Exam 20: Introduction to Milieu Management

Which nursing action best supports the maintenance of psychological safety for a patient with mental illness?

A psychiatric facility is "accredited by JCAHO." Which asset would be expected?

A nurse plans ways to promote patient safety and security.A proactive approach would include which intervention?

Which adjective best characterizes custodial care?

In a therapeutic environment, which norm exists?

Which statements indicate that a patient understands the unit norms? (Select all that apply.)

Which element of therapeutic environmental management has the highest priority?

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?

A newly admitted patient is withdrawn and does not seek out interaction with staff or patients.Nursing interventions should focus on which element of the treatment environment?

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?

Which nursing action best supports maintenance of a therapeutic environment?

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?

The framework of schedules, rules, and activities around which a therapeutic environment revolves is related to which associated term?

Which research findings about the therapeutic environment of an inpatient psychiatric unit have implications for nursing practice? (Select all that apply.)

Four nurses describe their unit environments.Which description can most clearly be identified as therapeutic?

Regarding effective milieu management, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standards mandate that intervention?

Which aspects of the environment of a psychiatric unit comply with JCAHO environment-of-care standards? (Select all that apply.)

In which instance would it be most important for the nurse to set limits?

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?

Which statement about balance provides a basis for a nurse's management of the therapeutic environment?