Author Question: A nurse on an inpatient psychiatric unit implements care by scheduling client activities, ... (Read 32 times)

altibaby · **on:** Jul 19, 2018

A nurse on an inpatient psychiatric unit implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. These actions reflect which role of the nurse?

1. Health teacher
2. Case manager
3. Milieu manager
4. Psychotherapist

Question 2

A female client on an inpatient unit enters the common area for visiting hours dressed in a see-through blouse. Which intervention should be a nurse's first priority?

1. Discuss with the client the inappropriateness of her attire.
2. Avoid addressing her attention-seeking behavior.
3. Lead the client back to her room and assist her with a change of clothing.
4. Restrict client to room until visiting hours are over.

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

Answer to Question 1

3
Rationale: The milieu manager implements care by scheduling client activities, interacting with clients, and maintaining a safe therapeutic environment. Health teaching involves promoting health in a safe environment. Case management is used to organize client care so that outcomes are achieved. Psychotherapy involves conducting individual, couples, group, and family counseling.

Answer to Question 2

3
Rationale: The most appropriate intervention by the nurse is to lead the client back to her room and assist her with a change of clothing. The client could be exhibiting symptoms of exhibitionistic disorder, which is characterized by urges to expose oneself to unsuspecting strangers.