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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Telling the client to call their boss and ask for their job back may not be the most supportive response. It could add stress by suggesting immediate action when the client may not be in a position to address the issue effectively due to their hospitalization.
Choice B reason:
This response might come across as dismissive, implying that the client's concerns are not valid or important. It does not offer emotional support or acknowledge the client's feelings about the situation.
Choice C reason:
Questioning why the partner would share such upsetting news does not provide comfort or support to the client. It could potentially create additional stress by introducing doubts about the partner's intentions.
Choice D reason:
This empathetic response acknowledges the client's likely emotional reaction to the news. It validates the client's feelings without making assumptions or judgments about the situation, which is an important aspect of nurse-client communication.
Correct Answer is D
Explanation
Choice A reason:
Acute dystonia is characterized by sudden muscle contractions that can cause abnormal postures. While it is an adverse effect of antipsychotic medications, the symptoms typically include muscle spasms, stiffness, and oculogyric crisis, but not necessarily fever and diaphoresis.
Choice B reason:
Tardive dyskinesia is a late-onset movement disorder associated with prolonged use of antipsychotic medications. It presents with repetitive, involuntary, and purposeless movements, such as grimacing, tongue movements, and lip smacking. Fever and blood pressure changes are not typical features of tardive dyskinesia.
Choice C reason:
Pseudoparkinsonism is an adverse effect of antipsychotic medications that mimics the symptoms of Parkinson's disease, such as tremor, rigidity, bradykinesia, and postural instability. However, it does not usually present with fever or diaphoresis.
Choice D reason:
Neuroleptic malignant syndrome (NMS) is a life-threatening neurologic emergency associated with the use of antipsychotic medications. It is characterized by mental status changes, muscle rigidity, fever, and autonomic dysfunction, such as blood pressure changes and diaphoresis. NMS requires immediate medical attention and discontinuation of the offending agent.
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