Milieu Therapy
MH Nursing Care
Therapeutic Comm
Legal Issues
Crisis/ Prevention
100
What statement by a newly licensed nurse indicates an understanding of therapeutic milieu
"The milieu consists of the physical and psychosocial environmental factors."
100
A nurse is caring for a client and notes that the client appears disheveled, frightened, and seems to be talking to someone who is not there. The nurse should identify that this is an example of which of the following steps of the nursing process?
Assessment
100
Fulfill a promise by allowing a client to visit with family members, is an example of how to build _______ and trust with new clients.
Rapport
100
What are the three criteria for a 5150 hold?
DTS, DTO, GD
100
A nurse is providing teaching about physical and psychosocial effects of stress to school-aged children. What level of prevention does this demonstrate?
Primary prevention
200
A MH nurse is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?
Implementation
200
A charge nurse is meeting with a newly licensed nurse who states they have been experiencing moral conflicts when providing care for some clients. The charge nurse should recognize that the nurse's feelings place them at risk for what actions?
Providing a lower quality of care to the clients
200
A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." What is the best way to summarize this statement?
"You feel like you have no remaining options and are struggling to find a solution."
200
Inpatient MH clients must do what before taking antipsychotic medications?
Sign a medication consent form.
200
A nurse is educating a client about automatic refills of prescribed medications. This nursing intervention is an example of what of this level of prevention?
Tertiary prevention
300
A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit which has milieu therapy different from other hospital units?" How should the nurse respond?
"A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment."
300
A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" What would be an appropriate response?
"Thank you for your kind words. Unfortunately, I am not allowed to share my home address by policy of the hospital."
300
Why is therapeutic communication important in MH nursing?
Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client.
300
Justice is what type of principle?
An ethical principle
300
What criteria must be met before the nurse can remove the restraints from an aggressive patient?
The client must be calm and cooperative.
400
To ensure a psychologically safe milieu how should a MH nurse manage a bipolar client who is making sexually inappropriate comments during a group therapy session?
Address the behavior immediately. Clearly define expectations and boundaries. Enforce boundaries and have client sign behavioral contract if necessary.
400
A nurse manager and a newly licensed nurse are engaged in an interview with a client. The newly licensed nurse tells the client, "You look like my sister. I love my sister and would do anything for her." What if any actions should the nurse manager take?
Assign the newly licensed nurse to a different client.
400
A nurse is admitting a new client to the unit who appears internally preoccupied and has delayed verbal responses. What is the best way for the nurse to build a rapport with the client?
Remain silent after asking the client a question to allow the client a chance to respond
400
What is the most common unintentional tort?
Negligence
400
When should a nurse discuss the restraint and seclusion policy with a client?
On admission
500
This is not an example of a therapeutic milieu.
500
A staff nurse completes orientation to a psychiatric unit. This nurse should expect to perform which of the following interventions?
Conduct mental health assessments
Establish therapeutic relationships.
Individualize nursing care plans.
Establish the client's goals.
500
What is the most effect strategy for building a therapeutic relationship?
Listen attentively to a client and summarize their comments
500
A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?
Documentation for mental health clients provides a record of the nurse's awareness of client behaviors, mental status, interventions, and client response.
500
What are examples of Maturational/internal crisis?
Going off to college, getting married, or retiring