A nurse on a mental health unit is preparing to document an incident involving a client. Which considerations by the nurse will ensure competency in the documentation?

Choice A rationale
Using EPA registered insect repellants is a form of primary prevention, as it aims to prevent tick bites, which are the primary mode of transmission for Lyme disease.
Choice B rationale
Checking your clothing and body for ticks after being outdoors is a form of secondary prevention. If a tick is found and removed before it has had a chance to transmit the bacteria that cause Lyme disease, this can prevent the disease from occurring.
Choice C rationale
Wearing long-sleeved shirts and pants while outdoors is another form of primary prevention, as it can help prevent tick bites.
Choice D rationale
Notifying your health care provider if you notice a rash (especially a bull’s-eye rash, which is a common early symptom of Lyme disease) is a form of tertiary prevention, as it involves managing the symptoms of an existing disease.

Choice A rationale
The statement that the milieu consists of the physical and psychosocial environmental factors indicates an understanding of therapeutic milieu. The therapeutic milieu refers to the structured and safe environment that is created in a mental health setting to promote therapeutic interaction and healing.
Choice B rationale
The positioning of chairs around the perimeter of the day room does not necessarily indicate an understanding of therapeutic milieu. While the physical arrangement of the environment can contribute to the therapeutic milieu, it is not the defining aspect.
Choice C rationale
The statement that therapeutic milieu requires unstructured programming, allowing clients to focus on their interests, does not accurately reflect the concept of therapeutic milieu. While client interests are important, therapeutic milieu often involves structured activities designed to promote therapeutic interaction and healing.
Choice D rationale
The statement that clients can keep any personal items in their rooms does not necessarily indicate an understanding of therapeutic milieu. While personal items can contribute to a sense of comfort and safety, therapeutic milieu involves more than just the physical environment.