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?
Evaluation
Planning
Assessment
Implementation
The Correct Answer is D
Choice A reason:
Evaluation is the final step in the nursing process, where the nurse determines the effectiveness of the nursing care plan and whether the client's goals and outcomes have been met. In the context of milieu therapy, evaluation would involve assessing the client's progress within the therapeutic environment.
Choice B reason:
Planning involves setting goals and expected outcomes for the client's care and then determining the specific interventions that will be used to achieve those goals. In milieu therapy, planning would include designing the structure and activities of the therapeutic environment to meet the needs of the clients.
Choice C reason:
Assessment is the first step in the nursing process, where the nurse collects comprehensive data pertinent to the client's health and the situation. In milieu therapy, assessment would include understanding the client's mental health status, personal history, and specific needs within the therapeutic environment.
Choice D reason:
Implementation is the step where the nurse puts the care plan into action. In the context of milieu therapy, implementation refers to the nurse's role in actively creating and maintaining the therapeutic environment, facilitating group activities, and ensuring that the daily routine is therapeutic for all clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Waiting for the client to initiate interaction may result in missed opportunities to build trust and rapport. Clients who are suspicious may never feel comfortable enough to initiate interaction, which could hinder their care and treatment.
Choice B reason:
Adopting a neutral attitude when providing care is recommended for clients who are suspicious. It helps to establish a non-threatening environment and conveys a sense of respect for the client's need for space and boundaries.
Choice C reason:
Disclosing personal information to demonstrate approachability can backfire with clients who are suspicious. It may be perceived as intrusive or as an attempt to elicit personal information from them in return.
Choice D reason:
Approaching the client frequently throughout the day for brief interactions might overwhelm and increase the client's suspicion. It's important to respect the client's space and allow them to set the pace for interactions.
Correct Answer is D
Explanation
Choice A Reason:
Nonverbal communication is a universal aspect of human interaction and plays a crucial role in all cultures. It includes gestures, facial expressions, body language, and other forms of communication that do not involve words. Understanding and interpreting nonverbal cues correctly is essential for nurses to provide culturally competent care.
Choice B Reason:
Culture significantly influences when and how clients seek medical care. Cultural beliefs can shape perceptions of health and illness, determine the types of treatments sought, and influence the level of trust in healthcare providers. Nurses must understand these cultural factors to provide effective and respectful care.
Choice C Reason:
It is unreasonable and culturally insensitive to expect clients to adapt to the care provided without consideration of their cultural background. Instead, healthcare providers should adapt their care to meet the cultural needs of their clients, ensuring that care is patient-centered and respectful of individual cultural practices.
Choice D Reason:
Focusing on clients' cultures rather than just their ethnicity allows nurses to provide more personalized and effective care. Culture encompasses a wide range of factors, including traditions, values, beliefs, and social norms, which can all impact health behaviors and needs. By understanding the cultural context of their clients, nurses can tailor their care approaches to better meet their clients' needs.
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