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A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit that has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness.

A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder.

A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment.

A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders.

Answer and Explanation

The Correct Answer is C

Choice A reason:
While a mental health unit that includes milieu therapy may focus on stabilizing clients, it is not limited to those in an acute phase of mental illness. Milieu therapy is a comprehensive approach that can benefit individuals at various stages of their treatment.

Choice B reason:
Milieu therapy is not necessarily less intensive nor does it focus solely on one psychiatric illness or substance abuse disorder. It is a versatile treatment method that can be applied to a range of conditions and is integrated into the daily life of the unit.

Choice C reason:
This choice accurately reflects the essence of milieu therapy. It is a therapeutic approach where the environment is used as an integral part of treatment. The goal is to create a stable, adaptive reality through routines, boundaries, and open communication, fostering a sense of safety and support for therapeutic change.

Choice D reason:
Milieu therapy is not exclusively focused on long-term care but is adaptable to the needs of clients, whether they require short-term stabilization or long-term treatment. It is designed to help individuals learn healthier ways of thinking and behaving within a supportive community setting.

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Correct Answer is ["C","E","F"]

Explanation

Choice A Reason:
Advocating for one's rights and the rights of others is not typically seen as a characteristic of aggressive communication. It can be a feature of assertive communication, where the individual stands up for their rights in a respectful and non-confrontational manner.

Choice B Reason:
Seeking to avoid expressing personal opinions is not characteristic of aggressive communicators. Aggressive communicators are more likely to forcefully express their opinions without regard for others' feelings or perspectives.

Choice C Reason:
Being controlling during conversations is a hallmark of aggressive communication. Aggressive communicators often dominate discussions, impose their views, and may disregard others' input.

Choice D Reason:
Feeling anxious about how messages will be received is not typically associated with aggressive communication. This trait is more aligned with passive communication, where individuals may be concerned about others' reactions and thus may hold back their true thoughts.

Choice E Reason:
Blaming others for misunderstandings is a common behavior in aggressive communication. Aggressive communicators may not take responsibility for their part in a conflict and instead put the blame on others.

Choice F Reason:
Frequently interrupting others during conversation is indicative of aggressive communication. This behavior demonstrates a lack of respect for others' contributions and a desire to control the conversation.

A. "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary." B. "Clients who are involuntarily admitted have the right to informed consent." C. "Clients should be given medications even if they refuse them." D. "The laws regarding restraints are different for clients who are admitted involuntarily."

Correct Answer is B

Explanation

Choice A Reason:
The statement that clients can be hospitalized for as long as the provider deems necessary is not entirely accurate. Involuntary admission is regulated by law, and there are specific criteria and time frames that must be adhered to. For example, if a person is admitted involuntarily, they must either be discharged within a certain number of days or brought to a mental health court to request a longer commitment.

Choice B Reason:
This statement is correct. Clients who are involuntarily admitted retain their rights, including the right to informed consent. They should be informed about their condition, the proposed treatments, and the potential risks and benefits, and they should be involved in their care decisions as much as possible.

Choice C Reason:
Administering medications to clients who refuse them is a complex issue. While there are circumstances where treatment may be given against a client's wishes, particularly if they pose a danger to themselves or others, this must be done within the framework of the law, which includes respecting clients' rights and obtaining necessary legal orders.

Choice D Reason:
The laws regarding the use of restraints on involuntarily admitted clients are indeed different and often more stringent. These laws are designed to protect the rights of clients and ensure that restraints are used only when absolutely necessary and as a last resort.

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A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit that has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator? (Select All that Apply.)

Correct Answer is ["C","E","F"]

Explanation

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?

Correct Answer is B

Explanation

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)

The nurse is caring for a client diagnosed with schizophrenia. Which of the following should the nurse identify as findings consistent with schizophrenia? (Select all that apply.)

A nurse working in a mental health facility is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?

The nurse is caring for a client diagnosed with catatonia. Which of the following should be a priority action by the nurse?

Two clients are in the garden disagreeing on which plant should go in the corner. One client says to the other, "I would really like to plant the sunflower." The nurse recognizes this as which form of communication response pattern?

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?