The nurse manager of an inpatient psychiatric unit is providing an orientation session for new staff. Which of the following statements reflect strategies used to promote a safe, therapeutic milieu? Standard Text: Select all that apply

1. Staff should provide frequent, short, individualized contacts with clients.
2. Management of potentially dangerous items such as belts, shoelaces, and electrical appliances is based on unit policy and clinical judgment.
3. A nurse:client ratio of at least one nurse for every four clients is required at all times.
4. Staff should take their breaks during client mealtimes because there is a lower risk of behavioral problems at this time.
5. When a client is becoming disruptive, staff should intervene by engaging the client in a structured group activity.


1,2
Rationale: Staff should provide frequent, short, individualized contacts with clients. Frequent brief contacts allow opportunities for identification of client needs and observation of change in client's behavior.

Nursing

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