A client diagnosed with schizophrenia functions well and is ...

[washai]

A client diagnosed with schizophrenia functions well and is bright, spontaneous, and interactive during hospitalization but then decompensates after discharge. What does the milieu provide that may be missing in the home environment?
 
  A. Peer pressure
  B. Structured programming
  C. Visitor restrictions
  D. Mandated activities

Question 2

A newly admitted client asks, Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest. Which is the most appropriate nursing reply?
 
  A. Group therapy provides the opportunity to learn and practice new coping skills.
  B. Group therapy is mandatory. All clients must attend.
  C. Group therapy is optional. You can go if you find the topic helpful and interesting.
  D. Group therapy is an economical way of providing therapy to many clients concurrently.

[flannelavenger]

Answer to Question 1

B
The milieu, or therapeutic community, provides the client with structured programming that may be missing in the home environment. The therapeutic community provides a structured schedule of activities in which interpersonal interaction and communication with others are emphasized. In the milieu, time is also devoted to personal problems and focus groups.

Answer to Question 2

A
The nurse should explain to the client that the purpose of group therapy is to learn and practice new coping skills. A basic assumption of milieu therapy is that every interaction, including group therapy, is an opportunity for therapeutic intervention.