Author Question: A nurse's neighbor asks, Why aren't people with mental illness kept in state institutions anymore? ... (Read 36 times)

charchew · **on:** Jul 19, 2018

A nurse's neighbor asks, Why aren't people with mental illness kept in state institutions anymore? What is the nurse's best response?

a. Many people are still in psychiatric institutions. Inpatient care is needed because many people who are mentally ill are violent.
b. Less restrictive settings are now available to care for individuals with mental illness.
c. Our nation has fewer persons with mental illness; therefore fewer hospital beds are needed.
d. Psychiatric institutions are no longer popular as a consequence of negative stories in the press.

Question 2

Which action by a psychiatric nurse best supports patients' rights to be treated with dignity and respect?

a. Consistently addressing each patient by title and surname.
b. Strongly encouraging a patient to participate in the unit milieu.
c. Discussing a patient's condition with another health care provider in the elevator.
d. Informing a treatment team that a patient is too drowsy to participate in care planning.

Carliemb17 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
The community is a less restrictive alternative than hospitals for the treatment of people with mental illness. The remaining options are incorrect and part of the stigma of mental illness.

Answer to Question 2

ANS: A
A simple way of showing respect is to address the patient by title and surname rather than assuming that the patient would wish to be called by his or her first name. Discussing a patient's condition with a health care provider in the elevator violates confidentiality. Informing a treatment team that the patient is too drowsy to participate in care planning violates patient autonomy. Encouraging a patient to participate in the unit milieu exemplifies beneficence and fidelity.