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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A Reason:
Schizophrenia cannot be cured with antidepressants. Antidepressants may be used to treat comorbid depression in individuals with schizophrenia, but they do not address the core symptoms of schizophrenia itself. Schizophrenia is a chronic condition that typically requires lifelong treatment with antipsychotic medications to manage symptoms.
Choice B Reason:
Schizophrenia typically first presents in adolescence or early adulthood. This is the period when symptoms such as hallucinations, delusions, and disorganized thinking often first become apparent. The onset of schizophrenia during this developmental stage can significantly impact an individual's social and vocational abilities.
Choice C Reason:
Antipsychotic medications are the cornerstone of schizophrenia treatment. They can be used to manage symptoms of hallucinations and delusions, which are known as positive symptoms of schizophrenia. These medications work by affecting neurotransmitters in the brain, particularly dopamine.
Choice D Reason:
Individuals with schizophrenia have a higher risk of substance abuse disorders. Substance use can exacerbate symptoms of schizophrenia and complicate the course of the illness. It is important for treatment plans to address any co-occurring substance use disorders.
Choice E Reason:
Schizophrenia significantly affects thoughts and perceptions. It can cause distorted thinking patterns, false beliefs, and sensory experiences that others do not share. These symptoms can be distressing and may lead to difficulties in distinguishing reality.
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