A nurse is working with persons with serious mental illness. Which of the following recognitions should be made by the nurse?
a. Persons with severe mental illness require institutionalization until they are function-al.
b. Inadequate community resources have caused problems with homelessness among this population.
c. Serious mental illness originates from childhood events and therapy is ineffec-tive.
d. Motivation influences a person's ability to earn a living and purchase necessary med-ications.
ANS: B
Many people with serious mental illness live in poverty because they lack the ability to maintain a suitable standard of living. Brief hospital stays and inadequate community resources have re-sulted in an increased number of persons with serious mental illness living on the streets or in jail. Persons with severe mental illness need support, not necessarily institutionalization. There are a variety of contributing factors to the development of severe mental illness, and some are un-known. Those with severe mental illness may lack motivation because of their illness.
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