Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?

Cognitive Therapy

Milieu Therapy

Family Therapy

Electroconvulsive Therapy

Answer and Explanation

The Correct Answer is B

Choice A reason:
Cognitive therapy focuses on changing negative thought patterns and behaviors through structured sessions with a therapist. While it is an effective treatment for many mental health conditions, it does not involve the structured daily routines described in the scenario. Cognitive therapy is typically conducted in individual or group sessions rather than through the daily activities of an inpatient unit.

Choice B reason:
Milieu therapy involves creating a therapeutic environment that supports the client’s recovery through structured daily routines and interactions with staff and peers. The emphasis on getting up at a certain time, attending meals, and taking medications on schedule is characteristic of milieu therapy. This approach helps clients develop healthy habits, social skills, and a sense of responsibility.

Choice C reason:
Family therapy involves working with the client and their family members to improve communication, resolve conflicts, and support the client’s recovery. While family therapy is an important component of comprehensive mental health care, it does not involve the structured daily routines described in the scenario. Family therapy sessions are typically scheduled separately from the client’s daily activities.

Choice D reason:
Electroconvulsive therapy (ECT) is a medical treatment that involves inducing controlled seizures to alleviate severe psychiatric symptoms. ECT is typically administered in a hospital setting under anesthesia and is not related to the structured daily routines described in the scenario. It is used for specific conditions, such as severe depression or treatment-resistant schizophrenia, and is not a form of therapy that involves daily activities.

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Correct Answer is ["C","E","F"]

Explanation

Choice A reason:

Impaired interpersonal relationships can be a consequence of schizophrenia, but it is not a specific diagnostic criterion in the DSM-5. The criteria focus on more direct symptoms of the disorder.

Choice B reason:

Inability to initiate activities may be related to negative symptoms of schizophrenia, such as avolition, but it is not explicitly listed as a diagnostic criterion in the DSM-5. The criteria include more specific symptoms like disorganized behavior and hallucinations.

Choice C reason:

Disorganized behavior is one of the core symptoms of schizophrenia according to the DSM-5. It includes behaviors that are inappropriate or not goal-directed, reflecting a disruption in normal functioning.

Choice D reason:

Antisocial personality is a separate diagnosis and not a criterion for schizophrenia. Schizophrenia and antisocial personality disorder are distinct conditions with different diagnostic criteria.

Choice E reason:

Hallucinations are a key symptom of schizophrenia. They involve perceiving things that are not present, such as hearing voices or seeing things that others do not see. Hallucinations are one of the primary positive symptoms of schizophrenia.

Choice F reason:

Lack of emotional expression, also known as affective flattening, is a negative symptom of schizophrenia. It involves a reduced ability to express emotions and is a significant criterion in the diagnosis of schizophrenia.

A. Anticipate removing the restraints every 4 hours. B. Secure the restraints to the lowest bar of the side rail. C. Secure the restraints using a quick-release tie. D. Ensure four fingers fit under the restraints to prevent constriction.

Correct Answer is C

Explanation

Choice A reason:

Anticipating removing the restraints every 4 hours is not the best practice. Restraints should be checked frequently, typically every 2 hours, to assess the client’s circulation, skin integrity, and need for continued restraint. The goal is to use restraints for the shortest duration possible.

Choice B reason:

Securing the restraints to the lowest bar of the side rail is incorrect. Restraints should be secured to a part of the bed frame that moves with the client, not to the side rail, to prevent injury and ensure the client’s safety.

Choice C reason:

Securing the restraints using a quick-release tie is the correct action. This ensures that the restraints can be quickly and easily removed in case of an emergency, prioritizing the client’s safety.

Choice D reason:

Ensuring four fingers fit under the restraints to prevent constriction is not accurate. The correct practice is to ensure that two fingers can fit between the restraint and the client’s skin to prevent constriction and ensure proper circulation.

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Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply.)

Correct Answer is ["C","E","F"]

Explanation

A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

When describing the continuum of care for mental health, which would the nurse identify as the primary goal?

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

When communicating with a client, which would a nurse use to convey positive body language?

A nurse is explaining advance care directives, or “living wills,” to a client and the client’s spouse. Which detail would the nurse include in the description of an advance care directive?

Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?