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40 Cards in this Set
- Front
- Back
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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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What skills do you learn that can be generalized to other aspects of life?
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-Learn adaptive coping
-Interaction -Relationship skills |
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What are the seven (7) basic assumptions of a therapeutic community?
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1. The health individual is to be realized and encourage to grow
2. Every interactions is an opportunity for therapeutic intervention 3. The client owns his/her own environment 4. Each client owns his/her behavior 5. Peer pressure is a useful and powerful tool 6. Inappropriate behaviors are dealt with as they occur 7. Restrictions and punishment are to be avoided |
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What is containment?
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safety, security, food and shelter; It has to be a safe environment free from harm
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What is validation?
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affirmation of patient's self-esteem
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What is structured interaction?
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enables client to benefit from social interactions with each other and the staff
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What is open communication?
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patients encouraged to share information with staff
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In the late 20th century, we lost the benefits of Milieu therapy due to?
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time constraints
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What is the primarily focus of the inpatient setting now?
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crisis stabilization vs. establishment of a therapeutic milieu
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Although strategies for milieu therapy are still used how have they 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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Who am I?
•Leader of the team •Responsible for diagnosis and treatment of mental disorders •Preforms psychotherapy •Rx medication and other somatic therapies |
Psychiatrist
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Who am I?
•Conducts individual, group, and family therapy •Administers, interpreters, and evaluates psychological tests that assist in the diagnostic process |
Clinical Psychologist
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Who am I?
•Conducts individual, group, and family therapy •Presents educational programs for nursing staff •Provides consolation services to nurses who require assistance in the planning and implementation of care for individual clients |
Psychiatric Clinical Nurse Specialist
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Who am I?
•Provides ongoing assessment of client condition, both mentally and physically •Manages the therapeutic milieu on a 24-hour basis •Administers medications •Assists clients with all therapeutic activities as required •Focus is on the one-to-one relationship development |
Psychiatric Nurse
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Who am I?
•Functions under the supervision of the psychiatric nurse •Provides assistance to clients in the fulfillment of their activities of daily living •Assists activity therapists as required in conduction their groups •May also participate in one-to-one relationship development |
Mental Health Technician
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Who am I?
•Conducts individual, group, and family therapy •Concerned with clients social needs •Conducts in-depth psychosocial history on which the needs assessment is based •Works with client and family to ensure that requirements for discharge are fulfilled and needs be met by appropriate community resources |
Psychiatric Social Worker
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Who am I?
•Works with client to help develop independence I performance of activities of daily living •Focus is on rehabilitation and vocational training in which clients learn to be productive •Creative activities and therapeutic relationship skill are used |
Occupational Therapist
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Who am I?
•Uses recreational activities to promote clients to redirect their thinking or to re-channel destructive energy in an appropriate manner •Clients learn sills that can be use during leisure time and times of stress following discharge form treatment |
Recreational Therapist
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Who am I?
•Encourages clients to self-expression through music •Helps client get in touch with feelings and emotions that they may not be able to experience in any other way •Listen to music, play instruments, sing, dance, compose songs |
Music Therapist
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Who am I?
•Uses the client’s creative ability to encourage expression of emotions and feelings through artwork •Helps clients to analyze their own work in an effort to recognize and resolve underlying conflict |
Art Therapist
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Who am I?
•Directs clients in the creation of a ”drama” that portrays real-life situations •Individuals select problems they wish to exact, and other clients play the roles of significant others in the situations •Some clients are able to “act out” problems that they are unable to work through in a more traditional manner •All members benefit through intensive discussion that follows |
Psychodramatist
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Who am I?
•Plans nutritious meals for all clients •Works on consulting basis for clients with specific eating disorders |
Dietitian
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Who am I?
•Assesses, identifies, and attends to the spiritual needs of clients and their family members •Provides spiritual support and comfort as requested by client or family •May provide counseling if educational background includes this type of preparation |
Chaplain
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What is one of the main roles of the nurse on the interdisciplinary treatment team?
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helping clients within the limits of their capability, to become productive members of society
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What are some of the roles of the nurse on the interdisciplinary treatment team?
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-Nurses have significant input into the IDT plans, which are developed for all clients
-Responsible for ensuring the clients’ basic needs are fulfilled -Assessing physical and psychosocial status -Administering medications -Helping the client develop trusting relationships -Setting limits on unacceptable behaviors -Educating clients |
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What are some of the topics for a nurse to perform for client education?
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-Self Esteem Building
-Anger Management -Anxiety Management -Relaxation Techniques -Medication Teaching -Disease Management -Addictions -Coping/Problem Solving Skills -Nutrition -Sex Education |
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Their role is to open the meeting and advise other clients and staff of unit needs.
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Peer Leader or Monitor
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Assists with keeping meeting in order and rounding up clients for the meeting
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Peer Leader or Monitor
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Takes the minutes of the meeting and review minutes of last meeting.
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Secretary
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Introduces new male and female clients to peers. Welcomes new members
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Host/Hostess
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introduces the unit schedule
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Host/Hostess
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What are types of unit jobs?
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Dayroom, Hallway, Shower
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psychiatry therapy that involves the milieu. or environment
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Therapeutic Community
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How long should you spend with you client to prevent a social relationship from developing?
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20 minute intervals
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Do you have the client sign the treatment plan?
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yes
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Who manages the therapeutic milieu on a 24-hour basis?
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Nurse (we do)
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The treatment plan is directed and formulated by who?
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the multidisciplinary treatment team
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In an actual community meeting who should be there?
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-peer leader or monitor
-secretary -host/hostess -unit jobs |
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What is the English translation of the word milieu?
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surroundings or environment
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What conditions characterize a therapeutic community?
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-Basic physiological needs are fulfilled
-Physical facilities are conductive to achievement of the goals of therapy -Democratic form of self-government exists -Responsibilities are assigned according to client capabilities -Structure 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 form treatment |
