Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Encourages staff to provide frequent negative feedback to patients

Enforces rules and behavioral limits flexy

Permits additional privileges for voluntary admitted patients

Provides patients a sense of security and comfort

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Encourages staff to provide frequent negative feedback to patient is incorrect. A therapeutic milieu typically focuses on positive reinforcement and constructive feedback to support patients' growth and development.

Choice B Reason:

Enforces rules and behavioral limits flexibly is incorrect. While establishing rules and limits is important for maintaining safety, flexibility in enforcing them allows for individualized care and consideration of the patient's unique needs.

Choice C Reason:

Permits additional privileges for voluntary admitted patients is incorrect. Additional privileges may be granted based on the patient's progress and participation in their treatment. However, it should be done thoughtfully and as part of a therapeutic plan rather than as a blanket permission for all voluntary admitted patients.

Choice D Reason:

Provides patients a sense of security and comfort is correct. A therapeutic milieu refers to the therapeutic environment or surroundings in a psychiatric setting that promotes the patient's well-being, safety, and recovery. This environment should be supportive, safe, and conducive to healing. Providing patients with a sense of security and comfort is essential for their overall well-being and progress in treatment.

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Correct Answer is D

Explanation

Choice A Reason:

"Your provider usually recommends a diaphragm and spermicidal cream." This response prescribes a specific method without considering the client's preferences, health history, or individual needs. It's important to involve the client in the decision-making process and discuss various contraceptive options.

Choice B Reason:

"It's your choice, of course, but birth control pills are the most reliable." This response might pressure the client toward a specific method and may not consider other factors such as the client's preference, medical history, or potential side effects. It's essential to provide information and support rather than directing the client to a particular choice.

Choice C Reason:

"I’d consider an intrauterine device. You won't have to worry about pregnancy. “Similar to the first option, this response recommends a specific method without a thorough discussion of the client's preferences, health considerations, or individual needs. It's important to explore various options collaboratively with the client.

Choice D Reason:

"Let's talk about the available options and go from there. “This response is patient-centered and encourages collaborative decision-making. It allows the nurse to discuss various contraceptive methods, considering the client's preferences, health history, and individual needs. It supports shared decision-making between the nurse and the client.

A. "How many in the group feel that Jack is ready to be discharged?” B. "Maybe others in the group have similar feelings” C. "Jack, you ought to be happy that you are leaving." D. “Jack maybe you're not ready to be discharged.”

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.

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Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postpartum client who tells the nurse that she does not want any more children. The client asks which birth control method the nurse would recommend. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

Correct Answer is B

Explanation

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Which action would the nurse include when beginning a relationship with a new patient? Select all that apply. (Select All that Apply.)

One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?

A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective?

The nurse can best communicate to a patient that she has been listening by:

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Which activity would happen first in the nurse-patient relationship?

According to Maslow's hierarchy of needs, which situation on an inpatient mental health unit would require priority intervention?