Which research findings about the therapeutic environment of an ...

[natalie2426]

Which research findings about the therapeutic environment of an inpatient psychiatric unit have implications for nursing practice? Select all that apply.
 
  a. Patients valued interactions with other patients.
  b. Patients perceived other patients as dissimilar from self.
  c. Hospitalization interferes with planning for the future.
  d. Patients failed to experience bonding with other patients.
  e. Hospitalization creates feelings of safety from self-destructiveness.

Question 2

A patient who has taken lithium for 6 months reports, I go to the bathroom many times a day and pass large amounts of very pale urine. The nurse's action should be based on the understanding that these symptoms may indicate which problem?
 
  a. Atactic toxicity
  b. Uremic syndrome
  c. Diabetes insipidus
  d. Interstitial nephritis

[jjorrostieta]

Answer to Question 1

A, E
Findings from the work of Thomas and associates suggest that patients see the hospital as a refuge from self-destructiveness and are fearful of discharge from this safe environment. Furthermore, patients confirmed their identity with other patients (bonding), valued socialization with other patients, and perceived peer-administered therapy as the most valuable aspect of hospitalization.

Answer to Question 2

C
Symptoms of diabetes insipidus include voiding large amounts of dilute urine many times a day. Nephrogenic diabetes insipidus is caused by the inhibition of the cyclic adenosine monophosphate (cAMP)dependent action of the antidiuretic hormone on the distal-tubule collecting duct cells. This problem is sometimes associated with lithium therapy. The symptoms detailed are not consistent with any of the other options.