Author Question: A newcomer to a community support meeting asks a nurse, Why aren't people with mental illnesses ... (Read 76 times)

stock · **on:** Jul 19, 2018

A newcomer to a community support meeting asks a nurse, Why aren't people with mental illnesses treated at state institutions anymore? What would be the nurse's accurate responses? Select all that apply.

a. Funding for treatment of mental illness now focuses on community treatment.
b. Psychiatric institutions are no longer accepted because of negative stories in the press.
c. There are less restrictive settings available now to care for individuals with mental illness.
d. Our nation has fewer people with mental illness; therefore, fewer hospital beds are needed.
e. Better drugs now make it possible for many persons with mental illness to live in their communities.

Question 2

A patient tells the nurse, The reason I use drugs is because everybody nags me to do things that don't interest me. The patient shows use of which defense mechanism?

a. Sublimation
b. Introjection
c. Identification
d. Rationalization

diana chang · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, C, E
Deinstitutionalizat ion and changes in funding shifted care for persons with mental illness to the community rather than large institutions. Care provided in a community setting, closer to family and significant others, is preferable. Improvements in medications to treat serious mental illness made it possible for more patients to live in their home communities. Prevalence rates for serious mental illness have not decreased. Although the national perspectives on institutional care did become negative, that was not the reason many institutions closed.

Answer to Question 2

D
Rationalization is an attempt to prove that one's behaviors or feelings are justifiable and involves making justifications of feelings or behaviors. Sublimation channels instinctual drives into acceptable channels. The patient is not modeling after another person or incorporating another's values.