Therapeutic milieu, psychosocial assessment, group therapy Nursing

Which clients would not be suitable for a therapeutic milieu designed for clients with cognitive disorders? A) Client with confusion related to moderate Alzheimer disease B) Client with confusion and lethargy secondary to delirium C) Client with dementia and apathy related to Parkinson disease D) Client with memory deficits related to history of traumatic brain injury

B) Client with confusion and lethargy secondary to delirium

After attending group therapy, the client says, 'It helps to now that I'm no the only one with this type of problem.' Which concept does this statement reflect? A) Altruism B) Catharsis C) Universality D) Transference

C) Universality

Which client would fit into a therapy group for low-functioning clients? A) A 77-year-old man with anxiety and confusion related to mild dementia B) A 52-year-old woman with alcoholism who has an antisocial personality C) A 38-year-old woman whose depression is responding to medication D) A 28-year-old man with bipolar disorder who is in a hypermanic state

A) A 77-year-old man with anxiety and confusion related to mild dementia

Which nursing actions best promote communication when obtaining a nursing history? Select all that apply A) Establishing eye contact B) Paraphrasing the client's message C) Asking 'why' and 'how' questions D) Using broad, open-ended statements E) Reassuring the client that there is no cause for alarm F) Asking questions that can be answered with a 'yes' or 'no'

A) Establishing eye contact B) Paraphrasing the client's message D) Using broad, open-ended statements

In managing he milieu, which nursing intervention will minimize the conflict between client autonomy and the need for therapeutic limit setting? A) Establishing unit rules that are appropriate and thoroughly explained B) Tailoring unit rules to be flexible and individually centered C) Encouraging the client to act and behave in an autonomous manner D) Ensuring client autonomy by providing a predictable, stable environment

A) Establishing unit rules that are appropriate and thoroughly explained

Which statement demonstrates that a psychiatric nurse has successfully fostered a therapeutic nurse-client relationship? A) My clients and I are partners in the planning that helps meet their physical and mental health needs B) Nurses and clients must develop a therapeutic relationship if appropriate mental and physical care is to be provided C) Mental health is achieved and maintained when the nurses and the clients exhibit respect and caring for each other D) Without a mutually satisfying relationship between nurse and client, achieving mental and physical wellness is very difficult

A) My clients and I are partners in the planning that helps meet their physical and mental health needs

A client who often contributes to the group therapy discussion is interrupted by a less talkative group member. Afterward, the talkative client sits rigidly and looks angry and says, 'I'm so glad that you feel like talking today.' Which response is best? A) You seem angry, but your words are very pleasant B) It appears that members of the group are not getting along C) It is nice to hear from members who don't usually say anything D) Let's go on as a group and I can talk to individuals later on

A) You seem angry, but your words are very pleasant

Which purpose is served by establishing a therapeutic nurse-client relationship? A) Modifying and improving nonverbal communication B) Presenting an outlet for suppressed hostile feelings C) Assisting the client in acquiring more effective behavior D) Providing the client with someone who can make decisions

C) Assisting the client in acquiring more effective behavior

Which behavior would the nurse leader expect all members to demonstrate when a therapy group is achieving its objective? A) Attend every session of the group B) Comment on each topic discussed by the group C) Attempt to include on another in discussions D) Follow through on obeying rules governing behavior

C) Attempt to include on another in discussions

Which nursing action best prepares a client for termination of the therapeutic relationship? A) Periodically summarizing the client's progress during the working phase B) Reassuring the client that the relationship may be extended for as long as necessary C) Telling the client during the first meeting how long the therapeutic relationship will last D) Encouraging expression of feelings about the relationship during the termination phase

C) Telling the client during the first meeting how long the therapeutic relationship will last