Ch. 8 Milieu Therapy- The Therapeutic Community (Test 2)

Question 1

The psychiatric mental health nurse does what?

Answer 1

Provides structures and maintains a therapeutic environment in collaboration with the client and other health care clinicians

Question 2

Where does the mandate of psychiatric mental health nurse responsibilities come from?

Answer 2

Standard 5c of the American Nurses Association Standards of Psychiatric Mental Health Nursing Practice (2007)

Question 3

What is Milieu therapy?

Answer 3

Aka therapeutic community; defined as a scientific structuring of the environment to affect behavioral changes and to improve the psychological health and functioning of the individual

Question 4

Within the therapeutic community setting, the client is expected to do what?

Answer 4

Learn adaptive coping, interaction, and relationship skills that can be generalized to other aspects of his or her life

Question 5

Basic assumptions?

Answer 5

1. The health of each individual is to be realized and encouraged to grow 2. Every interaction is an opportunity for therapeutic intervention 3. The client owns his or her environment 4. Each client owns his or her behavior 5. Peer pressure is a useful and powerful tool 6. Inappropriate behaviors are dealt with as they occur 7. Restrictions and punishment are to be avoided

Question 6

What are conditions that promote a therapeutic community?

Answer 6

1. Basic physiological needs are fulfilled 2. The physical facilities are conducive to achievement of the goals of therapy 3. A democratic form of self government still exists 4. Responsibilities are assigned according to client capabilities 5. A structured program of social and work related activities is scheduled as part of the treatment program 6. Community and family are included in the program of therapy in an effort to facilitate discharge from treatment

Question 7

Who directs the treatment plan?

Answer 7

Directed by an interdisciplinary team

Question 8

Who formulates the plan?

Answer 8

The team

Question 9

Who are the team members?

Answer 9

Of all disciplines sign plan and meet regularly to update plan as needed

Question 10

What may the disciplines include?

Answer 10

Psychiatry, psychology, nursing, social work, occupational therapy, recreational therapy, art therapy, music therapy, dietetics, and chaplain’s service

Question 11

Through use of the nursing process, nurses manage what?

Answer 11

The therapeutic environment on a 24 hour basis

Question 12

Nurses have the responsibility for ensuring what?

Answer 12

That the client’s physiological and psychological needs are met

Question 13

Nurses are also responsible for:

Answer 13

Med admin, development of a one to one relationship, setting limits on unacceptable behavior, client education