A client is receiving care in a setting that uses traditional ...

[bucstennis@aim.com]

A client is receiving care in a setting that uses traditional milieu therapy. How can the care team best foster the concept of involvement?
 
  A) By having the client's friends and family contribute to his or her plan of care
  B) By actively engaging the client in his or her care
  C) By explaining the evidence for nursing interventions before performing them
  D) By involving as many different disciplines in the client's care as necessary

Question 2

Kyle is a psychiatric nurse who works on an inpatient unit that maintains a regular schedule of environmental tours (walk-arounds) by the nurses. During an environmental tour, Kyle should prioritize observing for:
 
  A) Items that promote clients' activities of daily living and level of function
  B) Clients' personal possessions
  C) Objects that clients might use to harm themselves
  D) Signs of rapport being established between clients

[dantucker]

Answer to Question 1

Ans: B
Feedback:
Involvement currently refers to promoting the self-efficacy of the client through engagement. Involvement does not necessarily require the inclusion of many different disciplines or the client's friends and family, though these are not incompatible with the concept of involvement. Explaining the evidence for interventions may sometimes be appropriate, but this is not the essence of the concept of involvement.

Answer to Question 2

Ans: C
Feedback:
Scheduled environmental tours or walk-arounds of the unit help establish a safe inpatient environment. Nurses continually assess all unit spaces for objects clients might use to harm themselves or others. Safety is the priority over the other listed focuses of observation.

[bucstennis@aim.com]

TY

[dantucker]

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