A client is admitted to a psychiatric unit. At a community meeting, the client selects which movie he wants to see that night. His choice is denied because of majority rule
At movie time that evening, the client puts the tape he wants to view into the VCR. He is reprimanded by his peers, who remove the tape and put in the one voted on by the majority. This is an example of which basic assumption of milieu therapy?
A) Every interaction is an opportunity for therapeutic intervention.
B) Peer pressure is a useful and powerful tool.
C) Restrictions and punishment are to be avoided.
D) The client owns his or her own environment.
B
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The nurse is providing education to a young adolescent male patient. Which should the nurse include in the educational session regarding nocturnal emissions?
1) "Nocturnal emissions indicate that you have a problem with your reproductive system." 2) "Nocturnal emissions indicate that you are sterile." 3) "Nocturnal emissions typically occur 1 year after the breast tissue begins to enlarge." 4) "Nocturnal emissions typically being 1 year after the penis begins to enlarge."
The nurse is completing a skin risk assessment utilizing the Braden scale
The patient has some sensory impairment and skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shear. What would be the patient's Braden scale total score? a. 15 b. 17 c. 20 d. 23
The nurse is providing instructions to the mother of a child with herpetic gingivostomatitis. Which of the following responses, if stated by the mother after teaching, would indicate that fur-ther instruction is required?
1. "I will offer my child soft, bland foods." 2. "I will encourage my child to drink fluids." 3. "I will give my child frozen ice pops to assist with fluid intake." 4. "I will not give my child anything to eat for 2 days to allow the lesions to heal and crust over."
A patient reports "right shoulder pain that comes and goes" as the chief complaint. During the physical examination, the patient asks why the upper right abdomen is being examined for shoulder pain. What is the appropriate response from the nurse?
a. "A comprehensive examination is required to determine the cause of your pain." b. "There may be associated problems that have not produced any symptoms yet that we want to identify." c. "Yes, this can be confusing, but if you will be patient I'm sure we can find something to help you." d. "It does seem odd, but the gallbladder doesn't have pain receptors of its own, so the pain shows up in the shoulder."