Exam 20: Introduction to Milieu Management

Which adjective best characterizes custodial care?

The framework of schedules, rules, and activities around which a therapeutic environment revolves is termed:

During a community meeting, a patient reports about having only two patient-accessible phones on the unit. Many other patients join in, all talking at the same time. The nurse requests that only one person talk at a time. The nurse's request seeks to maintain:

A newly admitted patient is withdrawn and does not seek out interaction with staff or patients. Nursing interventions should focus on which element of the treatment environment?

Which nursing action best supports the maintenance of psychologic safety for a patient with mental illness?

A patient has been bumping and pushing other patients. The nurse carefully explains to the patient that such behavior is unacceptable. The nurse has provided:

The nurse leading a social skills group is engaged in managing which environmental element?

During orientation the clinical nurse leader tells a novice nurse, "You will be involved in purposeful creation of corrective learning experiences for all patients so as to provide a healing atmosphere." The clinical nurse leader is explaining aspects of:

Complete the sentence. In a therapeutic environment, norms are:

A patient demonstrating manic behaviors gathered other patients in the dayroom and gave a sales talk, pressuring others to purchase shares of stock in a gold mine. Which element of a therapeutic environment is jeopardized?

In which instance would it be most important for the nurse to set limits?

A nurse plans ways to promote patient safety and security. A proactive approach would include:

Which nursing action best supports maintenance of a therapeutic environment?

Which aspects of the environment of a psychiatric unit comply with JCAHO environment-of -carestandards? Select all that apply.

A psychiatric facility is "accredited by JCAHO." Which asset would be expected?

Which statements indicate that a patient understands the unit norms? Select all that apply.

While nurses are engaged in shift change report, one patient becomes loud and aggressive. This patient verbally harasses and frightens another patient. Which element of the therapeutic environment has been jeopardized?

Which element of therapeutic environmental management has the highest priority?

Which research findings about the therapeutic environment of an inpatient psychiatric unit have implications for nursing practice? Select all that apply.

Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standards mandate that: