NURS 260 EXAM 1 - 2204 MILIEU THERAPY - THE THERAPEUTIC
COMMUNITY QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
An angry client on an inpatient unit approaches a nurse stating, "Someone took
my lunch! People need to respect others, and you need to do something about
this now!" The nurse's response should be guided by which basic assumption of
milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. Every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy.
ANS: C
The nurse's response should be guided by the basic assumption that every interaction
is an opportunity for therapeutic intervention. The nurse can utilize milieu therapy to
effect behavioral change and improve psychological health and functioning.
A client on an inpatient unit angrily states to a nurse, "Peter is not cleaning up
after himself in the community bathroom. You need to address this problem."
Which is the appropriate nursing response?
A. "I'll talk to Peter and present your concerns."
B. "Why are you overreacting to this issue?"
, C. "You should bring this to the attention of your treatment team."
D. "I can see that you are angry. Let's discuss ways to approach Peter with your
concerns."
ANS: D
The most appropriate nursing response involves restating the client's feeling and
developing a plan with the client to solve the problem. According to Skinner, every
interaction in the therapeutic milieu is an opportunity for therapeutic intervention to
improve communication and relationship-development skills.
A newly admitted client asks, "Why do we need a unit schedule? I'm not going to
these groups. I'm here to get some rest." Which is the most appropriate nursing
reply?
A. "Group therapy provides the opportunity to learn and practice new coping
skills."
B. "Group therapy is mandatory. All clients must attend."
C. "Group therapy is optional. You can go if you find the topic helpful and
interesting."
D. "Group therapy is an economical way of providing therapy to many clients
concurrently."
ANS: A
The nurse should explain to the client that the purpose of group therapy is to learn and
practice new coping skills. A basic assumption of milieu therapy is that every interaction,
including group therapy, is an opportunity for therapeutic intervention.
COMMUNITY QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
An angry client on an inpatient unit approaches a nurse stating, "Someone took
my lunch! People need to respect others, and you need to do something about
this now!" The nurse's response should be guided by which basic assumption of
milieu therapy?
A. Conflict should be avoided at all costs on inpatient psychiatric units.
B. Conflict should be resolved by the nursing staff.
C. Every interaction is an opportunity for therapeutic intervention.
D. Conflict resolution should only be addressed during group therapy.
ANS: C
The nurse's response should be guided by the basic assumption that every interaction
is an opportunity for therapeutic intervention. The nurse can utilize milieu therapy to
effect behavioral change and improve psychological health and functioning.
A client on an inpatient unit angrily states to a nurse, "Peter is not cleaning up
after himself in the community bathroom. You need to address this problem."
Which is the appropriate nursing response?
A. "I'll talk to Peter and present your concerns."
B. "Why are you overreacting to this issue?"
, C. "You should bring this to the attention of your treatment team."
D. "I can see that you are angry. Let's discuss ways to approach Peter with your
concerns."
ANS: D
The most appropriate nursing response involves restating the client's feeling and
developing a plan with the client to solve the problem. According to Skinner, every
interaction in the therapeutic milieu is an opportunity for therapeutic intervention to
improve communication and relationship-development skills.
A newly admitted client asks, "Why do we need a unit schedule? I'm not going to
these groups. I'm here to get some rest." Which is the most appropriate nursing
reply?
A. "Group therapy provides the opportunity to learn and practice new coping
skills."
B. "Group therapy is mandatory. All clients must attend."
C. "Group therapy is optional. You can go if you find the topic helpful and
interesting."
D. "Group therapy is an economical way of providing therapy to many clients
concurrently."
ANS: A
The nurse should explain to the client that the purpose of group therapy is to learn and
practice new coping skills. A basic assumption of milieu therapy is that every interaction,
including group therapy, is an opportunity for therapeutic intervention.
