The nurse is caring for a patient with a history of schizophrenia who is admitted to a surgical unit for a cholecystectomy
The patient becomes extremely agitated when other patients are around and says, "They are going to kill me. Get me out of here." Which of the following interventions should the nurse assist with implementing in order to provide a therapeutic milieu for the patient?
a. Help the patient clarify the meaning of the feelings
b. Request an order for antipsychotic medications
c. Suggest the patient be scheduled for a psychotherapy session
d. Place the patient in a private room
ANS: D
A therapeutic milieu is an environment that provides containment, support, structure, involvement, and validation during the patient's stay. In this case, it will help keep the patient psychologically safe while undergoing care for a physiological problem. The patient is likely already receiving antipsychotic agents; psychotherapy and exploring feelings are not the priority at this time—keeping the patient safe for surgery is the priority.
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