A nurse has described the behavioral health unit being based on milieu therapy to a client. The client asks, "How is a unit that has milieu therapy different from other hospital units?" Which of the following responses should the nurse make?
A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness.
A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder.
A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment.
A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders.
The Correct Answer is C
Choice A reason:
While a mental health unit that includes milieu therapy may focus on stabilizing clients, it is not limited to those in an acute phase of mental illness. Milieu therapy is a comprehensive approach that can benefit individuals at various stages of their treatment.
Choice B reason:
Milieu therapy is not necessarily less intensive nor does it focus solely on one psychiatric illness or substance abuse disorder. It is a versatile treatment method that can be applied to a range of conditions and is integrated into the daily life of the unit.
Choice C reason:
This choice accurately reflects the essence of milieu therapy. It is a therapeutic approach where the environment is used as an integral part of treatment. The goal is to create a stable, adaptive reality through routines, boundaries, and open communication, fostering a sense of safety and support for therapeutic change.
Choice D reason:
Milieu therapy is not exclusively focused on long-term care but is adaptable to the needs of clients, whether they require short-term stabilization or long-term treatment. It is designed to help individuals learn healthier ways of thinking and behaving within a supportive community setting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.
Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.
Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.
Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.
Correct Answer is D
Explanation
Choice A reason:
An unwillingness to accept that treatment is needed is not, by itself, a condition that can legally justify extending a hospital hold beyond the initial 72 hours. Treatment refusal can be a complex issue and may require a deeper understanding of the client's capacity to make informed decisions.
Choice B reason:
The client's intention to move out of the state does not constitute a legal basis for extending a hospital hold. The focus of continued hospitalization would be on immediate safety concerns rather than future living arrangements.
Choice C reason:
Disliking a neighbor is not a condition that warrants an extended hospital hold. Personal feelings or disputes do not equate to a risk that justifies involuntary hospitalization.
Choice D reason:
If the client poses a danger to themselves or others, this is a condition under which the hospital can legally extend the hold beyond 72 hours. The primary concern is the safety of the client and those around them, and if there is a risk of harm, the client may be held involuntarily until it is deemed safe for them to be discharged.
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