sspsychiatric sssetting. ssWhat ssis ssthe ssnurse ssrecruiter‘s ssbest ssresponse?
ss
a. ―The ssnurse ssprimarily ssserves ssin ssa sssupportive ssrole ssto ssmembers ssof ssthe sshealth sscare
delivery ssteam.‖
b. ―The ssmultidisciplinary ssapproach sseliminates ssthe ssneed ssto ssclearly ssdefine ssthe
responsibilities ssof ssnursing ssin sssuch ssa sssetting.‖
c. ―Nursing ssactions ssare ssidentified ssby ssthe ssinstitution ssthat ssdistinguishes ssnursing
from ss
other ssmental sshealth ssprofessions.‖
d. ―Nursing ssoffers ssunique sscontributions ssto ssthe sspsychotherapeutic ssmanagement ssof
psychiatric sspatients.‖
ANS: s s D
Professional ssrole ssoverlap sscannot ssbe ssdenied; sshowever, ssnursing ssis ssunique ssin ssits ssfocus sson
ssand ssapplication ssof sspsychotherapeutic ssmanagement. ssNeither ssthe ssfacility ssnor ssthe
ssmultidisciplinary ssteam ssdefine ssthe ssprofessional ssresponsibilities ssof ssits ssmembers ssbut ssrather
ssutilizes sstheir ssunique ssskills ssto ssprovide ssholistic sscare. ssIdeally, ssall ssteam ssmembers sssupport
sseach ssother ssand sshave ssfunctions sswithin ssthe ssteam.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
2. Which sscomponent ssof ssthe ssnursing ssprocess sswill ssthe ssnurse ssfocus ssupon ssto
address ssthe ssresponsibility ssto ssmatch ssindividual sspatient ssneeds sswith ssappropriate
ss
services?
ss
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: s s C
Proper ssassessment ssis sscritical ssfor ssbeing ssable ssto ssdetermine ssthe ssappropriate sslevel ssof ssservices
ssthat sswill ssprovide ssoptimal sscare sswhile ssconsidering sspatient ssinput ssand ssat ssthe sslowest sscost.
ssPlanning ssand ssimplementation ssutilizes ssthe ssassessment ssdata ssto ssidentify ssand ssexecute ssactions
ss(treatment ssplan) ssthat sswill ssprovide ssappropriate sscare. ssEvaluation ssvalidates ssthe sseffectiveness
ssof ssthe sstreatment ssplan.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssAssessment ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
3. An ssadult ssdiagnosed sswith ssparanoid ssschizophrenia ssfrequently ssexperiences ssauditory
sshallucinations ssand sswalks ssabout ssthe ssunit, ssmuttering. ssWhich ssnursing ssaction
ssdemonstrates ssthe ssnurse‘s ssunderstanding ssof sseffective sspsychotherapeutic ssmanagement
ssof ssthis ssclient?
, a. Discussing ssthe ssdisease ssprocess ssof ssschizophrenia sswith ssthe ssclient ssand sstheir
domestic
ss
partner
b. Minimizing sscontact ssbetween ssthis sspatient ssand ssother sspatients ssto ssassure ssa ssstress-
free
milieu
c. Administering ssPRN ssmedication sswhen ssfirst ssobserving ssthe ssevidence ssthat ssthe
ssclient
may ssbe sshallucinating
d. Independently ssdetermining ssthat ssbehavior ssmodification ssis ssappropriate ssto
ssdecrease
the ssclient‘s ssparanoid ssthoughts
ANS: s s A
An ssunderstanding ssof sspsychopathology ssis ssthe ssfoundation sson sswhich ssthe ssthree sscomponents
ssof sspsychotherapeutic ssmanagement ssrest; ssit ssfacilitates sstherapeutic sscommunication ssand
ssprovides ssa ssbasis ssfor ssunderstanding sspsychopharmacology ssand ssmilieu ssmanagement.
