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Therapy involving the environment

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Milieu therapy

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Goal of milieu therapy

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To manipulate the environment so that all aspects of the client's hopsital experience are considered therapeutic.

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What the client is expected to learn in a milieu setting

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adaptive coping, interaction, relationship skills

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Scientific structuring of the environment to effect behavioral changes and to improve the psychological health and functioning of the individual

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milieu therapy

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Therapeutic community

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milieu therapy.

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History of milieu therapy

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came into its own during 60s, 70s, and early 80s when psychiatric inpatient treatment provided sufficient time to implement programs of therapy aimed at social rehabilitation

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How have strategies for milieu therapy been modified?

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To conform to the current short term approach to care and to outpatient treatment programs

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According to milieu therapy the health of each individual is

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to be realized and encouraged to grow

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According to milieu therapy the client owns his or her own

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environment and behavior

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According to milieu therapy every interaction is an opportunity for

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therapeutic intervention

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According to milieu therapy peer pressure

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is a useful and powerful tool

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According to milieu therapy inappropriate behaviors

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are dealt with as they occur

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According to milieu therapy restrictions and punishments are to

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be avoided

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In a therapeutic community basic physiological needs

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are fulfilled

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In a therapeutic community a this kind of government exists

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a democratic form of self-government

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In a therapeutic community, responsibilities are assigned according to

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client capabilities

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In a milieu community the treatment program has scheduled and structured

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social and work-related activities

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In an effort to facilitate discharge from treatment, in milieu therapy

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Community and family are included in the program

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Care in a therapeutic community is directed by

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an interdisciplinary team

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In a therapeutic community this is formulated by the team

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a comprehensive treatment plan

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In a therapeutic community, these plan and meet regularly

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team members of all disciplines to sign and meet regularly for update as needed

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In a therapeutic community these disciplines may be utilized

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psychiatry, psychology, nursing, social work, occupational therapy, recreational therapy, art therapy, music therapy, dietetics, chaplain's service

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This best describes the role of the psychiatric social worker as a member of the interdisciplinary team.

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Conducts individual, group and family therapy.

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Through use of this, nurses manage the therapeutic environment on a 24 hour basis

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nursing process

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Nurses responsibility in the therapeutic environment

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medication administration, development of a one-on-one relationship, setting limits on unacceptable behavior, client education

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A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests, The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed?

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Setting limits on behavior

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The behavioral psychologist __________ outlined seven basic assumptions on which a therapeutic community is based.

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Skinner

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The foundation for the program of treatment in milieu therapy.

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Relationship therapy is the foundation for the program of treatment.

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Is setting goals a responsibility of the registered nurse in milieu therapy?

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No. The client must be a part of this as well.

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Is reality orientation a responsibility of the registered nurse in milieu therapy?

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Yes.

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This member of the interdisciplinary team uses creative abilities to encourage expression of emotions and feelings as well as recognize underlying conflict.

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Art therapist

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Credentials of an art therapist

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Graduate degree with specialty in art therapy.

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This member of the interdisciplinary team is the leader and responsible for diagnosis, treatment, psychotherapy, medication, therapies.

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Psychiatrist.

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The credentials of a psychiatrist

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medical degree with residency in psychiatry and medical license.

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This member of the interdisciplinary teem encourages clients to get in touch with feelings and emotions through music.

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Music therapist.

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Credentials of a music therapist.

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Graduate degree with specialty in music therapy.

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This member of the interdisciplinary team uses recreational activities to promote clients to redirect thinking or rechannel energy appropriately.

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Bachelor's or master's degree in recreational therapy.

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This member of the interdisciplinary team conducts individual, group and family therapy and administers psychological tests.

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Clinical psychologist

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Credentials of the clinical psychologist

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Doctorate, with internship of 2, 3 years and license.

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This member of the interdisciplinary team provides ongoing assessment of client condition, manages therapeutic milieu, administers medications, and assists with activites, focus on one to one relationship development.

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Psychiatric nurse

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Credentials of a psychiatric nurse

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RN with hospital diploma, associate degree or bachelors. Some have national certification

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This member of the interdisciplinary team functions under supervision of nurse and provides assistance in adl's, activities and participates in one to one relationship development.

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Mental health technician (aide or assistant)

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Credentials of a mental health technician

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varies from state to state

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This member of the interdisciplinary team conducts individual, group and family therapy and is concerned with social needs.

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Psychiatric social worker

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Credentials of a psychiatric social worker

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minimum of master's degree in social work.

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These members of the interdisciplinary team provide individual, group and family therapy

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clinical psychologist, psychiatric clinical nurse specialist, psychiatric social worker

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This member of the interdisciplinary team works with clients to help them develop independence in adl's. Focus on rehabilitation and vocational training.

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occupational therapist

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Credentials of an occupational therapist

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bachelor's or master's in occupational therapy

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This member of the interdisciplinary team directs clients in creation of drama that portrays real-life situations

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psychodramatist

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Credentials of a psychodramatist

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Graduate degree in psychology, social work, nursing or medicine with additional training in group therapy and specialty preparation

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Credentials of a dietitian

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bachelors or master's degree with specialty in dietetics

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Credentials of chaplain

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college degree with advanced education in theology, seminary or rabbinical studies.

Psych Nursing: Chapter 8 Milieu Therapy – Flashcards

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