The nurse is caring for a client diagnosed with catatonia. Which of the following should be a priority action by the nurse?

Schedule the client for a therapeutic group session.

Encourage the client to walk in the hallway.

Encourage the client to verbalize feelings at all times.

Offer small, frequent fluids throughout the day.

Answer and Explanation

The Correct Answer is D

Choice A Reason:
Scheduling the client for a therapeutic group session may not be appropriate as a priority action. Clients with catatonia often experience significant psychomotor disturbances, which can include immobility or stupor, making participation in group activities challenging and potentially distressing.

Choice B Reason:
Encouraging the client to walk in the hallway is not the most immediate concern. While mobility is important, the safety and medical stability of the client take precedence, especially considering the potential for immobility and resistance to movement in catatonic states.

Choice C Reason:
Encouraging the client to verbalize feelings at all times is not practical as a priority action. Catatonia can involve mutism or significantly reduced responsiveness, making it difficult for the client to express themselves verbally.

Choice D Reason:
Offering small, frequent fluids throughout the day is a priority action for a client with catatonia. Due to the potential for decreased oral intake and the risk of dehydration, ensuring the client receives adequate hydration is essential. This intervention addresses a basic physiological need and can prevent further complications.

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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.

A. A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness. B. A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder. C. A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment. D. A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders.

Correct Answer is C

Explanation

Choice A reason:
While a mental health unit that includes milieu therapy may focus on stabilizing clients, it is not limited to those in an acute phase of mental illness. Milieu therapy is a comprehensive approach that can benefit individuals at various stages of their treatment.

Choice B reason:
Milieu therapy is not necessarily less intensive nor does it focus solely on one psychiatric illness or substance abuse disorder. It is a versatile treatment method that can be applied to a range of conditions and is integrated into the daily life of the unit.

Choice C reason:
This choice accurately reflects the essence of milieu therapy. It is a therapeutic approach where the environment is used as an integral part of treatment. The goal is to create a stable, adaptive reality through routines, boundaries, and open communication, fostering a sense of safety and support for therapeutic change.

Choice D reason:
Milieu therapy is not exclusively focused on long-term care but is adaptable to the needs of clients, whether they require short-term stabilization or long-term treatment. It is designed to help individuals learn healthier ways of thinking and behaving within a supportive community setting.

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The nurse is caring for a client diagnosed with catatonia. Which of the following should be a priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?

Correct Answer is D

Explanation

A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit that has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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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?

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