ssMinimizing sscontact ssbetween ssthe sspatient ssand ssothers ssand ssadministering ssPRN ssmedication
ssindiscriminately ssare ssnontherapeutic ssinterventions. ssUsing ssbehavior ssmodification ssto
ssdecrease ssthe ssfrequency ssof sshallucinations sswould ssneed ssto ssbe ssincorporated ssinto ssthe ssplan ssof
sscare ssby ssthe sscare ssteam.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
4. An ssadult ssdiagnosed sswith sschronic ssdepression ssis sshospitalized ssafter ssa sssuicide ssattempt.
Which ssintervention ssis sscritical ssin ssassuring sslong-term, sseffective ssclient sscare ssas
ss
described ssby sspsychotherapeutic ssmanagement?
ss
a. Involvement ssin ssgroup sstherapies
b. Focus ssof ssclose sssupervision ssby ssthe ssunit ssstaff
c. Maintaining sseffective sscommunication sswith sssupport
sssystem
d. Frequently ssscheduled ssone-on-one sstime sswith ssnursing ssstaff
ANS: s s D
A sscritical sselement ssof sspsychotherapeutic ssmanagement ssis ssthe sspresence ssof ssa sstherapeutic
nurse-patient ssrelationship. ssOne-on-one sstime sswith ssnursing ssstaff sswill sshelp ssin ssestablishing
ssthis ssconnection. ssWhile ssthe ssother ssoptions ssare ssappropriate ssand ssclient sscentered, ssthe ssnurse-
client ssrelation ssis sscritical ssin ssthe sslong-term ssdelivery ssof ssquality sseffective sscare ssto ssthis ssclient.
DIF: Cognitive sslevel: ssApplying TOP: s s Nursing ssprocess:
ssImplementation ssMSC: s s Client ssNeeds: ssPsychosocial ssIntegrity
5. A sspatient‘s sshaloperidol ssdosage sswas ssreduced ss2 ssweeks ssago ssto ssdecrease ssside sseffects.
ssWhat ssassessment ssquestion ssdemonstrates ssthe ssnurse‘s ssunderstanding ssof ssthe ssresulting
ssneeds ssof ssthe ssclient?
a. ―Will ssyou sshave ssany ssdifficultyssgetting ssyour ssprescription ssrefilled?‖
b. ―Have ssyou ssbegun ssexperiencing ssany ssforms ssof sshallucinations?‖
c. ―What ssdo ssyou ssexpect sswill ssoccur sssince ssthe ssdosage sshas ssbeen ssreduced?‖
d. ―What sscan ssIssdo ssto sshelp ssyou ssmanage ssthis ssreduction ssin sshaloperidol
sstherapy?‖
,ANS: s s B
It sswill ssbe ssnecessary ssfor ssthe ssnurse ssto ssassess ssfor ssexacerbation ssof ssthe sspatient‘s sssymptoms
ssof sspsychosis ssas sswell ssas ssfor ssa sslessening ssof ssside sseffects. ssDosage ssdecrease ssmight sslead ssto
ssthe ssreturn ssor ssworsening ssof sspositive sssymptoms sssuch ssas sshallucinations ssand ssdelusions, ssand
ssnegative sssymptoms sssuch ssas ssblunted ssaffect, sssocial sswithdrawal, ssand sspoor ssgrooming.
ssWhile ssthe ssother ssoptions ssmay ssbe ssappropriate ssassessment ssquestions, ssthey ssare ssnot ssdirected
ssat ssthe sscurrent ssneeds ssof ssthe ssclient sswhich ssis ssthe ssidentification ssof ssemerging sspsychotic
ssbehaviors.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAssessment ssMSC: s s Client ssNeeds: ssPhysiologic ssIntegrity
, 6. Which ssstatement ssforms ssthe ssfoundation ssupon sswhich ssa ssnurse ssshould ssbase ssthe
implementation ssof sspsychotherapeutic ssmanagement ssto ssthe sscare ssof ssa sspatient sswith ssmental
ss
illness?
ss
a. The ssnurse‘s ssrole ssin ssclient sscare ssis sssupported ssby ssthe ssmultidisciplinary ssteam.
b. Omitting ssany ssone sscomponent sswill sscompromise ssthe sseffectiveness ssof ssthe
sstreatment.
c. The ssmost ssimportant sselement ssof sspsychotherapeutic ssmanagement ssis ssdrug
sstherapy.
d. A sstherapeutic ssnurse-patient ssrelationship ssis ssthe ssmost ssimportant ssaspect ssof
sstreatment.
