Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Encourages staff to provide frequent negative feedback to patients

Enforces rules and behavioral limits flexy

Permits additional privileges for voluntary admitted patients

Provides patients a sense of security and comfort

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Encourages staff to provide frequent negative feedback to patient is incorrect. A therapeutic milieu typically focuses on positive reinforcement and constructive feedback to support patients' growth and development.

Choice B Reason:

Enforces rules and behavioral limits flexibly is incorrect. While establishing rules and limits is important for maintaining safety, flexibility in enforcing them allows for individualized care and consideration of the patient's unique needs.

Choice C Reason:

Permits additional privileges for voluntary admitted patients is incorrect. Additional privileges may be granted based on the patient's progress and participation in their treatment. However, it should be done thoughtfully and as part of a therapeutic plan rather than as a blanket permission for all voluntary admitted patients.

Choice D Reason:

Provides patients a sense of security and comfort is correct. A therapeutic milieu refers to the therapeutic environment or surroundings in a psychiatric setting that promotes the patient's well-being, safety, and recovery. This environment should be supportive, safe, and conducive to healing. Providing patients with a sense of security and comfort is essential for their overall well-being and progress in treatment.

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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 mother will be fine, you shouldn't work so much." B. “So, it seems that you feel responsible for what happened to your mother” C. "Why do you blame yourself? You could not have prevented the stroke” D. “You are not responsible for your mothers’ stroke but many people in your situation feel this way”

Correct Answer is B

Explanation

Choice A Reason:

This response is dismissive and invalidates the son's feelings of guilt. It does not acknowledge or address his emotional distress. Providing false reassurance and shifting focus to work is not therapeutic.

Choice B Reason:

This response reflects therapeutic communication. It validates the son’s feelings by acknowledging his guilt and encourages him to express his emotions. Reflective listening allows the nurse to build trust and support the son in processing his emotions.

Choice C Reason:

Asking "Why" can feel accusatory or judgmental, making the son defensive. While the statement attempts to provide reassurance, it fails to address his emotional state and may shut down further communication.

Choice D Reason:

Although this response provides some reassurance and normalization, it minimizes the son's emotions by focusing on generalizations. It lacks the reflective quality necessary for therapeutic communication in this situation.

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Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

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 is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

Which statement describes the focus of psychiatric emergency care?

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

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

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?

A nurse in a mental health clinic is attempting to develop a therapeutic relationship with a client. Which of the following actions should the nurse take?

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

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?