Exam 7: Milieu Therapythe Therapeutic Community

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A client is to undergo psychological testing. Which member of the interdisciplinary team would a nurse consult for this purpose?

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C

Which scenarios reflect a therapeutic community, based on Skinner's seven basic assumptions?

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A,B,D

Which of the following conditions promote a therapeutic community? (Select all that apply.)

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B,E

A scientific structuring of the environment in order to affect behavioral changes and to improve the psychological health and functioning of the individual is defined as ______ therapy.

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A client who is newly admitted to an inpatient psychiatric unit reports that newly prescribed medication is exacerbating her anxiety and paranoia. The nurse is attending an interdisciplinary team meeting regarding the client. Which members of the interdisciplinary team would be able to alter this client's prescription? (Select all that apply.)

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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 response?

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

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A client on an inpatient unit angrily says 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?

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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!" Which response by the nurse responds would be guided by which basic assumption of milieu therapy?

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The nurse is tending to a new client who has made several suicide attempts. The client reports having persistent, strong suicidal intentions. Which intervention by the nurse is most appropriate while still promoting a therapeutic hospital environment?

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

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

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