A key factor motivating passage of the Community Mental Health ...

[krzymel]

A key factor motivating passage of the Community Mental Health Centers Act in 1963 was that mentally ill individuals had been
 
  a. hospitalized only if they demonstrated violent behavior.
  b. geographically isolated from family and community.
  c. discharged before receiving adequate treatment.
  d. used as subjects in pharmacologic research.

Question 2

Considering that a state uses the M'Naghten Rule when an individual is on trial for a crime, what would be most important to document for a nurse caring for a patient who will soon be tried on murder charges?
 
  a. The patient's participation in treatment planning
  b. The patient's comments about commission of the crime
  c. Examples of behaviors that support psychiatric diagnoses
  d. The patient's perceptions of the need for hospitalization and treatment

[princessflame2016]

Answer to Question 1

B
State hospitals were often located a great distance from the patients' homes, making family visits difficult during hospitalization. The Community Mental Health Centers Act in 1963 served as the impetus for deinstitutionalizat ion, allowing patients and families to receive care close to home. Admission only for behavior that endangers self or others is more consistent with current admission criteria. Early discharge rarely occurred before the community mental health movement. Unethical pharmacologic research was not a major issue leading to community mental health legislation.

Answer to Question 2

B
The M'Naghten Rule states that to be held legally accountable for his or her actions, a person with mental illness must be able to understand the nature and implications of the crime. Although each of the options refers to data that should be documented, the patient's comments about the crime would be of most importance to the trial.