Author Question: An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been ... (Read 47 times)

joblessjake · **on:** Jul 19, 2018

An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been adapted?

a. Norms
b. Balance
c. Therapy
d. Psychopathology

Question 2

Ventricular enlargement noted in brain studies of patients diagnosed with Alzheimer's disease is most likely attributable to

a. narrowing of the subarachnoid space.
b. overproduction of cerebrospinal fluid.
c. blockage of cerebrospinal fluid outflow.
d. brain atrophy associated with cellular degeneration.

xMRAZ · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Balance refers to negotiating the line between dependence and independence. The more psychotic the individual, the less independence he or she can usually handle safely. Unit restriction with careful supervision by staff helps compensate for lack of patient judgment. Norms refers to behavioral expectations for patients. Therapy is provided by advanced-practice nurses or others with advanced education. Psychopathology is not considered an environmental element.

Answer to Question 2

D
In Alzheimer's disease, when brain cells degenerate, the brain atrophies and the ventricles enlarge to fill the existing space. Planning should consider the fact that the patient has fewer functioning brain cells, thus explaining cognitive symptoms and problems such as incontinence and difficulty in swallowing.