Personality and Mood Disorders Q 59
The nurse ensures a therapeutic environment for the client. Which of the following best describes a therapeutic milieu?
A. A therapy that rewards adaptive behavior.
B. A cognitive approach to change behavior.
C. A living, learning, or working environment.
D. A permissive and congenial environment.
Correct Answer: C. A living, learning, or working environment.
A therapeutic milieu refers to a broad conceptual approach in which all aspects of the environment are channeled to provide a therapeutic environment for the client. The six environmental elements include structure, safety, norms, limit setting, balance and unit modification.
Option A: Behavioral approach in psychiatric care is based on the premise that behavior can be learned or unlearned through the use of reward and punishment. The behavioral approach emphasizes the scientific study of observable behavioral responses and their environmental determinants. In other words, it’s the study of the connection between our minds and behavior.
Option B: Cognitive approach to change behavior is done by correcting distorted perceptions and irrational beliefs to correct maladaptive behaviors. The cognitive approach believes that internal mental behavior can be scientifically studied using experiments. Cognitive psychology assumes that a mediational process occurs between stimulus/input and response/output.
Option D: This is not congruent with the therapeutic milieu. A therapeutic milieu is a structured environment that creates a safe, secure place for people who are in therapy. It is the therapeutic environment that supports the individual in their process toward recovery and wellness. This milieu involves not just the provision of safe physical surroundings, but also supportive therapists and staff.