Milieu therapy - ANS-1. The planned use of people, resources, and activities
in the environment to assist in improving interpersonal skills, social
... [Show More] functioning, and
performing the
activities of daily living (ADLs), as well as safety and protection for all clients
2. The focus is on the here and now (i.e
., assisting the client in dealing with the realities of today rather than focusing on
situations and behaviors of the past).
3. It uses limit setting.
4. It involves the client in making decisions about her or his own care.
5. It uses activities that support group sharing,
cooperation, and compromise (e.g., unit-governing groups).
6. Nursing interventions support client privacy and autonomy and provide clear
expectations.
Behavior modification - ANS-1. This process is used to change ineffective behavior
patterns; it focuses on the consequences of actions rather than on peer pressure.
2. Positive reinforcement is used to strengthen desired behavior (e.g., a client is praised
or given a token that can be exchanged for a treat or desired activity).
3. Negative reinforcement is used to decrease or eliminate inappropriate behavior (e.g.,
ignoring undesirable behavior, removing a token or privilege, giving a "time out").
4. Role modeling and teaching new behaviors are important interventions.
Family therapy - ANS-1. This form of group therapy identifies the entire family as the
client.
2. It is based on the concept of the family as a system of interrelated parts forming a
whole.
3. The focus is on the patterns of inter
action within the family, not on any individual member.
4. The therapist assists the family in identifying the roles assigned to each member
based on family rules.
5. Life scripts (living out parents' dreams) and self- fulfilling prophecies (unconsciously
following what one thinks should happen, therefore setting it up to happen) are
identified.
6. Congruent and incongruent communication patterns and behaviors are identified.
7. The goal is to decrease family conflict and anxiety and to develop appropriate role
relationships.
Crisis intervention - ANS-1. This form of therapy is directed at the resolution of an
immediate crisis, which the individual is unable to handle alone.
2. A crisis may develop when previously learned coping mechanisms are ineffective in
dealing with the current problem.
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