Author Question: The client asks the nurse if certain changes can be made in the unit milieu. Which action by the ... (Read 19 times)

ss2343 · **on:** Jul 19, 2018

The client asks the nurse if certain changes can be made in the unit milieu. Which action by the nurse indicates understanding of the nursing role in the therapeutic milieu?

1. The nurse refers the client's requests to the psychiatric social worker.
2. The nurse discusses the desired changes with the client.
3. The nurse refers the client's requests to the psychosocial rehabilitation worker.
4. The nurse instructs the client that no changes can be made.

Question 2

A nurse planning a staff education session would correctly explain the role of psychopharmacologic treatment as which of the following?

1. Decrease clients' worst symptoms so that they do not require long-term treatment.
2. Promote clients' physiologic stability so that they can grow holistically.
3. Stabilize clients so that they can participate in psychoanalysis.
4. Manage clients so that they are happy and do not have to endure the stresses of everyday life.

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

Answer to Question 1

2
Rationale: The psychiatricmental health nurse has major responsibility for the milieu; therefore, it is appropriate to discuss requested changes in order to gather information regarding the effectiveness of the milieu. The psychiatric social worker identifies community resources and may perform counseling. It is non-therapeutic to instruct the client that no changes can be made before gathering data in relation to the client's requests. The psychosocial rehabilitation worker teaches day-to-day skills for living and may provide case management services.

Answer to Question 2

2
Rationale: The goal of psychopharmacology is to stabilize brain function, thus allowing clients to grow emotionally, in their relationships, and at their jobs or school. The goal should be more than just decreasing the worst symptoms. Psychoanalysis is only one form of psychotherapy. All people need to learn how to cope with the stresses of everyday life, and a medication does not make a person happy. It can improve brain function and decrease or eliminate depressive symptoms.