Therapeutic Communication
Milieu Therapy
Legal and Ethical Issues
Clinical scenarios
Nursing Process
100

"Tell me more about how you're feeling.:

What is an example of therapeutic communication?

100

Providing a safe, structured environment.

What is the main goal of milieu therapy? 

100

Sharing client information without consent.

What is a breech of confidentiality? 

100

First action of the nurse when a client states, "I want to die."

What is ask if they have a plan?

100

Involves collecting client data.

What is assessment?

200

Client A states, "I can't do this anymore"

Nurse responds, "It sounds like you are overwhelmed - can you tell me more?"

What is the nurses best response to the client?

200

Predictable routines

What is a key component of a therapeutic milieu?

200

Court order or danger to self or others.

What is a requirement for involuntary commitment?

200

Priority of the nurse when a client is pacing and clinching fists.

What is ensure safety and speak calmly?

200

Identifying a problem. 

What is prioritizing? 

300

Nurse states, "I understand how that must feel."

What is a technique that reflects empathy?

300

Daily Double!!!

Encouraging client involvement in unit rules.

What is an appropriate milieu intervention?

300

Failing to monitor a suicidal client.

What is an example of negligence?

300

Best response by the nurse to a schizophrenic client hearing voices.

What is "That must be frightening. You're safe here."

300

Setting client-centered goals

What is planning?

400

Client states, "I just want to end it all."

Nurse gives their approval to the client's action. 

What is not an example of therapeutic communication?

400

Assign a "buddy" to sit with the client.

How should the nurse support a withdrawn client?

400

Refusing treatment. 

What is an example of the client's rights?

400

Nursing priority to a client throwing a chair.

What is remove other clients and de-escalate?

400

Reviewing client outcomes and goal-achievement

What is evaluation?

500

Nurses best reply to a client stating, "No one understands me."

What is "Can you help me understand what you mean?"

500

Maintain a safe & therapeutic environment. 

What is the role of the nurse in milieu therapy?

500

Client refuses medications due to religious reasons.

What is an example of autonomy?

500

Best action by the nurse for a depressed client who is suddenly cheerful.

What is assess for suicide risk?

500

Providing medications to a client.

What is implementation?

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