A nurse is discussing the use of mechanical restraints with a newly licensed nurse. Which of the following situations should the nurse include as an indication for placing a client in mechanical restraints?

A. By setting punishments for clients who violate the community rules: This approach is more authoritarian than democratic. In a democratic milieu, the emphasis is on collaboration, shared decision-making, and equal participation, rather than imposing punishments.

B. By setting expectations wherein all clients are not treated on an equal basis: This approach would be contrary to the principles of a democratic milieu. The democratic model promotes equality, inclusion, and the involvement of all clients in decision-making.

C. By setting expectations wherein all clients are treated on an equal basis: This is the correct answer. In a democratic milieu, all clients are encouraged to participate equally in decision-making processes, express their opinions, and contribute to the therapeutic community. This fosters a sense of empowerment and shared responsibility.

D. By dealing with inappropriate behaviors as they occur: While addressing inappropriate behaviors is important in any therapeutic environment, the emphasis on a democratic form of self-government goes beyond reacting to behaviors. It involves actively engaging clients in the decision-making process and promoting a collaborative and supportive community.

A. Psychiatrist: Psychiatrists focus primarily on medical and pharmacological interventions for mental illnesses. While they play a crucial role in diagnosing and treating mental health conditions, they typically do not have the expertise in housing assistance or social services.

B. Behavioral therapist: Behavioral therapists focus on psychotherapeutic interventions to address and modify behavior. They are not typically involved in addressing social determinants of health, such as housing.

C. Social worker: Social workers are specifically trained to address social issues, including housing. They work with clients to assess their social needs, connect them with resources, and advocate for their well-being. In this case, a social worker would be instrumental in helping the client find housing resources and support.

D. Psychologist: Psychologists primarily focus on psychological assessments, therapy, and interventions. Like psychiatrists, their expertise is more centered around mental health treatment rather than addressing the social determinants of health such as housing.