Chapter 12- Milieu Therapy – Flashcards

provides, structures, and maintains a safe and therapeutic environment in collaboration with patients, families, and other health care clinicians."

a scientific structuring of the environment to effect behavioral changes and to improve the psychological health and functioning of the individual.

To learn adaptive coping, interaction, and relationship skills that can be generalized to other aspects of his or her life.

have been modified to conform to the current short-term approach to care and to outpatient treatment programs

The health in each individual is to be realized and encouraged to grow. Every interaction is an opportunity for therapeutic intervention. The client owns his or her own environment. Each client owns his or her own behavior. Peer pressure is a useful and powerful tool. Inappropriate behaviors are dealt with as they occur. Restrictions and punishment are to be avoided.

Basic physiological needs are fulfilled. The physical facilities are conducive to achievement of the goals of therapy. A democratic form of self-government exists. Responsibilities are assigned according to client capabilities. A structured program of social and work-related activities is scheduled as part of the treatment program. Community and family are included in the program of therapy in an effort to facilitate discharge from treatment.

Care is directed by an interdisciplinary team. A comprehensive treatment plan is formulated by the team. Team members of all disciplines sign the plan and meet regularly to update the plan as needed. Disciplines may include psychiatry, psychology, nursing, social work, occupational therapy, recreational therapy, art therapy, music therapy, dietetics, and the chaplain's service.

Correct answer: D The psychiatric social worker is a member of the interdisciplinary treatment team and conducts individual, group, and family therapy.

Through use of the nursing process, nurses manage the therapeutic environment on a 24-hour basis. Nurses have the responsibility for ensuring that the client's physiological and psychological needs are met.

Nurses are also responsible for: Medication administration Development of a one-to-one relationship Setting limits on unacceptable behavior Client education

Correct answer: C In this situation the nurse is responsible for setting limits on unacceptable behavior in the therapeutic milieu. Consistency in carrying out the consequences of violation of the established limits is essential if learning is to be reinforced.