Author Question: The nurse explaining the deinstitutionalization movement of the 1960s to a group of psychiatric ... (Read 40 times)

jessicacav · **on:** Jul 19, 2018

The nurse explaining the deinstitutionalizat ion 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

Question 2

A client mentions to the nurse, My doctor told me the team would like to get me into a psychi-atric rehabilitation program. What's the difference if I go there or to the day treatment program I was in before?

The nurse should explain:
1. Day treatment provides care for problems of a minor nature. Your needs are more complex.
2. Day treatment requires contracts for long-term therapy, and you need only short-term help.
3. Rehabilitation will focus on reducing your symptoms to make adjustment to the community easier.
4. Rehabilitation will develop your strengths and assets to improve your ability to function in the community.

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: 4
Therapy focuses on symptom reduction and the client's liabilities. Rehabilitation focuses on de-veloping clients' strengths and restoring or increasing their functioning in the community. The other options do not correctly state these differences.