Question 1

A client has undergone psychological testing.With which member of the interdisciplinary team should a nurse collaborate to review these results?

Accepted Answer

A) Psychiatrist 
B) Psychiatric social worker 
C) Clinical psychologist 
D) Clinical nurse specialist 
A) Psychiatrist 
B) Psychiatric social worker 
C) Clinical psychologist 
D) Clinical nurse specialist C

Question 2

To promote self-reliance,how should a psychiatric nurse best conduct medication administration?

Accepted Answer

A) Encourage clients to request their medications at the appropriate times. 
B) Refuse to administer medications unless clients request them at the appropriate times. 
C) Allow the clients to determine appropriate medication times. 
D) Take medications to the clients' bedside at the appropriate times. 
A) Encourage clients to request their medications at the appropriate times. 
B) Refuse to administer medications unless clients request them at the appropriate times. 
C) Allow the clients to determine appropriate medication times. 
D) Take medications to the clients' bedside at the appropriate times. A

Question 3

A nurse attends an interdisciplinary team meeting on an inpatient unit.Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? Select all that apply.

Accepted Answer

A) Respiratory therapist 
B) Occupational therapist 
C) Recreational therapist 
D) Social worker 
E) Mental health technician 
A) Respiratory therapist 
B) Occupational therapist 
C) Recreational therapist 
D) Social worker 
E) Mental health technician B,C,D,E

Question 4

A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group.What should the nurse identify as an appropriate group topic?

Accepted Answer

A) Dream analysis 
B) Creative cooking 
C) Paint by number 
D) Stress management 
A) Dream analysis 
B) Creative cooking 
C) Paint by number 
D) Stress management

Question 5

The psychiatric-mental health nurse understands the goal of milieu therapy is which of the following?

Accepted Answer

A) To structure the environment to ensure a therapeutic experience 
B) To encourage clients to be active participants in their therapy 
C) To provide spontaneous opportunities for therapeutic interactions 
D) To design a homelike atmosphere that encourages communication 
A) To structure the environment to ensure a therapeutic experience 
B) To encourage clients to be active participants in their therapy 
C) To provide spontaneous opportunities for therapeutic interactions 
D) To design a homelike atmosphere that encourages communication

Question 6

Which are the psychiatric nurse's responsibilities on the interdisciplinary treatment team? Select all that apply.

Accepted Answer

A) Present educational programs for nursing staff. 
B) Perform in-depth psychosocial history. 
C) Develop one-to-one relationships with clients. 
D) Manage the therapeutic milieu on a 24-hour basis. 
E) Provide input in development of treatment plan. 
A) Present educational programs for nursing staff. 
B) Perform in-depth psychosocial history. 
C) Develop one-to-one relationships with clients. 
D) Manage the therapeutic milieu on a 24-hour basis. 
E) Provide input in development of treatment plan.

Question 7

In the role of milieu manager,which activity should the nurse prioritize?

Accepted Answer

A) Setting the schedule for the daily unit activities 
B) Evaluating clients for medication effectiveness 
C) Conducting therapeutic group sessions 
D) Searching newly admitted clients for hazardous objects 
A) Setting the schedule for the daily unit activities 
B) Evaluating clients for medication effectiveness 
C) Conducting therapeutic group sessions 
D) Searching newly admitted clients for hazardous objects

Question 8

When Jonathan was admitted to an inpatient psychiatric unit,the nurse explained all patients are expected to attend various groups throughout the day.Which is a main goal of therapeutic groups?

Accepted Answer

A) Establish trust. 
B) Provide structure. 
C) Facilitate behavior change. 
D) Increase self-esteem. 
A) Establish trust. 
B) Provide structure. 
C) Facilitate behavior change. 
D) Increase self-esteem.

Question 9

A client on an inpatient unit angrily states to a nurse,"Peter is not cleaning up after himself in the community bathroom.You need to address this problem." Which is the appropriate nursing response?

