A nursing instructor is teaching students about the Community Health Centers Act of 1963 . What was a deterring factor to the proper implementation of this act?
A. Many perspective clients did not meet criteria for mental illness diagnostic-related groups.
B. Zoning laws discouraged the development of community mental health centers.
C. States could not match federal funds to establish community mental health centers.
D. There was not a sufficient employment pool to staff community mental health centers.
C
A deterring factor to the proper implementation of the Community Mental Health Centers Act of 1963 was that states could not match federal funds to establish community mental health centers. This act called for the construction of comprehensive community mental health centers to offset the effects of deinstitutionalization caused by the closing of state mental health hospitals.
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You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be:
a. given the opportunity to be interviewed without the parent at some point during the interview. b. mailed a questionnaire in advance to avoid the need for them to talk. c. ignored while you address all questions to the parent. d. allowed to direct the flow of the inter-view.
A home health client participates in cultural health practices that the nurse feels may be detrimental to his health. In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, the nurse should take which action?
1. Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective. 2. Have the client's physician explain the care to the client in a firm but gentle manner. 3. Validate the client's practices and understand that for this client, it may be beneficial to continue with his preferences. 4. Try to negotiate with the client by exploring his views and then provide relevant scientific information.
The educator has discussed with nursing staff the importance of recognizing the culturally specific roles and relationships that exist within a family. Which statement made by a nurse indicates an understanding of the information?
A. "The familial title of the family member will indicate what role they have." B. "A family member's age is significant when it comes to cultural roles and relationships." C. "The family member who has the highest educational level has the most significant role." D. "A family member's occupation will indicate what family role they have."
A group is in the working phase. One member states, "That is the stupidest thing I've ever heard. Everyone whines and tells everyone else what to do. This group is a waste of my time." Which initial action by the group leader would be most therapeutic?
a. Advise the member that hostility is inappropriate. Remove the member if it continues. b. Keep the group's focus on this member so the person can express the anger. c. Meet privately with the member outside of group to discuss the anger. d. Change to a more positive topic of discussion in this group session.