Keiser University - NURSING 2230 Mental Health Exam 3. Questions With Answers. (100% CORRECT) A+ GRADED. 1. An angry client on an inpatient unit
... [Show More] approaches a nurse, stating, Someone took my lunch! People need to
respect others, and you need to do something about this now! The nurses response should be guided by which
basic assumption of milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. Every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should be addressed only during group therapy.
The nurses response should be guided by the basic assumption that every interaction is an opportunity for
therapeutic intervention. The nurse can utilize milieu therapy to effect behavioral change and improve
psychological health and functioning.
2. A client on an inpatient unit angrily states to a nurse, Peter is not cleaning up after himself in the community
bathroom. You need to address this problem. Which is the appropriate nursing response?
A. Ill talk to Peter and present your concerns.
B. Why are you overreacting to this issue?
C. You should bring this to the attention of your treatment team.
D. I can see that you are angry. Lets discuss ways to approach Peter with your concerns.
The most appropriate nursing response involves restating the clients feeling and developing a plan with the
client to solve the problem. According to Skinner, every interaction in the therapeutic milieu is an opportunity
for therapeutic intervention to improve communication and relationship-development skills.
3. A newly admitted client asks, Why do we need a unit schedule? Im not going to these groups. Im here to get
some rest. Which is the most appropriate nursing reply?
A. Group therapy provides the opportunity to learn and practice new coping skills.
B. Group therapy is mandatory. All clients must attend.
C. Group therapy is optional. You can go if you find the topic helpful and interesting.
D. Group therapy is an economical way of providing therapy to many clients concurrently.
The nurse should explain to the client that the purpose of group therapy is to learn and practice new coping
skills. A basic assumption of milieu therapy is that every interaction, including group therapy, is an opportunity
for therapeutic intervention.
4. A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during
hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the
home environment?
A. Peer pressure
B. Structured programming
C. Visitor restrictions
D. Mandated activities
The milieu, or therapeutic community, provides the client with structured programming that may be missing in
the home environment. The therapeutic community provides a structured schedule of activities in which
interpersonal interaction and communication with others are emphasized. In the milieu, time is also devoted to
personal problems and focus groups.
5. To promote self-reliance, how should a psychiatric nurse best conduct medication administration?
A. Encourage clients to request their medications at the appropriate times.
B. Refuse to administer medications unless clients request them at the appropriate times.
C. Allow the clients to determine appropriate medication times.
D. Take medications to the clients bedside at the appropriate times.
The psychiatric nurse promoting self-reliance would encourage clients to request their medications at the
appropriate times. Nurses are responsible for the management of medication administration on inpatient
psychiatric units; however, nurses must work with clients to foster independence and provide experiences that
would foster increased self-esteem.
6. A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What
should the nurse identify as an appropriate group topic?
A. Dream analysis
B. Creative cooking
C. Paint by number
D. Stress management
The nurse should identify that teaching clients about stress management is an appropriate education group topic.
Nurses should be able to perform the role of client teacher in the psychiatric area. Nurses need to be able to
assess a clients learning readiness. Other topics for education groups include medical diagnoses, side effects of
medications, and the importance of medication compliance.
7. What is the best rationale for including the clients family in therapy within the inpatient milieu?
A. To structure a program of social and work-related activities
B. To facilitate discharge from the hospital
C. To provide a concrete demonstration of caring
D. To encourage the family to model positive behaviors
The nurse should include the clients family in therapy within the inpatient milieu to facilitate discharge from the
hospital. Family members are invited to participate in some therapy groups and to share meals with the client in
the communal dining room. Family involvement may also serve to prevent the client from becoming too
dependent on the therapeutic environment.
8. How does a democratic form of self-government in the milieu contribute to client therapy?
A. By setting punishments for clients who violate the community rules
B. By dealing with inappropriate behaviors as they occur
C. By setting community expectations wherein all clients are treated on an equal basis
D. By interacting with professional staff members to learn about therapeutic interventions
A democratic form of self-government in the milieu contributes to client therapy by setting the expectation that
all clients should be treated on an equal basis. Clients participate in the decision-making and problem-solving
aspects that affect treatment setting. The norms, rules, and behavioral limits are established by the staff and
clients. All individuals have input.
9. A client has undergone psychological testing. With which member of the interdisciplinary team should a
nurse collaborate to review these results?
A. The psychiatrist
B. The psychiatric social worker
C. The clinical psychologist
D. The clinical nurse specialist
The nurse should consult with the clinical psychologist to review psychological testing results for the client.
Clinical psychologists can administer, interpret, and evaluate psychological tests to assist in the diagnostic
process.
10. In the role of milieu manager, which activity should the nurse prioritize?
A. Setting the schedule for the daily unit activities
B. Evaluating clients for medication effectiveness
C. Conducting therapeutic group sessions
D. Searching newly admitted clients for hazardous objects
The milieu manager should search newly admitted clients for hazardous objects. Safety of the client and others
is the priority. Nurses are responsible for ensuring that the clients safety and physiological needs are met within
the milieu.
11. A nurse attends an interdisciplinary team meeting on an inpatient unit. Which of the following individuals
are typically included as members of the interdisciplinary treatment team in psychiatry? Select all that apply.
A. Respiratory therapist
B. Occupational therapist
C. Recreational therapist
D. Social worker
E. Mental health technician
The typical interdisciplinary treatment team in a psychiatric inpatient setting consists of a psychiatrist,
psychiatric nurse, psychiatric social worker, music therapist, dietician, psychologist, occupational therapist,
recreational therapist, art therapist, mental health technician, and chaplain. Other disciplines may be included on
the basis of resources available in a particular hospital setting and individual patient needs.
12. Which of the following are accurate descriptors of a therapeutic community? Select all that apply.
A. The unit schedule includes unlimited free time for personal reflection.
B. Unit responsibilities are assigned according to client capabilities.
C. A flexible schedule is determined by client needs.
D. The individual is the sole focus of therapy.
E. A democratic form of government exists.
In a therapeutic community the unit responsibilities are assigned according to client capability, and a democratic
form of government exists. Therapeutic communities are structured and provide therapeutic interventions that
focus on communication and relationship-development skills.
Chapter 13 Crisis Intervention
1. A mother is concerned about her ability to perform in her new role. She is quite anxious and refuses to leave
the postpartum unit. To offer effective client care, a nurse should recognize which information about this type of
crisis?
A. This type of crisis is precipitated by unexpected external stressors.
B. This type of crisis is precipitated by preexisting psychopathology.
C. This type of crisis is precipitated by an acute response to an external situational stressor.
D. This type of crisis is precipitated by normal life-cycle transitions that overwhelm the client.
The nurse should understand that this type of crisis is precipitated by normal life-cycle transitions that
overwhelm the client. Reassurance and guidance should be provided as needed, and the client should be referred
to services that can provide assistance. [Show Less]