Accepted Answer

A) "I'll talk to Peter and present your concerns." 
B) "Why are you overreacting to this issue?" 
C) "You should bring this to the attention of your treatment team." 
D) "I can see that you are angry.Let's discuss ways to approach Peter with your concerns." 
A) "I'll talk to Peter and present your concerns." 
B) "Why are you overreacting to this issue?" 
C) "You should bring this to the attention of your treatment team." 
D) "I can see that you are angry.Let's discuss ways to approach Peter with your concerns."

Question 10

A client tells the nurse she is anxious and loudly demands the nurse give her Ativan right now.The nurse replies,"I understand you are having anxiety;however,demanding medication in a loud voice is unacceptable behavior." Which type of intervention is the nurse implementing?

Accepted Answer

A) Establishing trust 
B) Limit setting 
C) Validating feelings 
D) Patient teaching 
A) Establishing trust 
B) Limit setting 
C) Validating feelings 
D) Patient teaching

Question 11

An angry client on an inpatient unit approaches a nurse,stating,"Someone took my lunch! People need to respect others,and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy?

Accepted Answer

A) Conflict should be avoided at all costs on inpatient psychiatric units. 
B) Conflict should be resolved by the nursing staff. 
C) Every interaction is an opportunity for therapeutic intervention. 
D) Conflict resolution should be addressed only during group therapy. 
A) Conflict should be avoided at all costs on inpatient psychiatric units. 
B) Conflict should be resolved by the nursing staff. 
C) Every interaction is an opportunity for therapeutic intervention. 
D) Conflict resolution should be addressed only during group therapy.

Question 12

What is the best rationale for including the client's family in therapy within the inpatient milieu?

Accepted Answer

A) To structure a program of social and work-related activities 
B) To facilitate discharge from the hospital 
C) To provide a concrete demonstration of caring 
D) To encourage the family to model positive behaviors 
A) To structure a program of social and work-related activities 
B) To facilitate discharge from the hospital 
C) To provide a concrete demonstration of caring 
D) To encourage the family to model positive behaviors

Question 13

Therapeutic community is based on which of Skinner's assumptions? Select all that apply.

Accepted Answer

A) Every interaction is an opportunity for therapeutic intervention. 
B) Social interactions and group activities foster behavior change. 
C) Peer pressure is a useful and powerful tool. 
D) Inappropriate behaviors are dealt with as they occur. 
E) Physical facilities enhance adaptive coping skills. 
A) Every interaction is an opportunity for therapeutic intervention. 
B) Social interactions and group activities foster behavior change. 
C) Peer pressure is a useful and powerful tool. 
D) Inappropriate behaviors are dealt with as they occur. 
E) Physical facilities enhance adaptive coping skills.

Question 14

Which of the following are accurate descriptors of a therapeutic community? Select all that apply.

Accepted Answer

A) The unit schedule includes unlimited free time for personal reflection. 
B) Unit responsibilities are assigned according to client capabilities. 
C) A flexible schedule is determined by client needs. 
D) The individual is the sole focus of therapy. 
E) A democratic form of government exists. 
A) The unit schedule includes unlimited free time for personal reflection. 
B) Unit responsibilities are assigned according to client capabilities. 
C) A flexible schedule is determined by client needs. 
D) The individual is the sole focus of therapy. 
E) A democratic form of government exists.

Question 15

A newly admitted client asks,"Why do we need a unit schedule? I'm not going to these groups.I'm here to get some rest." Which is the most appropriate nursing reply?

Accepted Answer

A) "Group therapy provides the opportunity to learn and practice new coping skills." 
B) "Group therapy is mandatory.All clients must attend." 
C) "Group therapy is optional.You can go if you find the topic helpful and interesting." 
D) "Group therapy is an economical way of providing therapy to many clients concurrently." 
A) "Group therapy provides the opportunity to learn and practice new coping skills." 
B) "Group therapy is mandatory.All clients must attend." 
C) "Group therapy is optional.You can go if you find the topic helpful and interesting." 
D) "Group therapy is an economical way of providing therapy to many clients concurrently."

