. A nurse is conducting a diabetic medication education group for patients on
a medical unit. Which of these actions by the nurse is the most important
priority during the first meeting of this group?
a. Ask the patients where they would like to begin.
b. Try to identify what role each of the members is assuming.
c. Conduct fingerstick blood sugars on each attendee.
d. Explain how the meetings will be structured.
d. Explain how the meetings will be structured.
Which of the following are basic assumptions of milieu therapy? (Select all
that apply.)
a. The person owns his or her own environment.
b. Each person owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
d. Inappropriate behaviors are punished immediately.
a. The person owns his or her own environment.
b. Each person owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
On the milieu unit, duties of the staff psychiatric nurse include which of the
following? (Select all that apply.)
a. Medication administration
b. Client teaching
c. Medical diagnosis
d. Reality orientation
e. Relationship development
,f. Group therapy
a. Medication administration
b. Client teaching
d. Reality orientation
e. Relationship development
Which of the following activities would be a responsibility of the clinical
psychologist member of the IDT?
a. Locates halfway house and arranges living conditions for client being
discharged from the hospital
b. Manages the therapeutic milieu on a 24-hour basis
c. Administers and evaluates psychological tests that assist in diagnosis
d. Conducts psychotherapy and administers electroconvulsive therapy
treatments
c. Administers and evaluates psychological tests that assist in diagnosis
Which of the following activities would be a responsibility of the psychiatric
clinical nurse specialist on the IDT team?
a. Manages the therapeutic milieu on a 24-hour basis
b. Conducts group therapies and provides consultation and education to staff
nurses
c. Directs a group of clients in acting out a situation that is otherwise too
painful for a client to discuss openly
d. Locates halfway house and arranges living conditions for client being
discharged from the hospital
b. Conducts group therapies and provides consultation and education to staff
nurses
,A client who was sexually abused as a child is admitted to the inpatient
psychiatric unit with a diagnosis of borderline personality disorder after a
suicide attempt. She has refused to talk to anyone. Which of the following
therapies might the IDT team recommend for this client? (Select all that
apply.)
a. Music therapy
b. Art therapy
c. Seclusion
d. Electroconvulsive therapy
a. Music therapy
b. Art therapy
““
In a medication education group, which of the following actions is most
important for reinforcing the therapeutic milieu?
a. Allowing each person a specific and equal amount of time to talk
b. Reviewing group rules and interpersonal behavior expectations that apply
to all clients
c. Reading the medication information
d. Restricting the group to only those clients who are currently adhering to
medication schedules
b. Reviewing group rules and interpersonal behavior expectations that apply
to all clients
, One of the goals of a therapeutic milieu is for clients to become more
independent and accept self-responsibility. Which of the following
approaches by staff best encourages the fulfillment of this goal?
a. Including client input and decisions into the treatment plan
b. Insisting that each client take a turn leading a group activity
c. Making decisions for the client regarding plans for treatment
d. Requiring that the client bathe, dress, and attend breakfast on time each
morning
a. Including client input and decisions into the treatment plan
A client is admitted to the inpatient psychiatric unit, appears anxious, and
states, "I've never been on a unit like this before." Which of these actions by
the nurse is a priority for beginning to establish a therapeutic milieu?
a. Instruct the client to remain in his room until he feels less anxious.
b. Orient the client to the physical surroundings, milieu rules, and activities.
c. Offer to medicate the client with antianxiety medication.
d. Instruct the client not to worry because he will only be on the unit for a
few days.
b. Orient the client to the physical surroundings, milieu rules, and activities.
