The nurse explaining the deinstitutionalization movement of the 1960s to a group of psychiatric aides would mention that the movement was influenced by a number of factors, including:
1. New payment systems that sharply reduced money available to hospitals
2. Use of psychotropic medications to treat schizophrenia and bipolar disorder
3. Mandates removing clients' civil rights while hospitalized
4. Use of nurses as case managers in the community
ANS: 2
New medications (Thorazine, lithium, Tofranil) to control psychiatric symptoms made community living a possibility. 1. Capitation is a product of the 1990s. 3. Mandates gave the client more rights. 4. Case management came later in the course of events.
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