The Therapeutic Environment

The Therapeutic Environment
MULTIPLE CHOICE
1. Crisis stabilization provides care to clients in treatment settings with the purpose of
reestablishing homeostasis; it usually lasts for days.
a. 1 to 2
b. 2 to 4
c. 4 to 6
d. 6 to 8
ANS: A
Intensive counseling is given to assist clients with the immediate problem that is causing the
crisis. This usually is accomplished within 1 to 2 days, and the client is discharged with
follow-up care.
DIF: Cognitive Level: Knowledge REF: p. 129 OBJ: 1
TOP: Crisis Stabilization KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity
2. Which is an accepted criterion for inpatient admission to a mental health facility?
a. The client likes the security and comfort of the mental health facility.
b. The client feels that he is no longer able to cope with life stressors or maintain
control of his behavior.
c. A client’s behavior becomes unusual.
d. The client suffers from depression.
ANS: B
This situation meets the criteria for an inpatient admission. Other criteria include being a
threat to one’s safety or the safety of others and having people who are a part of the client’s
environment who that are not willing or able to support him. The other options do not meet
the criteria.
DIF: Cognitive Level: Comprehension REF: p. 129 OBJ: 1
TOP: Use of the Inpatient Setting KEY: Nursing Process Step: Planning
MSC: Client Needs: Psychosocial Integrity
3. A male client with a diagnosis of schizophrenia refuses to take his medication because of his
paranoia that the medication may be poisoned. Frequent inpatient readmissions to the facility
occur as a result. Which term is given to repeated inpatient admissions?
a. Milieu
b. Chronicity
c. Noncompliance
d. Recidivism
ANS: D

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