The nurse is caring for a severely mentally ill individual who he believes would benefit from long-term care in an institution. The nurse knows that institutionalization is not likely for this client. This is attributable to which of the following?
A) The lack of health insurance companies that are willing to cover long-term mental health care
B) The requirement that someone be criminally insane before they are institutionalized
C) A shift in the health care system of mentally ill from an institutional to a community orientation
D) The out-of-pocket costs that someone must pay to be institutionalized are often unaffordable
Ans: C
Feedback:
The current mental health care system has shifted from an institutional to a community orientation. Resulting gaps in care have contributed to increased rates of homelessness. The system has not adequately addressed the comorbidity of mental illness and substance abuse.
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