Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 22: Therapeutic Environment in Various Treatment Settings
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Behavior modification principles |
| b. | Personality restructuring and insight |
| c. | Improving interpersonal relationships |
| d. | Symptom stabilization and daily living skills |
ANS: D
The nurse will emphasize symptom stabilization and daily living skills, because the length of stay will be short. Behavior modification principles are not used in all settings. Developing insight, restructuring personality, and improving interpersonal relationships are lengthy endeavors.
DIF: Cognitive level: Applying REF: p. 234 TOP: Nursing process: Planning
MSC: NCLEX: Physiologic Integrity
| a. | Making assignments for patients’ chores for the day |
| b. | Determining patients’ eligibility for increases in privileges |
| c. | Encouraging patients to share their feelings and individual problems |
| d. | Providing a forum for patients to have input into daily program operations |
ANS: D
An emphasis of community meetings is on democratic aspects of unit life. The meeting serves as a forum for patients to voice opinions about the environment and to initiate discussion of community concerns. Making assignments and sharing are only some of the issues addressed in a community meeting. Privilege eligibility would not be discussed in a community meeting.
DIF: Cognitive level: Analyzing REF: p. 234
TOP: Nursing process: Implementation MSC: NCLEX: Safe, Effective Care Environment
| a. | “Patient representatives and staff” |
| b. | “Members of the mental health team” |
| c. | “All patients and the nurse manager” |
| d. | “All patients, nursing staff, and students” |
ANS: D
Typically, all patients, students assigned to the unit, and all nursing staff attend community meetings. Members of other disciplines might or might not attend.
DIF: Cognitive level: Understanding REF: p. 234
TOP: Nursing process: Implementation MSC: NCLEX: Safe, Effective Care Environment
| a. | “Go on. We are here to listen.” |
| b. | “That’s a topic to discuss with your therapist today.” |
| c. | “How does everyone else feel about discussing this topic?” |
| d. | “Perhaps you should leave the meeting until you are in better control.” |
ANS: B
Individual problems are not dealt with in community meetings. It is suggested to patients that individual issues be discussed with one’s therapist. The focus of community meetings is on matters of general concern to the group at large. When the patient is informed of when and where to address the individual problem, it should be done in a nonpunitive manner.
DIF: Cognitive level: Applying REF: p. 234
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
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