A major nursing responsibility in milieu management of a unit for older adults diagnosed with psychiatric disorders is to
a. provide cognitive-behavior therapy (CBT) for all patients.
b. provide unconditional acceptance of all behavior.
c. prevent isolation, withdrawal, and deterioration.
d. limit time spent in reminiscence.
C
Nurses have a responsibility to facilitate optimal function. Attention to the milieu can increase psychologic functioning and prevent deterioration resulting from withdrawal and disuse of skills. Unconditional acceptance of the individual is appropriate, but not all behavior must be accepted. It would be impractical to provide CBT for all patients. Reminiscence is a positive activity that should be encouraged and integrated into a plan of care.
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