A nurse is planning care for a group of clients on a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Provide continuity of care by assigning the same staff.

Plan to discuss any topic that is presented.

Allow the client to determine the boundaries of the nurse-client relationship.

Focus on client wellness.

Answer and Explanation

The Correct Answer is A

Choice A Reason:
Providing continuity of care by assigning the same staff is essential in creating a therapeutic environment. It allows for the development of trust and rapport, which are foundational for effective mental health treatment. Consistent caregivers can better understand the clients' needs and tailor interventions accordingly.

Choice B Reason:
While it is important to be open to discussing various topics, the nurse must ensure that discussions remain therapeutic and relevant to treatment goals. Some topics may need to be redirected or limited to maintain a safe and supportive environment.

Choice C Reason:
Allowing clients to determine the boundaries of the nurse-client relationship could lead to blurred lines that may affect the quality of care. It is the nurse's responsibility to establish clear professional boundaries while being empathetic and supportive.

Choice D Reason:
Focusing on client wellness is a broad concept that encompasses the clients' physical, mental, and social well-being. It is a goal of the therapeutic environment to promote overall wellness, but specific strategies are needed to achieve this aim.

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Correct Answer is A

Explanation

Choice A reason:
Occupational therapists are trained to help individuals develop or regain the skills needed for daily living and working. They are particularly adept at assisting clients with work-related skills, making them an ideal choice for this client's plan of care.

Choice B reason:
While psychiatrists are essential for diagnosing and treating mental health conditions, their role is less focused on teaching work-related skills and more on managing the client's psychiatric treatment.

Choice C reason:
Social workers provide valuable support in connecting clients with community resources and supporting their psychosocial needs. However, they do not typically specialize in teaching work-related skills.

Choice D reason:
Psychologists may work with clients to address cognitive or emotional barriers to employment, but they do not typically provide hands-on training in work-related skills as occupational therapists do.

A. "Please do not raise your voice at the children. I am the one who left dishes in the sink." B. "Can you tell me the reason you get upset each time I go to the mall?" C. "If you keep saying that, I will tell everyone what you did last night." D. "She is always bossing me around. Should she do that?"

Correct Answer is B

Explanation

Choice A Reason:
This statement reflects an attempt to de-escalate a potential conflict by taking responsibility for an action that may have caused distress. However, it does not directly invite dialogue or understanding between family members. Effective communication in family therapy aims to foster open and empathetic dialogue, where members feel heard and understood.

Choice B Reason:
Asking for clarification on emotions connected to specific events is a hallmark of effective communication. This statement opens the door for the family member to share their feelings and for others to understand the perspective behind the emotions. It encourages a non-confrontational exchange of thoughts and feelings, which is essential in family therapy to promote healing and understanding.

Choice C Reason:
This statement is an example of a threat, which can lead to increased tension and conflict within the family. It is counterproductive to the goals of family therapy, which include improving communication and resolving conflicts in a constructive manner. Effective communication should be free of coercion and intimidation.

Choice D Reason:
While this statement may reflect a feeling or concern within the family dynamic, it is framed as an accusation rather than an invitation to discuss the behavior or its impact. Effective communication involves expressing one's own feelings and needs without making judgments about others' actions.

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A nurse is planning care for a group of clients on a mental health unit. Which of the following actions should the nurse plan to take to create a therapeutic environment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

Correct Answer is A

Explanation

A nurse is leading a group family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

Correct Answer is B

Explanation

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