Deinstitutionalization of chronically mentally ill individuals from public psychiatric hospitals increased the number of homeless persons. The original goal of deinstitutionalization was to:
1. Reduce state costs of caring for the chronically mentally ill
2. Replace large state psychiatric hospitals with community-based treatment pro-grams
3. Modernize psychiatric hospitals
4. Allow mentally ill persons to live on their own to test their life skills
2
The original goal was to replace large psychiatric hospitals with community-based treatments centers. However, federal and state governments failed to allocate the needed funds.
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The charge nurse has a Vigileo pulse contour cardiac output monitoring system available for use in the surgical intensive care unit. For which patient is use of this device most appropriate?
a. A patient with a history of aortic insufficiency admitted with a postoperative myocardial infarction b. A mechanically ventilated patient with cardiogenic shock being treated with an intraaortic balloon pump c. A patient with a history of atrial fibrillation having frequent episodes of paroxysmal supraventricular tachycardia d. A mechanically ventilated patient admitted following repair of an acute bowel obstruction
An adult female says, "I don't need contraceptives, because my cycles are as regular as clockwork. I know when I should abstain from intercourse, because I do not want to get preg-nant." Select the nurse's best response
a. "You are fortunate that your cycles are so regular. Most women are unable to rely on this approach to contraception." b. "You are still at risk for getting a sexually transmitted disease. Let's discuss con-traceptive options that will prevent disease." c. "Many factors can change the menstrual cycle. You're fortunate to have regular cycles, but an additional method of contraception should be used to prevent pregnancy." d. "You have described the rhythm method of contraception. Women have used that method successfully for thousands of years."
Arrange these common diseases of the older adult in order of their mortality rate. (Separate letters by a comma and space as follows: A, B, C, D)
a. Cancer b. Pneumonia c. Stroke d. Chronic obstructive pulmonary disease (COPD) e. Heart disease
Antidepressant therapy should not be used on a p.r.n. basis because:
a. undesirable side effects are more likely to occur. b. it is difficult to achieve client cooperation when dosing is irregular. c. therapeutic effects of therapy may not be evident for two to three weeks. d. clients may not know when they are needed.