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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Focusing on the bad things does not support cognitive reframing, which aims to find positive aspects or learning experiences.
Choice B reason: The correct answer is b) because cognitive reframing involves looking at situations from a different perspective, focusing on what can be learned and how it can be used positively in the future.
Choice C reason: Asking about prior relationships does not address the client's statement about the marriage.
Choice D reason: Stating that only the client can understand the impact does not support cognitive reframing.
Correct Answer is B
Explanation
Choice A reason: Clients who are involuntarily admitted still retain the right to refuse certain treatments, including medications, unless court-ordered.
Choice B reason: The correct answer is b) because involuntary admission is typically justified when a client poses a danger to themselves or others.
Choice C reason: The duration of involuntary admissions varies by jurisdiction and is not universally limited to two weeks.
Choice D reason: Clients who are involuntarily admitted cannot leave against medical advice until they are deemed safe to do so.
A newly admitted client states to the nurse, "You walk and talk just like my sister. She also gives me a headache." Which of the following is the client experiencing?
a) Suppression
b) Transference
c) Countertransference
d) Assertiveness
The correct answer is: b) Transference.
Choice A reason: Suppression involves consciously trying to forget or avoid thoughts, not projecting feelings onto another person.
Choice B reason: The correct answer is b) because transference occurs when a client projects feelings and attitudes from a past relationship onto a person in the present, such as a nurse.
Choice C reason: Countertransference refers to the nurse's emotional response to the client, not the client's feelings towards the nurse.
Choice D reason: Assertiveness is a communication style and is not related to projecting past feelings onto others.
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