An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been adapted?
a. Norms
b. Balance
c. Therapy
d. Psychopathology
B
Balance refers to negotiating the line between dependence and independence. The more psychotic the individual, the less independence he or she can usually handle safely. Unit restriction with careful supervision by staff helps compensate for lack of patient judgment. Norms refers to behavioral expectations for patients. Therapy is provided by advanced-practice nurses or others with advanced education. Psychopathology is not considered an environmental element.
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