A nurse is caring for a client on the Mental Health Unit. The client refuses to get out of bed, go to activities, or participate in any of the unit’s programs. Which of the following responses should the nurse make?

“You should rest until you feel able to join the group.”

“I will help you get ready, and then you can rest after activities.”

“If you do not get out of bed, you will not receive your meal.”

“You really need to follow the rest of the unit and get out of bed.”

Answer and Explanation

The Correct Answer is B

Choice A Reason: While this response may seem compassionate, it does not encourage the client to engage in activities that could benefit their mental health. Allowing the client to remain isolated may reinforce feelings of helplessness or depression. It is important to motivate clients to participate in therapeutic activities to promote their recovery.

Choice B Reason: This response is supportive and offers a compromise. It acknowledges the client’s current state and provides assistance, while also gently encouraging participation in activities. By offering help and allowing for rest afterward, the nurse is using an empathetic approach to facilitate the client’s involvement in the unit’s programs.

Choice C Reason: This response is coercive and could be considered a threat. It is not therapeutic to withhold basic needs such as meals as a form of punishment or to force compliance. Such an approach can damage the nurse-client relationship and is not conducive to the client’s recovery.

Choice D Reason: This response may come across as dismissive and demanding. It does not offer support or acknowledge the client’s feelings. Telling the client what they “need” to do without offering help or understanding can lead to resistance and a lack of trust in the nurse-client relationship.

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Correct Answer is C

Explanation

Choice A Reason:
An interprofessional team can lead to a decrease in the number of referrals needed for the client because multiple health care providers from different specialties are working collaboratively. This team approach can address various aspects of a client's care simultaneously, reducing the need for external consultations.

Choice B Reason:
While an interprofessional team may streamline care, it does not necessarily decrease the number of visits to the client by staff. Each professional has a role that requires direct interaction with the client, and the frequency of these visits depends on the client's needs and the care plan.

Choice C Reason:
Efficiency in client care services is a key benefit of an interprofessional team. By working together, team members can coordinate care, share information quickly, and make decisions more effectively, leading to better client outcomes and a more efficient use of resources.

Choice D Reason:
An increase in length of stay is not a benefit of an interprofessional team. In fact, effective interprofessional collaboration can lead to a decrease in length of stay by optimizing care, preventing complications, and facilitating timely interventions.

A. The milieu consists of the physical and psychosocial environmental factors. B. The clients can keep any personal items they would like in their rooms. C. The gathering spaces should have the chairs positioned around the perimeter of the day room. D. Therapeutic milieu requires unstructured programming, allowing clients to focus on their interests.

Correct Answer is A

Explanation

Choice A reason:
The statement correctly identifies that a therapeutic milieu encompasses both the physical and psychosocial aspects of the environment. This holistic approach is designed to support the recovery and well-being of clients by ensuring that all aspects of the unit's environment are conducive to therapy.

Choice B reason:
While personalization of space can be part of a therapeutic milieu, this statement alone does not capture the full essence of the concept. Therapeutic milieu involves more than just personal items; it includes the structured management of the environment to promote positive interactions and therapeutic outcomes.

Choice C reason:
Positioning chairs around the perimeter of the day room may be a part of the environmental setup, but it does not fully represent the therapeutic milieu. The therapeutic milieu is about creating an environment that encourages interaction, communication, and community among clients, which may or may not involve specific furniture arrangements.

Choice D reason:
Unstructured programming is not a characteristic of therapeutic milieu. In fact, therapeutic milieu typically involves a structured schedule of activities and programs that are designed to promote therapeutic engagement, skill development, and social interaction among clients.

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A nurse is caring for a client on the Mental Health Unit. The client refuses to get out of bed, go to activities, or participate in any of the unit’s programs. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is providing an in-service to a group of nurses about the benefits of an interprofessional team. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?

Correct Answer is A

Explanation

A nurse is leading a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?

A client diagnosed with end-stage renal disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?

The nurse is caring for a newly admitted client diagnosed with catatonic schizophrenia. Which of the following behaviors should the nurse document to be consistent with catatonic schizophrenia? The client:

A nurse overhears a client diagnosed with schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse should recognize the client's use of the word "flakala" as an example of which of the following alterations in speech?

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?

The nurse is caring for a client diagnosed with schizophrenia. Which of the following should the nurse identify as findings consistent with schizophrenia? (Select all that apply.)

A nurse is developing a care plan for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?

While in a therapeutic group, two clients get into a heated debate over politics that turns aggressive. The nurse makes the decision to have both patients removed from the group session. The nurse has demonstrated which leadership style?