A client approaches the nurse and says, "I'm sick of the rules on this unit
about not touching each other. I'm an adult and if I want to give one of the
ladies a massage, it's my own business." Which of these responses best
incorporates milieu therapy principles?
a. "If you don't follow the established rules, you will be put in seclusion."
b. "You don't make the rules, so just do as you're told."
c. "Why are you on this unit?"
a medical unit. Which of these actions by the nurse is the most important
priority during the first meeting of this group?
a. Ask the patients where they would like to begin.
b. Try to identify what role each of the members is assuming.
c. Conduct fingerstick blood sugars on each attendee.
d. Explain how the meetings will be structured.
d. Explain how the meetings will be structured.
Which of the following are basic assumptions of milieu therapy? (Select all
that apply.)
a. The person owns his or her own environment.
b. Each person owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
d. Inappropriate behaviors are punished immediately.
a. The person owns his or her own environment.
b. Each person owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
On the milieu unit, duties of the staff psychiatric nurse include which of the
following? (Select all that apply.)
a. Medication administration
b. Client teaching
c. Medical diagnosis
d. Reality orientation
e. Relationship development
,f. Group therapy
a. Medication administration
b. Client teaching
d. Reality orientation
e. Relationship development
Which of the following activities would be a responsibility of the clinical
psychologist member of the IDT?
a. Locates halfway house and arranges living conditions for client being
discharged from the hospital
b. Manages the therapeutic milieu on a 24-hour basis
c. Administers and evaluates psychological tests that assist in diagnosis
d. Conducts psychotherapy and administers electroconvulsive therapy
treatments
c. Administers and evaluates psychological tests that assist in diagnosis
Which of the following activities would be a responsibility of the psychiatric
clinical nurse specialist on the IDT team?
a. Manages the therapeutic milieu on a 24-hour basis
b. Conducts group therapies and provides consultation and education to staff
nurses
c. Directs a group of clients in acting out a situation that is otherwise too
painful for a client to discuss openly
d. Locates halfway house and arranges living conditions for client being
discharged from the hospital
b. Conducts group therapies and provides consultation and education to staff
nurses
,A client who was sexually abused as a child is admitted to the inpatient
psychiatric unit with a diagnosis of borderline personality disorder after a
suicide attempt. She has refused to talk to anyone. Which of the following
therapies might the IDT team recommend for this client? (Select all that
apply.)
a. Music therapy
b. Art therapy
c. Seclusion
d. Electroconvulsive therapy
a. Music therapy
b. Art therapy
““
In a medication education group, which of the following actions is most
important for reinforcing the therapeutic milieu?
a. Allowing each person a specific and equal amount of time to talk
b. Reviewing group rules and interpersonal behavior expectations that apply
to all clients
c. Reading the medication information
d. Restricting the group to only those clients who are currently adhering to
medication schedules
b. Reviewing group rules and interpersonal behavior expectations that apply
to all clients
, One of the goals of a therapeutic milieu is for clients to become more
independent and accept self-responsibility. Which of the following
approaches by staff best encourages the fulfillment of this goal?
a. Including client input and decisions into the treatment plan
b. Insisting that each client take a turn leading a group activity
c. Making decisions for the client regarding plans for treatment
d. Requiring that the client bathe, dress, and attend breakfast on time each
morning
a. Including client input and decisions into the treatment plan
A client is admitted to the inpatient psychiatric unit, appears anxious, and
states, "I've never been on a unit like this before." Which of these actions by
the nurse is a priority for beginning to establish a therapeutic milieu?
a. Instruct the client to remain in his room until he feels less anxious.
b. Orient the client to the physical surroundings, milieu rules, and activities.
c. Offer to medicate the client with antianxiety medication.
d. Instruct the client not to worry because he will only be on the unit for a
few days.
b. Orient the client to the physical surroundings, milieu rules, and activities.
A client approaches the nurse and says, "I'm sick of the rules on this unit
about not touching each other. I'm an adult and if I want to give one of the
ladies a massage, it's my own business." Which of these responses best
incorporates milieu therapy principles?
a. "If you don't follow the established rules, you will be put in seclusion."
b. "You don't make the rules, so just do as you're told."
c. "Why are you on this unit?"
