A client shows no facial expression when engaging in a game with peers during an outing in the park. The nurse uses which of the following terms when documenting the client's affect?

A. Shorter and more frequent hospital stays for persons with severe and persistent mental illness. The "revolving door effect" in mental health care refers to the pattern of individuals with severe and persistent mental illness being repeatedly admitted and discharged from hospitals due to inadequate community-based support systems. This cycle often leads to poorer outcomes for patients, increased costs, and challenges in providing effective care
B. Flexible treatment settings for mentally ill is not accurate as it implies a positive approach to care, which is opposite to the revolving door effect.
C. Most effective and least expensive treatment settings is also incorrect as the revolving door effect is generally associated with higher costs and less effective care.
D. An overall reduction in incidence of severe mental illness: This is the opposite of the "revolving door effect," which implies ongoing issues with severe mental illness management.

A. Getting better treatment in larger, more urban areas: The Community Mental Health Center Act aimed to decentralize mental health care and improve community-based services, not specifically to enhance treatment in urban areas.

B. Providing former patients with employment opportunities: While employment is important, the primary goal of the Act was to provide community-based care rather than focusing solely on employment opportunities.

C. Moving patients to their home community for treatment: This is correct. The Community Mental Health Center Act aimed to integrate mental health care into local communities, providing treatment closer to home.

D. Removing the stigma of living in an institution: While reducing stigma was a factor, the primary goal was to provide community-based mental health services rather than focusing solely on stigma reduction.