A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

Coordinate the implementation of the nursing care plan and documents.

Provide and maintain a safe and therapeutic environment in collaboration with others.

Apply current knowledge to assess the patient's response to medication.

Give anticipatory guidance to prevent or reduce menta illness and enhance mental health.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Coordinating the implementation of the nursing care plan and documents is inappropriate. This choice is more related to general nursing responsibilities and care coordination. Milieu therapy specifically focuses on creating a therapeutic environment rather than coordinating care plans and documents.

Choice B Reason:

Providing and maintaining a safe and therapeutic environment in collaboration with others is appropriate. Milieu therapy involves creating a therapeutic environment that promotes the patient's mental health and well-being. This includes ensuring safety, providing structure, and creating a supportive atmosphere for patients. The nurse, in collaboration with the healthcare team, is responsible for establishing and maintaining this therapeutic milieu.

Choice C Reason:

Applying current knowledge to assess the patient's response to medication is inappropriate.

Assessing the patient's response to medication is an important nursing responsibility, but it is not the primary focus of milieu therapy. Milieu therapy is more concerned with the overall environment and its impact on the patient's mental health.

Choice D Reason:

Giving anticipatory guidance to prevent or reduce mental illness and enhance mental health is inappropriate. While anticipatory guidance is important in nursing care, it may not capture the essence of creating and maintaining a therapeutic environment, which is the core of milieu therapy. This choice is more related to health education and preventive measures rather than the overall therapeutic environment.

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Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

Choice A Reason:

Increasing intake of tea and coffee is incorrect. While some individuals find comfort in warm beverages like tea, excessive intake of caffeinated drinks, such as coffee, can contribute to increased anxiety and disrupted sleep. It's important to moderate caffeine consumption.

Choice B Reason:

Exercising daily for at least 20 minutes is correct. Regular exercise is a well-established stress management technique. Physical activity can help reduce stress hormones and trigger the release of endorphins, promoting a sense of well-being.

Choice C Reason:

Sleeping until late in the morning is incorrect. While adequate sleep is crucial for stress management, sleeping until late in the morning might disrupt a regular sleep schedule. Consistent and quality sleep is essential for overall well-being. Establishing a consistent sleep routine is often recommended.

Choice D Reason:

Listening to your favorite music is correct. Listening to music can have a calming effect and is often used as a relaxation technique. It can help reduce stress and improve mood.

Choice E Reason:

Receiving a good massage is correct. Massage therapy is a known stress-relieving technique. It can help relax tense muscles, reduce anxiety, and promote a sense of relaxation.

A. "Your husband is making really good progress B. "Crying helps us let things out and we feel better." C. "Tell me what is concerning you." D. "Did your husband say something to upset you?"

Correct Answer is C

Explanation

Choice A Reason:

"Your husband is making really good progress" This statement assumes a positive or negative judgment about the husband's progress without first understanding the spouse's concerns. It may not address the spouse's immediate emotional needs or allow them to express their feelings.

Choice B Reason:

"Crying helps us let things out and we feel better". While this statement acknowledges the act of crying as a way to express emotions, it doesn't directly address the specific concerns of the spouse or invite further communication about the issues causing distress.

Choice C Reason:

"Tell me what is concerning you. “This is a therapeutic nursing response because it encourages the spouse to express their concerns and share their feelings. It opens up communication and allows the nurse to better understand the specific issues or worries that the spouse is experiencing. This response demonstrates active listening and a genuine interest in the spouse's perspective, fostering a supportive and empathetic therapeutic relationship.

Choice D Reason:

"Did your husband say something to upset you?" This question assumes that the spouse's distress is solely related to something the husband said. It may not be the most open-ended or empathetic way to encourage the spouse to share their concerns and might direct the focus too narrowly.

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A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?

Correct Answer is C

Explanation

Which activity would happen first in the nurse-patient relationship?

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

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A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?

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One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?