Author Question: Changes have been made to the organizational structure and facilities of a psychiatric unit in order ... (Read 22 times)

erika · **on:** Jul 19, 2018

Changes have been made to the organizational structure and facilities of a psychiatric unit in order to create an environment that is more therapeutic. Which of the following is the main goal of a therapeutic environment?

A) Encourage optimal daily functioning for patients.
B) Encourage the development of patients' self-control.
C) Encourage rapport between patients and staff.
D) Encourage movement toward dependent living.

Question 2

Sarah is a 26-year-old woman who is being admitted to an inpatient psychiatricmental health facility. During the admission process, she has been asked to sign a contract. Which of the following is a common contract in inpatient settings?

A) Medication compliance contract
B) Self-improvement contract
C) Truth-telling contract
D) No self-harm contract

leahm14 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
Inpatient treatment settings allow psychiatric nurses to manage the therapeutic environment and implement strategies that contribute to the overall community. Generally, the main elements of such environments are that they facilitate safety, optimal daily functioning, appropriate interpersonal interactions, and movement toward independent living.

Answer to Question 2

Ans: D
Feedback:
Inpatient settings often use contracts to facilitate communication of expected behaviors. The most widely used nurseclient contract is known as a no self-harm contract, in which clients agree not to harm themselves but rather to seek out staff for direction on alternatives to self-harm. Other contracts may focus on maladaptive behaviors such as acting out or inappropriate behaviors that staff are attempting to modify.