When a patient's family asks why their chronically mentally ill adult child is being dis-charged to a community-based living facility, the nurse responds:
a. "It is a way to meet the need for social support."
b. "It is too expensive to keep stabilized patients in acute care settings."
c. "This type of facility will provide the specialized care that is needed."
d. "Being out in the community will help provide hope and purpose for living."
ANS: D
Hospitalization may be necessary for acute care, but, when patients are stabilized, they move into community-based, patient-centered settings or are discharged home with continued out-patient treatment in the community. Concentrated efforts are made to reduce the patient's sick role by providing opportunities for the development of a purposeful life and instilling hope for each patient's future. Although social support is important, such a living arrange-ment is not the only way to achieve it. Although acute care is expensive, it is not the major concern when determining long-term care options. Community-based facilities are not the only option for specialized care.
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