Author Question: A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction, no ... (Read 31 times)

roselinechinyere27m · **on:** Jul 19, 2018

A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction, no one is smoking, the janitor's closet is locked, and sharp objects are used under staff supervision. These observations relate to:

a. management of milieu safety.
b. coordinating care of patients.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies.

Question 2

The nurse assigned to implement a critical incident stress debriefing for a group who responded to a plane crash disaster scene must correctly organize the elements of the debriefing for maximal effectiveness.

Put the following elements in the order in which they should occur during CISD:
A . Provide resources, summarize the meeting, and convey support and appreciation to all.
B . Affirm members' responses as normal and teach other responses that can occur later.
C . Ask participants to introduce themselves, then discuss the facts of the event.
D . Have members talk about what was worse about the accident, what they'd like to forget.
E . Have participants first share what they were thinking at the scene of the accident.
F . Discus members' physical, emotional and behavioral responses to the accident.

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

Answer to Question 1

A
Nursing staff are responsible for all aspects of milieu management. The observations mentioned in this question directly relate to the safety of the unit. The other options, although part of the nurse's concerns, are unrelated to the observations cited.

Answer to Question 2

1 . C
2 . E
3 . D
4 . F
5 . B
6 . A
The fact phase allows the participants to introduce themselves and tell how each was involved, including what happened from their perspective. The thought phase follows, with all participants discussing their first thoughts of the incident. First thoughts are followed by a discussion of reactions to the event: the worst thing about the incident, what participants would like to forget, and what was most painful. Symptoms are described: what cognitive, physical, emotional, or behavioral experience they encountered at the scene and after the initial experience. The normalcy of the symptoms is affirmed, and anticipatory guidance is given regarding possible future symptoms. What has been discussed is reviewed, how closure should proceed is determined, referrals and resources are provided, and the debriefing experience is summarized.