A psychiatric aide tells the nurse, "I don't quite understand what staff members mean when they mention deinstitutionalization." The best response for the nurse would be to explain that deinsti-tutionalization refers to:
1. A set of activities clients use in their routine daily lives
2. A reimbursement system providing a set amount of money for services for a single client
3. Clinical coordination of inpatient and outpatient services to prevent duplication and lower costs
4. Discharge of chronically ill clients from psychiatric inpatient facilities into the community
ANS: 4
Deinstitutionalization literally means "out of the institution." Deinstitutionalization was a move-ment occurring in the 1960s that returned many clients with severe and persistent mental illness to communities ill-prepared to meet their needs. Option 1 refers to activities of daily living. Op-tion 2 refers to capitation. Option 3 refers to case management.
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