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Advanced Health Assessment

Nursing

Quiz 20 :

Introduction to Milieu Management

Quiz 20 :

Introduction to Milieu Management

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A patient demonstrating manic behaviors gathered other patients in the dayroom and gave a sales talk, pressuring others to purchase shares of stock in a gold mine. Which element of a therapeutic environment is jeopardized?
Free
Multiple Choice
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Answer:

D

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In a therapeutic environment, which norm exists?
Free
Multiple Choice
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Answer:

B

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Which nursing action best supports maintenance of a therapeutic environment?
Free
Multiple Choice
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Answer:

A

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The nurse leading a social skills group is engaged in managing which environmental element?
Multiple Choice
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While nurses are engaged in shift change report, one patient becomes loud and aggressive. This patient verbally harasses and frightens another patient. Which element of the therapeutic environment has been jeopardized?
Multiple Choice
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Which element of therapeutic environmental management has the highest priority?
Multiple Choice
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Regarding effective milieu management, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standards mandate that intervention?
Multiple Choice
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Which aspects of the environment of a psychiatric unit comply with JCAHO environment-of-care standards? (Select all that apply.)
Multiple Choice
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A newly admitted patient is withdrawn and does not seek out interaction with staff or patients. Nursing interventions should focus on which element of the treatment environment?
Multiple Choice
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The framework of schedules, rules, and activities around which a therapeutic environment revolves is related to which associated term?
Multiple Choice
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A nurse plans ways to promote patient safety and security. A proactive approach would include which intervention?
Multiple Choice
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In which instance would it be most important for the nurse to set limits?
Multiple Choice
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During orientation the clinical nurse leader tells a novice nurse, "You will be involved in purposeful creation of corrective learning experiences for all patients so as to provide a healing atmosphere." The clinical nurse leader is explaining aspects of milieu-related concept?
Multiple Choice
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A patient has been bumping and pushing other patients. The nurse carefully explains to the patient that such behavior is unacceptable. The nurse has provided what characteristic of a therapeutic environment?
Multiple Choice
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Which adjective best characterizes custodial care?
Multiple Choice
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During a community meeting, a patient reacts negatively about having only two patient-accessible phones on the unit. Many other patients join in, all talking at the same time. The nurse requests that only one person talk at a time. The nurse's request seeks to maintain what characteristic of a therapeutic environment?
Multiple Choice
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Which statement about balance provides a basis for a nurse's management of the therapeutic environment?
Multiple Choice
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Four nurses describe their unit environments. Which description can most clearly be identified as therapeutic?
Multiple Choice
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Which nursing action best supports the maintenance of psychological safety for a patient with mental illness?
Multiple Choice
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A psychiatric facility is "accredited by JCAHO." Which asset would be expected?
Multiple Choice
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