The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

To provide a show of force that would deter clients from breaking unit rules.

To foster stronger social relationships between clients and staff.

To synergize with the autocratic leadership style of inpatient therapy.

To assist all the clients in meeting their treatment goals.

Answer and Explanation

The Correct Answer is D

Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.

Choice B reason: Fostering social relationships is important but is not the primary purpose.

Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.

Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.

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Correct Answer is D

Explanation

Choice A reason: Explaining a legal obligation to share information is not accurate in this context.

Choice B reason: Advising the client that her supervisor will be informed is not necessary or appropriate.

Choice C reason: Telling the client her coworkers' opinions should not matter does not address the confidentiality concern.

Choice D reason: The correct answer is d) because informing the client that the information will be shared with the treatment team addresses the need for confidentiality while ensuring the team has the necessary information for treatment.

A. Refer the case to the facility's ethics committee. B. Document the client's refusal of the medication in the medical record. C. Administer the medication by another route. D. Inform the client that due to her involuntary admission, she cannot refuse a sedative.

Correct Answer is B

Explanation

Choice A reason: Referring the case to the ethics committee is not the immediate action required.

Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.

Choice C reason: Administering the medication by another route without consent is not appropriate.

Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.

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The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.

A nurse is preparing to administer 1500 mL of IV fluid to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/h?

A nurse in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?

A nurse is teaching a client who has a fear of heights about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching?

The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?