Author Question: The nurse is caring for a severely mentally ill individual who he believes would benefit from ... (Read 53 times)

geodog55 · **on:** Jul 19, 2018

The nurse is caring for a severely mentally ill individual who he believes would benefit from long-term care in an institution. The nurse knows that institutionalizatio n is not likely for this client. This is attributable to which of the following?

A) The lack of health insurance companies that are willing to cover long-term mental health care
B) The requirement that someone be criminally insane before they are institutionalized
C) A shift in the health care system of mentally ill from an institutional to a community orientation
D) The out-of-pocket costs that someone must pay to be institutionalized are often unaffordable

Question 2

A team of outreach nurses are preparing a proposal for a campaign that will address some of the most acute health needs of homeless people in the community.

The nurses should make their preparations in the knowledge that homeless people are known to have an exceptionally incidence and prevalence of what diseases?
A) Tuberculosis and HIV
B) Measles, hepatitis A, and hepatitis B
C) Dementia and schizophrenia
D) Influenza and kidney disease

31809pancho · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Feedback:
The current mental health care system has shifted from an institutional to a community orientation. Resulting gaps in care have contributed to increased rates of homelessness. The system has not adequately addressed the comorbidity of mental illness and substance abuse.

Answer to Question 2

Ans: A
Feedback:
The living conditions associated with homelessness contribute to a high rate of TB and HIV infection. The incidence of most health problems is elevated among homeless people, but the levels of these two health problems are particularly notable.