A patient who is terminally ill expresses a wish to hurry up and ...

[asmith134]

A patient who is terminally ill expresses a wish to hurry up and end it all.. In exploring reasons for this wish, which should the nurse assess first?
 
  a. Guilt and fatigue
  b. Pain and depression
  c. Self-esteem and hope
  d. Competency and pain

Question 2

The deinstitutionalizat ion of clients who were mentally ill occurred when clients and services were shifted from state mental hospitals to community settings, and massive numbers of clients were released to nursing homes, rest homes, or apartments.
 
  This shift initially led to decreased quality of life for those who were mentally ill, due to which of the following reasons? a. lack of interest in people who are mentally ill on the part of their families
  b. unwillingness of professionals to care for the clients
  c. poor initial funding of community mental health centers
  d. lack of available support services in many communities

[Silverbeard98]

Answer to Question 1

B
Studies have shown that when pain and depression are adequately treated, patient requests to hasten death diminish.

Answer to Question 2

D
Deinstitutionalizat ion resulted from the belief that people who were mentally ill would be better cared for in their home communities surrounded by those who were not mentally ill. Unfortunately, adequate support services were not in place in many communities, and a decreased quality of life for people who were mentally ill resulted.