A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?
Coordinate the implementation of the nursing care plan and documents.
Provide and maintain a safe and therapeutic environment in collaboration with others.
Apply current knowledge to assess the patient's response to medication.
Give anticipatory guidance to prevent or reduce menta illness and enhance mental health.
The Correct Answer is B
Choice A Reason:
Coordinating the implementation of the nursing care plan and documents is inappropriate. This choice is more related to general nursing responsibilities and care coordination. Milieu therapy specifically focuses on creating a therapeutic environment rather than coordinating care plans and documents.
Choice B Reason:
Providing and maintaining a safe and therapeutic environment in collaboration with others is appropriate. Milieu therapy involves creating a therapeutic environment that promotes the patient's mental health and well-being. This includes ensuring safety, providing structure, and creating a supportive atmosphere for patients. The nurse, in collaboration with the healthcare team, is responsible for establishing and maintaining this therapeutic milieu.
Choice C Reason:
Applying current knowledge to assess the patient's response to medication is inappropriate.
Assessing the patient's response to medication is an important nursing responsibility, but it is not the primary focus of milieu therapy. Milieu therapy is more concerned with the overall environment and its impact on the patient's mental health.
Choice D Reason:
Giving anticipatory guidance to prevent or reduce mental illness and enhance mental health is inappropriate. While anticipatory guidance is important in nursing care, it may not capture the essence of creating and maintaining a therapeutic environment, which is the core of milieu therapy. This choice is more related to health education and preventive measures rather than the overall therapeutic environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
"How many in the group feel that Jack is ready to be discharged?” This response focuses on the group's opinion rather than addressing Jack's concerns directly. It may not provide the emotional support Jack needs.
Choice B Reason:
"Maybe others in the group have similar feelings.” This response acknowledges Jack's concerns, normalizes his feelings by suggesting that others might share similar concerns, and creates an opportunity for group members to express their thoughts and provide support. It fosters an open and empathetic group dynamic.
Choice C Reason:
"Jack, you ought to be happy that you are leaving." This response is dismissive of Jack's feelings and may invalidate his concerns. It lacks empathy and may hinder open communication.
Choice D Reason:
“Jack maybe you're not ready to be discharged.” While this response acknowledges Jack's fears, it assumes he is not ready without exploring his specific concerns. It might not encourage a constructive discussion about his readiness for discharge.
Correct Answer is B
Explanation
Choice A Reason:
Limited the role of the nurse to medication administration and documentation is inappropriate. Peplau's theory goes beyond medication administration and documentation. It emphasizes the interpersonal aspect of nursing, focusing on the therapeutic relationship between the nurse and the patient.
Choice B Reason:
Included both an interpersonal theory and a definition of nursing roles is appropriate. Peplau's Interpersonal Theory of Nursing focuses on the nurse-patient relationship and includes both an interpersonal theory and a definition of nursing roles. Peplau emphasized the importance of the nurse's therapeutic use of self in the relationship with the patient.
Choice C Reason:
Depended on moral theory linked to gender is inappropriate. Peplau's theory is not specifically linked to moral theory or gender. It is more focused on the dynamics of interpersonal relationships in the healthcare context.
Choice D Reason:
Defined the role of the nurse in the mental health setting as an extension of the psychiatrist is inappropriate. While Peplau's theory is applicable to mental health settings, it doesn't define the role of the nurse as merely an extension of the psychiatrist. It highlights the nurse's unique role in building therapeutic relationships and assisting patients in their psychosocial needs.
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