Chapter 12: The Therapeutic Environment
MULTIPLE CHOICE
1. Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for:
a. 1 to 2 days b. 2 to 4 days c. 4 to 6 days d. 6 to 8 days
ANS: A
Intensive cou...
Chapter 12: The Therapeutic Environment
MULTIPLE CHOICE
1. Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for:
a. 1 to 2 days b. 2 to 4 days c. 4 to 6 days d. 6 to 8 days
ANS: A
Intensive counseling is given to assist clients with the immediate problem that is causing the crisis. This usually is accomplished within 1 to 2 days, and the client is discharged with follow-up care.
PTS:1DIF: Cognitive Level: KnowledgeREF: p. 128
OBJ:1TOP: Crisis Stabilization
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
2. Which is an accepted criterion for inpatient admission to a mental health facility?
a. The client likes the security and comfort of the mental health facility.
b. The client feels that he is no longer able to cope with life stressors or maintain control of his behavior.
c. A client’s behavior becomes unusual.
d. The client suffers from depression.
ANS: B
This situation meets the criteria for an inpatient admission. Other criteria include being a threat to one’s safety or the safety of others and having people who are a part of the client’s environment who are not willing or able to support him. The other options do not meet the criteria.
PTS:1DIF: Cognitive Level: ComprehensionREF: p. 128
OBJ:1TOP: Use of the Inpatient Setting
KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
3. A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia
that the medication may be poisoned. Frequent inpatient readmissions to the facility occur as a result.
Which term is given to repeated inpatient admissions?
a. Milieu
b. Chronicity
c. Noncompliance d. Recidivism
ANS: D
Recidivism often occurs as a result of noncompliance with prescribed therapy, as in the case of this client who is not taking his medications. Adequate community resources help to prevent recidivism. Milieu refers to the mental health care environment; chronicity refers to a long duration, such as occurs with a chronic illness like schizophrenia; and noncompliance describes a situation in which the
client does not follow the prescribed plan of care, often resulting in recidivism.
PTS:1DIF: Cognitive Level: ComprehensionREF: p. 129
OBJ:2TOP: The Chronically Mentally Ill Population
KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
4. An adult female inpatient client with a diagnosis of paranoid schizophrenia will not take her medications from the nurse. She states, “I know you are poisoning that medicine.” Which nursing action is most appropriate?
a. Promise the client that the staff would not do anything to harm her.
b. Let the client watch the medication preparation process.
c. Administer medications to the client in unit dose packages so that she can open the packages herself.
d. Allow the client to retrieve the medications out of the medication cart with supervision.
ANS: C
Administering medications in unit dose packages would help to prevent the client from thinking that the nurse is poisoning the medications. The client would be allowed to open the packages herself. Promising the client that the staff would not harm her will not alleviate her paranoia. Letting the client
watch the medication preparation process may help, but if she feels that the poisoning is happening when the nurse is placing the medication in the cup, the client will remain paranoid. Allowing the client to retrieve medications from the medication cart would go against facility policy.
PTS:1DIF: Cognitive Level: ApplicationREF: p. 130
OBJ:3TOP: Physiological Needs
KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
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