ANS: s s B
When ssone sselement ssis ssmissing, sstreatment ssis ssusually sscompromised. ssNo sssingle sselement ssis
ssmore ssimportant ssthan ssthe ssothers; sshowever, sspatients‘ ssneeds ssgovern ssthe ssapplication ssof ssthe
sscomponents ssand sspermit ssjudicious ssuse. ssThe ssremaining ssoptions ssidentify sscomponents ssof
ssthe sspsychotherapeutic ssmanagement ssprocess.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAnalysis ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
7. Which ssstatement ssmost ssaccurately ssdescribes ssa ssnurse‘s ssrole ssregarding sspsychopharmacology?
a. ―You sswill ssneed ssto ssfrequently ssmake ssdecisions ssregarding ssthe ssadministration ssof
PRN
ss
medications ssto sshelp ssthe ssclient ssmanage ssanger.‖
b. ―It‘s ssa ssnursing ssresponsibilityssto ssadjust ssa ssmedication ssdose ssto ssassure sseffective
sspatient ssresponses.‖
c. ―Nurses ssadministers ssmedications sswhile ssevaluating ssdrug sseffectiveness ssis ssa
ssmedical ssresponsibility.‖
d. ―To ssbest ssassure ssappropriate ssresponse, ssa sspatient‘s ssquestions ssabout ssdrug
sstherapy ssshould ssbe ssreferred ssto ssthe sspsychiatrist.‖
ANS: s s A
Nursing ssassessment ssand ssanalysis ssof ssdata ssmight sssuggest ssthe ssneed ssfor ssPRN ssmedication ssas
sspatient ssanxiety ssincreases ssor sspsychotic sssymptoms ssbecome ssmore ssacute. ssThe ssnurse ssis ssthe
sshealth ssteam ssmember sswho ssmakes ssthis ssdetermination. ssNurses ssare ssresponsible ssfor
ssmonitoring ssdrug sseffectiveness ssas sswell ssas ssadministering ssmedication. ssNurses ssshould
ssassume ssresponsibility ssfor ssteaching sspatients ssabout ssthe ssside sseffects ssof ssmedications. ssNurses
sscannot ssalter ssprescribed ssdosages ssof ssmedications ssunless ssthey sshave ssprescriptive ssprivileges.
DIF: Cognitive sslevel: ssAnalyzing TOP: s s Nursing ssprocess:
ssAnalysis ssMSC: s s Client ssNeeds: ssSafe, ssEffective ssCare ssEnvironment
8. When ssconsidering ssenvironmental ssaspects ssof ssmilieu ssmanagement, sswhich ssintervention sshas
the sshighest sspriority ssfor ssa ssclient ssadmitted ssafter ssa ssfailed sssuicide ssattempt?
ss
a. Sending ssthe ssclient‘s ssnew ssmedication ssprescriptions ssto ssthe sspharmacy
b. Assigning ssa ssstaff ssmember ssto ssone-on-one ssobservation ssof ssthe ssclient
c. Orienting ssthe ssclient ssto ssthe ssmilieu‘s sspublic ssand ssprivate ssspaces
d. Having ssall sspotentially ssdangerous ssitems ssremoved ssfrom ssthe ssclient‘s
ssbelongings
ANS: s s B
Milieu ssmanagement ssprovides ssa ssproactive ssapproach ssto sscare. ssSafety ssoverrides ssall ssother
ssdimensions ssof ssthe ssmilieu. ssInitiation ssof sssuicide ssprecautions ssare ssthe sspriority ssfor ssthis ssclient.
ssAll ssthe ssremaining ssoptions ssare ssappropriate ssbut ssnone ssprotect ssthe ssclient ssfrom ssthe ssrisk ssof
ssanother ssattempt ssto ssself-harm ssas sseffectively ssas ssone-on-one ssobservation ssas sspart ssof sssuicide
ssprecautions.
