The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

To provide a show of force that would deter clients from breaking unit rules.

To foster stronger social relationships between clients and staff.

To synergize with the autocratic leadership style of inpatient therapy.

To assist all the clients in meeting their treatment goals.

Answer and Explanation

The Correct Answer is D

Choice A reason: Providing a show of force is not therapeutic and does not align with the purpose of a therapeutic milieu.

Choice B reason: Fostering social relationships is important but is not the primary purpose.

Choice C reason: Synergizing with an autocratic leadership style is not the goal of a therapeutic milieu.

Choice D reason: The correct answer is d) because the primary purpose of managing the milieu on a psychiatric unit is to create an environment that supports clients in meeting their treatment goals.

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Correct Answer is D

Explanation

Choice A reason: A strong professional relationship does not involve personal plans outside of the therapeutic context.

Choice B reason: Countertransference refers to the nurse's emotional response to the client, not planning personal activities together.

Choice C reason: Successful relationship building occurs within professional boundaries and does not involve personal plans.

Choice D reason: The correct answer is d) because making personal plans with a client blurs the boundaries of the professional therapeutic relationship, which can affect the nurse's objectivity and professionalism.

A. Told a patient he can't wear his steel-tipped boots in the facility. B. Told a patient he can't call his family because he's calmed down too much. C. Told a patient he can't save his scheduled medication for later. D. Inspected a food basket addressed to a patient before giving it to the patient.

Correct Answer is B

Explanation

Choice A reason: Telling a patient they can't wear steel-tipped boots is a safety measure and does not violate patients' rights.

Choice B reason: The correct answer is b) because patients have the right to communicate with their family, and restricting this without a valid safety concern violates their rights.

Choice C reason: Telling a patient they can't save scheduled medication is a safety measure to ensure proper medication administration.

Choice D reason: Inspecting a food basket for safety reasons is not a violation of patients' rights.

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The psychiatric nurse works towards providing a therapeutic milieu for clients. What is the primary purpose of managing the milieu on a psychiatric unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse performed these actions while caring for patients in an inpatient psychiatric unit. Which action violated patients' rights?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

A client newly placed on an involuntary hold is being given an orientation to the psychiatric unit. The nurse includes information about the client's rights. Which of the following statements should the nurse include? Select all that apply.

A nurse is caring for a client who was admitted to the mental health unit for treatment. The client states, "I am a nurse on the medical-surgical unit, and I don't want my coworkers to know." Which of the following actions should the nurse take?

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)

A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?