Author Question: A psychiatric aide tells the nurse, I don't quite understand what staff members mean when they ... (Read 31 times)

stephzh · **on:** Jul 19, 2018

A psychiatric aide tells the nurse, I don't quite understand what staff members mean when they mention deinstitutionalizat ion. 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

Question 2

A client asks the case manager, So you're going to be my case manager. What will you be doing for me? The nurse should respond, The primary component of my work as your case manager will be:

1. listening to the things you want to tell me.
2. making sure you take your medications.
3. coordinating all aspects of your care.
4. helping you adjust to community living.

pratush dev · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 4
Deinstitutionalizat ion literally means out of the institution. Deinstitutionalizat ion 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.

Answer to Question 2

ANS: 3
The primary component of case management is coordination of client care. The other options are subsumed under that umbrella.