A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

The milieu consists of the physical and psychosocial environmental factors.

The clients can keep any personal items they would like in their rooms.

The gathering spaces should have the chairs positioned around the perimeter of the day room.

Therapeutic milieu requires unstructured programming, allowing clients to focus on their interests.

Answer and Explanation

The Correct Answer is A

Choice A reason:
The statement correctly identifies that a therapeutic milieu encompasses both the physical and psychosocial aspects of the environment. This holistic approach is designed to support the recovery and well-being of clients by ensuring that all aspects of the unit's environment are conducive to therapy.

Choice B reason:
While personalization of space can be part of a therapeutic milieu, this statement alone does not capture the full essence of the concept. Therapeutic milieu involves more than just personal items; it includes the structured management of the environment to promote positive interactions and therapeutic outcomes.

Choice C reason:
Positioning chairs around the perimeter of the day room may be a part of the environmental setup, but it does not fully represent the therapeutic milieu. The therapeutic milieu is about creating an environment that encourages interaction, communication, and community among clients, which may or may not involve specific furniture arrangements.

Choice D reason:
Unstructured programming is not a characteristic of therapeutic milieu. In fact, therapeutic milieu typically involves a structured schedule of activities and programs that are designed to promote therapeutic engagement, skill development, and social interaction among clients.

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Correct Answer is D

Explanation

Choice A Reason:
Passive-aggressive communication involves expressing negative feelings indirectly rather than openly addressing them. It often manifests as sarcasm, backhanded compliments, or subtle digs. In this scenario, the client is directly stating their preference without any indirect negativity, so it is not passive-aggressive.

Choice B Reason:
Aggressive communication is characterized by speaking in a way that violates or disrespects others. It often includes yelling, interrupting, or demeaning language. The client's statement does not display any of these characteristics; instead, it is a straightforward expression of their wish.

Choice C Reason:
Nonassertive communication, also known as passive communication, occurs when individuals fail to express their thoughts or feelings, or they do so without confidence. The client in the garden is clearly stating their desire to plant the sunflower, which is not indicative of a nonassertive pattern.

Choice D Reason:
Assertive communication is the act of expressing one's opinions, feelings, and needs in a clear, direct, and respectful way. It involves standing up for oneself while also considering the rights and feelings of others. The client's statement, "I would really like to plant the sunflower," is a clear, direct expression of their preference, making it an assertive form of communication.

A. Laughs when watching a sad movie. B. Maintains an immobilized state for several hours. C. Refuses to eat any unwrapped foods. D. Uses a rhyming form of speech.

Correct Answer is B

Explanation

Choice A Reason:
Laughing inappropriately, such as when watching a sad movie, can be a symptom of schizophrenia, but it is not specific to the catatonic subtype. Inappropriate affect may occur in schizophrenia but does not solely characterize catatonic behavior.

Choice B Reason:
Catatonic schizophrenia is marked by periods of immobility or stupor. A client who maintains an immobilized state for several hours is displaying a classic sign of catatonia. During these periods, the client may be mute, rigid, and resistant to movement, which are key features of this condition.

Choice C Reason:
Refusing to eat certain types of food is not specifically indicative of catatonic schizophrenia. While individuals with schizophrenia may have unusual preferences or fears related to food, this behavior could be related to a variety of factors and is not a definitive sign of catatonia.

Choice D Reason:
Using a rhyming form of speech, known as clang associations, can be seen in schizophrenia but is more characteristic of disorganized thinking associated with the disorder rather than catatonia. Catatonia involves motoric symptoms rather than speech patterns.

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A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse is caring for a newly admitted client diagnosed with catatonic schizophrenia. Which of the following behaviors should the nurse document to be consistent with catatonic schizophrenia? The client:

Correct Answer is B

Explanation

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 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.)

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

A nurse overhears a client diagnosed with schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse should recognize the client's use of the word "flakala" as an example of which of the following alterations in speech?

A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. The findings include blood pressure changes, fever, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?

A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?

A nurse is caring for a client on the Mental Health Unit. The client refuses to get out of bed, go to activities, or participate in any of the unit’s programs. Which of the following responses should the nurse make?