Townsend
PMHN, 10e
Chapter 11 - ETB
abirb.com/test
Chapter 11. Milieu Therapy—The Therapeutic Community
MULTIPLE CHOICE
1. An angry client on an inpatient unit approaches a nurse, stating, “Someone took my
lunch! People need to respect others, and you need to do
somethianbgirba.cbomou/tetstthis now!” The nurse’s response should be guided by which
basic assumption of milieu therapy?
1. Conflict should be avoided at all costs on inpatient psychiatric units.
2. Conflict should be resolved by the nursing staff.
3. Every interaction is an opportunity for therapeutic interventiona.birb.com/test
4. Conflict resolution should be addressed only during group therapy.
ANS: 3 Chapter:
Chapter 11, Milieu Therapy—The Therapeutic Community Objective:
Identify seven basic assumptions of a therapeutic community. Page: 198
Heading: Basic Assumptions
Integrated Processes: Communication and Documentation
Nursing Process: Implementation Client
Need: Psychosocial Integrity Cognitive
Level: Application [Applying] Concept:
Patient-Centered Care Difficulty:
Moderate
Feedback
1. This is incorrect. Avoiding conflict does not help the client heal.
2. This is incorrect. Clients should participate in conflict resoalbuirtbio.cnom. /test
3. This is correct. Every interaction is an opportunity for therapeutic intervention.
4. This incorrect. Conflict resolution should be addressed as the need arises.
CON: Patient-Centered Care
2. A client on an inpatient unit angrily states to a nurse, “Peter is not cleaning up after
himself in the community bathroom. You need to address this problem.” Which
response by the nurse is appropriate?
1. “I’ll talk to Peter and present your concerns.”
2. “Why are you overreacting to this issue?”
3. “You should bring this to the attention of your treatment team.”
4. “I can see that you are angry. Let’s discuss ways to approach Paebitreb.rcowmi/tehstyour
concerns.”
, Townsend
PMHN, 10e
Chapter 11 - ETB
abirb.com/test
ANS: 4
Chapter: Chapter 11, Milieu Therapy—The Therapeutic Community
Objective: Identify seven basic assumptions of a therapeutic
comambirub.ncoitmy/.test Page: 198
Heading: Basic Assumptions
Integrated Processes: Communication and Documentation
Nursing Process: Implementation Client
Need: Psychosocial Integrity Cognitive
Level: Application [Applying] Concept:
Patient-Centered Care Difficulty:
Moderate
Feedback
1. This is incorrect. The client should be encouraged to resolve conflict.
2. This is incorrect. This statement is not therapeutic.
3. This is incorrect. This statement does not help the client problem-solve in the
moment.
4. This is correct. This is a therapeutic statement to the client.
CON: Patient-Centered Care
3. A newly admitted client asks, “Why do we need a unit schedule? I’m not going to
these groups. I’m here to get some rest.” Which reply by the nurse is appropriate?
1. “Group therapy provides the opportunity to learn and practice new coping skills.”
2. “Group therapy is mandatory. All clients must attend.”
3. “Group therapy is optional. You can go if you find the topic helpful and interesting.”
4. “Group therapy is an economical way of providing therapy to many clients
concurrently.”
ANS: 1
Chapter: Chapter 11, Milieu Therapy—The Therapeutic Community
Objective: Discuss conditions that characterize a therapeutic
comambirub.ncoimty/t.est Page: 198
Heading: Conditions That Promote a Therapeutic Community
Integrated Processes: Communication and Documentation
Nursing Process: Implementation Client
Need: Psychosocial Integrity Cognitive
Level: Application [Applying] Concept:
Patient-Centered Care Difficulty: Easy
Feedback
1. This is correct. This statement is therapeutic to the client and explains why group
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