Question 16

How does a democratic form of self-government in the milieu contribute to client therapy?

Accepted Answer

A) By setting punishments for clients who violate the community rules 
B) By dealing with inappropriate behaviors as they occur 
C) By setting community expectations wherein all clients are treated on an equal basis 
D) By interacting with professional staff members to learn about therapeutic interventions 
A) By setting punishments for clients who violate the community rules 
B) By dealing with inappropriate behaviors as they occur 
C) By setting community expectations wherein all clients are treated on an equal basis 
D) By interacting with professional staff members to learn about therapeutic interventions

Question 17

A client diagnosed with Schizophrenia functions well and is bright,spontaneous,and interactive during hospitalization but then decompensates after discharge.What does the milieu provide that may be missing in the home environment?

Accepted Answer

A) Peer pressure 
B) Structured programming 
C) Visitor restrictions 
D) Mandated activities 
A) Peer pressure 
B) Structured programming 
C) Visitor restrictions 
D) Mandated activities

Exam 12: Milieu Therapythe Therapeutic Community

A client has undergone psychological testing.With which member of the interdisciplinary team should a nurse collaborate to review these results?

To promote self-reliance,how should a psychiatric nurse best conduct medication administration?

A nurse attends an interdisciplinary team meeting on an inpatient unit.Which of the following individuals are typically included as members of the interdisciplinary treatment team in psychiatry? Select all that apply.

A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group.What should the nurse identify as an appropriate group topic?

The psychiatric-mental health nurse understands the goal of milieu therapy is which of the following?

Which are the psychiatric nurse's responsibilities on the interdisciplinary treatment team? Select all that apply.

In the role of milieu manager,which activity should the nurse prioritize?

When Jonathan was admitted to an inpatient psychiatric unit,the nurse explained all patients are expected to attend various groups throughout the day.Which is a main goal of therapeutic groups?

A client on an inpatient unit angrily states to a nurse,"Peter is not cleaning up after himself in the community bathroom.You need to address this problem." Which is the appropriate nursing response?

A client tells the nurse she is anxious and loudly demands the nurse give her Ativan right now.The nurse replies,"I understand you are having anxiety;however,demanding medication in a loud voice is unacceptable behavior." Which type of intervention is the nurse implementing?

An angry client on an inpatient unit approaches a nurse,stating,"Someone took my lunch! People need to respect others,and you need to do something about this now!" The nurse's response should be guided by which basic assumption of milieu therapy?

What is the best rationale for including the client's family in therapy within the inpatient milieu?

Therapeutic community is based on which of Skinner's assumptions? Select all that apply.

Which of the following are accurate descriptors of a therapeutic community? Select all that apply.

A newly admitted client asks,"Why do we need a unit schedule? I'm not going to these groups.I'm here to get some rest." Which is the most appropriate nursing reply?

How does a democratic form of self-government in the milieu contribute to client therapy?

A client diagnosed with Schizophrenia functions well and is bright,spontaneous,and interactive during hospitalization but then decompensates after discharge.What does the milieu provide that may be missing in the home environment?

The Concept of Stress Adaptation

Mental Health and Mental Illness: Historical and Theoretical Concepts

Concepts of Psychobiology

Psychopharmacology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric-Mental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatric-Mental Health Nursing

Therapeutic Groups

Intervention With Families

Crisis Intervention

Assertiveness Training

Promoting Self-Esteem

Anger and Aggression Management

Suicide Prevention

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety,obsessive-Compulsive,and Related Disorders

Trauma- and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

Military Families

Complementary and Psychosocial Therapies

Relaxation Therapy

Theoretical Models of Personality Development

Forensic Nursing

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