Chapter 26: Therapies: Theory and Clinical Practice

Chapter 26: Therapies: Theory and Clinical Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which intervention best reflects the nursing role regarding effective implementation of behavioral therapy goals?

a.	Administering the prescribed medications accurately
b.	Interacting effectively with members of the health care team
c.	Being aware of all the patient related therapeutic modalities
d.	Evaluating patient behaviors to reward economic tokens appropriately

 

ANS: D

The primary role of the nurse who is involved in behavioral therapy is to assess and identify the patient’s problem behaviors in collaboration with the multidisciplinary team. A token economy is a system of behavior reinforcements in which patients earn tokens by performing predetermined desired behaviors. The remaining options are generalized responsibilities that are relevant to any therapy format.

 

DIF:   Cognitive Level: Application        REF:  Page 600

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

 

2. A new nurse asks the mentor, “How can I be sure I’m developing a therapeutic environment for my unit?” The mentor uses as a basis for the response the fact that a therapeutic milieu is characterized by:

a.	Rigid adherence to timelines and unit routine
b.	Relaxation of boundaries when doing so is accepted by all
c.	The focus of the staff is directed to the most critically disturbed patients
d.	Specific patient-centered goals are established mutually by patient and staff

 

ANS: D

Factors that determine the therapeutic effectiveness of the social environment includes the presence of two-way communication between the patients and the members of the multidisciplinary team for purposes of goal setting. In a therapeutic relationship, boundaries are established early and maintained throughout and although adherence to routine is important, there is room for adjustment when it benefits the therapeutic nature of the milieu. Although short-term attention may require focus on the patient in crisis, attention of the staff is equally shared.

 

DIF:   Cognitive Level: Application        REF:  Page 604

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

 

 

3. To plan care for a patient with a psychiatric disorder, the nurse keeps in mind that the primary nursing role related to therapeutic activities is:

a.	Assisting the patient in accomplishing the activity
b.	Ensuring that the patient will comply with the rules of the activity
c.	Ensuring that the patient can accomplish the activity in a timely manner
d.	Providing a support system for the patient if they fail to complete the activity

 

ANS: A

The nurse’s role in therapeutic activities is that of a professional observer and participant who works with the therapist to enhance the patient’s capabilities and functioning within the parameters of the assigned activity. Assuring accomplishment, compliance, or providing failure support are not nursing roles.

 

DIF:   Cognitive Level: Application        REF:  Page 620        TOP:  Nursing Process: Planning

MSC: NCLEX: Psychosocial Integrity

 

4. Which statement would the nurse use to describe the primary purpose of boundaries?

a.	Boundaries define responsibilities and duties to one’s self in relation to others.
b.	Boundaries determine objectives of the various working stage of the relationship.
c.	Boundaries differentiate the assumed roles of both the nurse and of the patient.
d.	Boundaries prevent undesired material from emerging during the interaction.

 

ANS: A

Boundaries are the social, physical, and emotional limits of the interaction. As such, they serve to define the responsibilities and duties of the nurse in relation to the patient. Objectives and roles are determined during the orientation stage. Emergence of undesired material may be a significant issue for the patient.

 

DIF:   Cognitive Level: Application        REF:  Page 615

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity