Author Question: A major nursing responsibility in milieu management of a unit for older adults diagnosed with ... (Read 31 times)

mia · **on:** Jul 11, 2018

A major nursing responsibility in milieu management of a unit for older adults diagnosed with psychiatric disorders is to

a. provide cognitive-behavior therapy (CBT) for all patients.
b. provide unconditional acceptance of all behavior.
c. prevent isolation, withdrawal, and deterioration.
d. limit time spent in reminiscence.

Question 2

After a mass transit disaster many injured patients are expected at the emergency room. The nurse expects victims to have which assessment findings?

a. Dissociative symptoms, numbing, detachment, and derealization
b. Auditory hallucinations and other perceptual distortions
c. Physical symptoms that mimic neurologic disorders
d. Exaggerated mood (either depression or elation)

joshbk44 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Nurses have a responsibility to facilitate optimal function. Attention to the milieu can increase psychologic functioning and prevent deterioration resulting from withdrawal and disuse of skills. Unconditional acceptance of the individual is appropriate, but not all behavior must be accepted. It would be impractical to provide CBT for all patients. Reminiscence is a positive activity that should be encouraged and integrated into a plan of care.

Answer to Question 2

A
Acute stress reactions are marked by dissociative symptoms such as numbing of emotional responsiveness, feelings of detachment, and decreased awareness of surroundings. The other options list behaviors that are atypical of acute stress reactions.