Chapter 12 The Therapeutic Milieu

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Chapter 12  The Therapeutic Milieu

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

help the client who experiences enuresis (bed-wetting)?
A)
Reality therapy
B)
Uncovering therapy
C)
Hydrotherapy
D)
Behavior therapy
Ans:
D

Feedback:

Behavior therapy can be effective in assisting clients who are struggling with specific behaviors that create disruption in their lives, such as enuresis.

2.
The psychiatric–mental health nurse is working with a male adolescent who is having difficulty during the night due to enuresis (bed-wetting). Which of the following statements would indicate that the nurse is employing a behavioral therapy approach in working with this client?
A)
“What does it feel like on your skin when you awaken during the night with a wet bed?”
B)
“Can you tell me if there is anyone you think of in particular when you awaken from wetting your bed?”
C)
“The next time you awaken with a wet bed, we will put you in the bathtub of cold water to wash you off and to remind you not to wet your bed.”
D)
“Each time you awaken with a dry bed, we will give you a token to use at the gift shop. How would you feel about that plan?”
Ans:
D

Feedback:

The correct answer is the option that demonstrates a behavioral approach by rewarding the desired behavior. The other answers reflect more psychological approaches.

3.
A therapeutic milieu can exist in a variety of settings. An important goal of an inpatient therapeutic milieu is to do what?
A)
Provide a businesslike atmosphere where clients can work on individual goals.
B)
Provide a democratic ward government in which clients decide on unit rules, regulations, and policies.
C)
Provide a testing ground for new patterns of behavior while the client takes responsibility for his or her actions.
D)
Provide an environment that discourages expressions of anger because they can be disruptive.
Ans:
C

Feedback:

The therapeutic milieu is designed to provide a safe, holding environment in which the client can “test” or practice new behaviors and thus learn how to interact appropriately with others.

4.
All except which of the following professionals would typically be represented in the inpatient therapeutic treatment milieu team?
A)
Psychiatric–mental health nurse
B)
Psychiatric social worker
C)
Occupational therapist
D)
Pharmacologist
Ans:
D

Feedback:

Members of several disciplines participate in the promotion of a therapeutic milieu. Referred to as the psychiatric multidisciplinary treatment team, members include psychiatric–mental health nurses; psychiatric nurse assistants or technicians; psychiatrists; clinical psychologists; psychiatric social workers; occupational, educational, art, musical, psychodrama, recreational, play, and speech therapists; chaplains; dietitians; and auxiliary personnel.

5.
The JCAHO standards of care for pain management apply to all clinical settings, including psychiatric–mental health settings. The primary goal of pain management is to do what?
A)
Eliminate all causes of pain for the client.
B)
Educate the client about reasons for pain.
C)
Medicate the client until the pain is manageable.
D)
Reduce or eliminate pain, or make it more manageable.
Ans:
D

Feedback:

Pain management is an important nursing function. It is not possible to eliminate all pain nor is it often feasible to simply medicate until the pain is manageable. Educating the client about his or her pain is important but is not the major goal of pain management.

 

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