Author Question: Individuals with serious and persistent mental illness (SPMI) face multiple and complex social ... (Read 47 times)

karlynnae · **on:** Jul 19, 2018

Individuals with serious and persistent mental illness (SPMI) face multiple and complex social problems that reduce their ability to maintain themselves in society. Which of the following statements is most true of deinstitutionalizat ion?

A) Deinstitutionalizat ion has created a situation in which individuals with SPMI are commonly held within ER settings, instead of in the community where they belong.
B) Deinstitutionalizat ion is no longer a large problem due to recent federal funding initiatives for community housing for those with SPMI.
C) Deinstitutionalizat ion creates difficulties for families because they now have to visit their loved ones within the sterile environments of state mental institutions.
D) Deinstitutionalizat ion since the 1960s has caused individuals with SPMI to be discharged into community settings that were ill equipped to handle their multiple and complex needs.

Question 2

A nurse has had the opportunity to engage with a client who has HIV/AIDS over the period of several months and has established a strong therapeutic relationship with the client.

In recent conversations, the client has spoken fondly about what he perceives to be the best times in his life to this point. As well, he has alluded to the positive impact that he has been able to have on peers and family members. What process is this client most clearly displaying?

A) Reminiscence
B) Life review
C) Cognitive evaluation
D) Denial of the severity of his illness

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

Answer to Question 1

Ans: D
Deinstitutionalizat ion, the process by which large numbers of psychiatricmental health clients were discharged from public psychiatric facilities, created an influx of seriously and persistently mentally ill clients back into the community to receive outpatient care. It is a major factor in the current problems of the mentally ill.

Answer to Question 2

Ans: B
A life-review process (ie, reflecting on one's life and finding peace with it) is an aspect of late-phase assessment of the client with HIV/AIDS.