When the treatment team in an inpatient psychiatric unit ...

[mrsjacobs44]

When the treatment team in an inpatient psychiatric unit institutes a new unit schedule that provides for all patients to be involved in activities continuously throughout both the day and early evening, which element of milieu management needs reflection
 
  and reconsideration?
  a. Norms
  b. Balance
  c. Limit setting
  d. Environmental modification

Question 2

A patient tells the nurse, You better take good care of me or I'll sue you using the precedent established in Wyatt v. Stickney. The nurse can interpret this as
 
  a. intellectualization .
  b. concern about rights to adequate treatment.
  c. a warning about being coerced into treatment.
  d. a request for immediate discharge from the facility.

[nixon_s]

Answer to Question 1

B
The situation described suggests a milieu in which patients have no time for planned therapeutic encounters with staff; hence, it is a milieu lacking balance. Environmental modification is not a core element of milieu management. Data are insufficient to permit the student to choose either the component of norms or limit setting.

Answer to Question 2

B
Wyatt v. Stickney was a case in which the court ruled that patients had the right to adequate treatment while hospitalized. Intellectualizing is a defense mechanism. Right to refuse treatment and commitment issues were not the focus of Wyatt v. Stickney.

[mrsjacobs44]

TYSM

[okolip]

Thanks for the timely response, appreciate it