Exam 12: Milieu Therapy - the Therapeutic Community

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?

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 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?

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?

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

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?

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

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.)

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

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?

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