A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Upon admission

While administering chemical or physical restraints

When a client becomes agitated

During debriefing after restraint removal

Answer and Explanation

The Correct Answer is A

A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.

B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.

C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.

D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.

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Correct Answer is C

Explanation

A. Taking on extra shifts to compensate for staffing issues. Overworking increases stress and exhaustion, contributing to burnout rather than preventing it. Nurses need adequate rest to provide quality care.

B. Neglecting to seek support from colleagues and supervisors. Avoiding support leads to isolation and increased emotional distress. Seeking help from colleagues, supervisors, or mental health professionals is crucial in managing stress.

C. Maintaining a balanced diet and regular exercise. Proper nutrition, physical activity, and self-care help nurses maintain physical and mental well-being, reducing burnout risk.

D. Avoiding self-care activities to focus solely on work. Self-care is essential for long-term resilience in nursing. Ignoring personal well-being to prioritize work leads to exhaustion and decreased job satisfaction.

A. "A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness." B. "A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder." C. "A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment." D. "A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders."

Correct Answer is C

Explanation

A. "A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness." While stabilization is part of psychiatric care, milieu therapy focuses on the environment and interactions rather than just the acute phase of illness.

B. "A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder." Milieu therapy is not condition-specific; it is a comprehensive approach that applies to various mental health conditions.

C. "A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment." Milieu therapy is an approach where the entire environment, including staff interactions, group activities, and structure, contributes to the therapeutic experience.

D. "A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders." Milieu therapy can be used in both short-term and long-term care settings, not just for chronic conditions.

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A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a strategy to reduce nursing burnout?

Correct Answer is C

Explanation

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?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?

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A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse in a mental health unit is discussing consent with a newly licensed nurse. Which of the following information should the nurse include?