Author Question: A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a ... (Read 27 times)

beccaep · **on:** Jul 19, 2018

A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?

1. Many perspective clients did not meet criteria for mental illness diagnostic-related groups.
2. Zoning laws discouraged the development of community mental health centers.
3. States could not match federal funds to establish community mental health centers.
4. There was not a sufficient employment pool to staff community mental health centers.

Question 2

A client diagnosed with chronic alcohol addiction is being discharged from an inpatient treatment facility after detoxification.

Which client outcome, related to AA, would be most appropriate for a nurse to discuss with the client during discharge teaching? 1. After discharge, the client will immediately attend 90 AA meetings in 90 days.
2. After discharge, the client will rely on an AA sponsor to help control alcohol cravings.
3. After discharge, the client will incorporate family in AA attendance.
4. After discharge, the client will seek appropriate deterrent medications through AA.

jesse.fleming · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: A deterring factor to the proper implementation of the Community Mental Health Centers Act of 1963 was that states could not match federal funds to establish community mental health centers. This act called for the construction of comprehensive community mental health centers to offset the effect of deinstitutionalizat ion, the closing of state mental health hospitals.

Answer to Question 2

1
Rationale: The most appropriate client outcome for the nurse to discuss during discharge teaching is attending 90 AA meetings in 90 days after discharge. AA is a major self-help organization for the treatment of alcohol addiction. It accepts alcohol addiction as an illness and promotes total abstinence as the only cure.