How does a democratic form of self-government in the milieu contribute to client therapy?

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Question 1 of 5

How does a democratic form of self-government in the milieu contribute to client therapy?

Correct Answer: C

Rationale: A democratic form of self-government in the therapeutic milieu contributes to client therapy by setting community expectations wherein all clients are treated on an equal basis. This fosters a sense of respect, fairness, and inclusivity within the therapeutic environment, enhancing the overall therapeutic experience for each individual. By promoting equal treatment and shared responsibilities, clients in such a democratic setting can feel empowered, respected, and valued, leading to better engagement in therapy and a more supportive community atmosphere. This sense of egalitarianism can also help to build trust among clients and between clients and therapy staff, ultimately facilitating positive therapeutic outcomes.

Question 2 of 5

An involuntarily committed client, when offered a dinner tray, pushes it off the bedside table onto the floor. Which intervention should a nurse prioritize to address this behavior?

Correct Answer: D

Rationale: In this scenario, the most appropriate intervention would be to prioritize setting firm limits on the behavior with staff support. By establishing boundaries, the nurse can convey clear expectations to the client and promote a therapeutic environment. Setting limits also helps in managing challenging behaviors and maintaining a safe space for both the client and staff members. This approach can prevent potential escalation of the behavior and provide structure and consistency in the therapeutic relationship. It is essential to address the behavior promptly and assertively, emphasizing respect and safety for all individuals involved.

Question 3 of 5

Which of the following nursing statements and/or questions represent appropriate communication to assess an individual in crisis? Select all that apply.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?

Correct Answer: D

Rationale: One key way a nurse can differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD) is by observing the presence of depersonalization. Depersonalization, which is the feeling of being detached from oneself or feeling like things are unreal, is commonly seen in panic disorder and absent in GAD. Clients with panic disorder often experience sudden, intense episodes of anxiety known as panic attacks, during which depersonalization may occur. In contrast, GAD is characterized by persistent and excessive worry or anxiety about various aspects of life, but depersonalization is not a hallmark symptom of GAD. This distinction can aid the nurse in making an accurate diagnosis and providing appropriate care for the client.

Question 5 of 5

A client diagnosed with panic disorder states, When an attack happens, I feel like I am going to die. Which is the most appropriate nursing reply?

Correct Answer: A

Rationale: Option A, "I know it's frightening, but try to remind yourself that this will only last a short time," is the most appropriate nursing reply. This response acknowledges the client's feelings of fear and impending doom during a panic attack while also providing reassurance that the attack is temporary. It validates the client's experience without dismissing the intensity of their emotions and offers a coping strategy to help manage the anxiety during an attack. This response shows empathy and understanding, which can help build trust with the client and foster a therapeutic relationship.

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