Chapter 19, Inpatient Care Settings Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

Within the inpatient milieu, which of the following freedoms does the client retain?
a. Expressing feelings in a socially acceptable manner that is not verbally or physically abusive to others.
b. Collaborating with psychiatric professionals on a care plan addressing presenting complaint, inpatient treatment, and discharge planning.
c. Recovering from crisis in a structured environment where safeguards disallow objects that can be used to harm self or others.
d. Participating in the least restrictive containment measures of restraint and seclusion when needed to ensure the safety of self and/or others.

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Problem 2

A nurse is preparing to orient a group of new staff members at an acute care psychiatric hospital. When describing the therapeutic milieu, which of the following would the nurse review? Select all that apply.
a. Multidisciplinary care
b. Participation from family and support people of clients
c. Limit setting
d. Behavioral interventions
e. Client and family education

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Problem 3

Which of the following reflects most accurately the direct effects of managed care on inpatient treatment?
a. Psychiatric care must occur in a short period of time.
b. Family members need to be involved in planning care.
c. Clients require follow-up or provision for continuum of care.
d. All treatment team members should be involved with planning.

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