Chapter 12: The Therapeutic Environment

Chapter 12: The Therapeutic Environment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 121        OBJ:   1

TOP:   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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 121        OBJ:   1

TOP:   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.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 121        OBJ:   2

TOP:   The Chronically Mentally Ill Population

KEY:  Nursing Process Step: Planning        MSC:  Client Needs: Psychosocial Integrity

 

4. A 30-year-old man is brought to the mental health inpatient unit with the diagnosis of schizophrenia. His clothes are dirty, his hair is uncombed, he has not shaved for several days, and his teeth are chipped, with several cavities evident. He is having hallucinations and delusions. What is the priority nursing diagnosis at this time?

a.	Ineffective coping, individual
b.	Therapeutic regimen management, ineffective
c.	Self-care deficit: bathing, hygiene
d.	Confusion, chronic

 

 

ANS:  C

Assistance with basic needs must be addressed before other needs can be met. “Ineffective coping, individual” and “Therapeutic regimen management, ineffective” may apply to this client, but these are higher-level needs. “Confusion, chronic” does not apply to this client because hallucinations and delusions are not considered chronic confusion.

 

DIF:    Cognitive Level: Analysis                REF:   Page 123        OBJ:   3

TOP:   Physiological Needs                        KEY:  Nursing Process Step: Nursing Diagnosis

MSC:   Client Needs: Psychosocial Integrity