A person in the community asks the nurse, "People with mental illnesses went to state hospitals in earlier times. Why has that changed?" Select the nurse's accurate response(s). (Select all that apply.)
a. "Science has made significant improvements in drugs for mental illness, so now many persons may live in their communities."
b. "There's now a better selection of less restrictive treatment options available in communities to care for people with mental illness."
c. "National rates of mental illness have declined significantly. There actually is not a need for state institutions anymore."
d. "Most psychiatric institutions were closed because of serious violations of patients' rights and unsafe conditions."
e. "Federal legislation and payment for treatment of mental illness has shifted the focus to community rather than institutional settings."
A, B, E
The community is a less restrictive alternative than hospitals for treatment of persons with mental illness. Funding for treatment of mental illness remains largely inadequate but now focuses on community rather than institutional care. Antipsychotic medications improve more symptoms of mental illness; hence, management of psychiatric disorders has improved. Rates of mental illness have increased, not decreased. Hospitals were closed because funding shifted to the community. Conditions in institutions have improved.
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