The nurse manager of an inpatient psychiatric unit is providing ...

[vinney12]

The nurse manager of an inpatient psychiatric unit is providing an orientation session for new staff. Which of the following statements reflect strategies used to promote a safe, therapeutic milieu? Standard Text: Select all that apply.
 
  1. Staff should provide frequent, short, individualized contacts with clients.
  2. Management of potentially dangerous items such as belts, shoelaces, and electrical appliances is based on unit policy and clinical judgment.
  3. A nurse:client ratio of at least one nurse for every four clients is required at all times.
  4. Staff should take their breaks during client mealtimes because there is a lower risk of behavioral problems at this time.
  5. When a client is becoming disruptive, staff should intervene by engaging the client in a structured group activity.

Question 2

A new nurse is being oriented to work on the psychiatric unit. Which of the following statements reflect general principles for maintaining unit safety? Standard Text: Select all that apply.
 
  1. Staff should be sensitive to a client's need for privacy and personal space.
  2. The staff should schedule their breaks during client mealtimes.
  3. The nurse:client ratio should be at least one nurse for every four clients.
  4. Staff should lock up clients' potentially dangerous items and permit use only under direct staff supervision.
  5. Staff should provide frequent, short individualized contacts with clients.

[LP]

Answer to Question 1

1,2
Rationale: Staff should provide frequent, short, individualized contacts with clients. Frequent brief contacts allow opportunities for identification of client needs and observation of change in client's behavior.

Answer to Question 2

1,5
Rationale: Staff should be sensitive to a client's need for privacy and personal space. Violation of these needs often leads to aggression.

[vinney12]

Excellent

[ghepp]

TYSM