A nursing student asks her instructor, "What was the purpose of deinstitutionalizing the mental health clients in the 1960s." The MOST accurate response by the instructor would be which of the following?
a. "It was believed that those who were mentally ill would be better cared for in their home communities surrounded by those who were not mentally ill."
b. "The major focus was the need to reduce cost since hospital care was very expensive."
c. "In general the hospitals were always very full and there were not enough nurses to care for the clients."
d. "There was a need to convert the large state mental health facilities into acute care hospitals because the population was aging."
A
The belief that those who were mentally ill would be better cared for in their communities as opposed to being isolated in an institution surrounded by other mentally ill people was one of several arguments in favor of deinstitutionalization. Another was that community-based mental health treatment would be more cost-effective than residential-institution-based treatment. Another major argument made by civil libertarians in favor of deinstitutionalization was that those who are mentally ill should not be locked up unless they have committed a crime.
You might also like to view...
The mother of an 8-year-old girl has brought her daughter to the health clinic for her annual check-up
She is concerned about the high blood pressure in her family and asks the nurse if there is some way to know if the child is at risk for hypertension. What is the nurse's best response? a. "Blood pressure elevation in childhood is the single best predictor of adult hyper-tension." b. "Well let's take her blood pressure and see if it's up. If it is, she has hypertension." c. "She looks pretty plump to me, and that indicates good health. As long as she's eating, she should be OK." d. "If you think that she's gaining weight, put her on an exercise program, but wait until she's in her teens."
A 50-year-old client is exhibiting progressive signs of Huntington's disease. The client verbalizes a wish to die and has become withdrawn. Poor appetite is noted, sleep pattern is disturbed, and the choreiform movements are worsening
Which nursing diagnosis best reflects the needs of this client? A) Impaired Home Maintenance B) Altered Nutrition C) Hopelessness D) Disturbed Sleep Pattern
When is it most important for the nurse to screen for signs and symptoms of post-combat PTSD?
a. Screening should be ongoing b. Before departing to return to the United States c. Immediately upon return from the combat zone d. One year after returning from the combat experience
The nurse recognizes a generalized tonic-clonic seizure by the client exhibiting what characteristics?
a. rigidity with muscle jerks, temporal apnea, possible loss of bowel and bladder control. b. staring, fluttering eyes, no loss of consciousness. c. blank stare followed by random activity; automatism may be present. d. jerking of one arm, leg, or the face, with altered sense of taste and smell.