Which element of therapeutic environmental management has the ...

[kshipps]

Which element of therapeutic environmental management has the highest priority?
 
  a. Clearly establishing norms and designating limits
  b. Scheduling purposeful activities throughout the day
  c. Creating an environment of psychologic and physical safety
  d. Promoting a balance between patient dependence and independence

Question 2

A patient prescribed fluoxetine (Prozac) is being changed to tranylcypromine (Parnate). The nurse schedules a time lapse between the last dose of fluoxetine and the first dose of tranylcypromine of at least
 
  a. 7 days.
  b. 14 days.
  c. 3 weeks.
  d. 6 weeks.

[ntsoane kedibone]

Answer to Question 1

C
Safety is the most basic milieu element and therefore is of highest priority. Norms often contribute to safety. Activities and balance are other important milieu elements but are of lower priority.

Answer to Question 2

D
Drugs that have a high probability for serious interactions (e.g., MAOIs) will need to be withheld for up to 6 weeks or more as fluoxetine is washing out of the system. The remaining options are too short an interval.