Author Question: A person in the community asks, Why aren't people with mental illness kept in state institutions ... (Read 128 times)

BrownTown3 · **on:** Jul 19, 2018

A person in the community asks, Why aren't people with mental illness kept in state institutions anymore? Select the nurse's best response.

a. Less restrictive settings are available now to care for individuals with mental illness.
b. There are fewer persons with mental illness, so less hospital beds are needed.
c. Most people with mental illness are still in psychiatric institutions.
d. Psychiatric institutions violated patients' rights.

Question 2

A patient experiencing psychosis asks a psychiatric technician, What's the matter with me? The technician replies, Nothing is wrong with you. You just need to use some self-control. The nurse who overheard the exchange should take action based on:

a. the technician's unauthorized disclosure of confidential clinical information.
b. violation of the patient's right to be treated with dignity and respect.
c. the nurse's obligation to report caregiver negligence.
d. the patient's right to social interaction.

cloudre37 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
The community is a less restrictive alternative than hospitals for treatment of persons with mental illness. The distracters are incorrect and part of the stigma of mental illness.

Answer to Question 2

ANS: B
Patients have the right to be treated with dignity and respect. The technician's comment disregards the seriousness of the patient's illness. The Code of Ethics for Nurses requires intervention. Patient emotional abuse has been demonstrated, not negligence. An interaction with the technician is not an aspect of social interaction. The technician did not disclose clinical information.