Which feature of a therapeutic milieu is most important for a patient who becomes anxious when daily routines change?

Correct answer: A. A predictable schedule with clear, consistent limits

  • A. A predictable schedule with clear, consistent limits
  • B. A completely unstructured environment with few expectations
  • C. Frequent changes in staff to increase social stimulation
  • D. Removal of all activities until the anxiety disappears

Explanation

Consistency, clear expectations, and predictable routines promote safety and reduce anxiety. An unstructured setting and frequent changes can increase distress, while total isolation does not provide therapeutic support.

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About Foundations of Mental Health Nursing

Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.

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