Which of the following statements made by the nurse to the client's family is true of the treatment of people with mental illness in the United States today?
"Substance abuse is effectively treated with brief hospitalization."
"Only one in four people needing mental health services are receiving those services."
"Emergency department visits by persons who are acutely disturbed are declining."
"Financial resources are reallocated from state hospitals to community programs and support."
The Correct Answer is B
A. Substance abuse is not effectively managed with brief hospitalization; long-term, comprehensive treatment is usually needed.
B. It is true that only about one in four individuals who need mental health services actually receive them, reflecting gaps in access and utilization.
C. Emergency department visits for acute psychiatric disturbances are not declining; in fact, they are often increasing due to limited community resources.
D. Although deinstitutionalization aimed to shift resources from state hospitals to community programs, in reality, adequate funding for community support has often not been provided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Developing autonomy is shown through independence-seeking behaviors, but the client’s response specifically reflects feelings toward another person being redirected.
B. Transference occurs when a client projects feelings or attitudes from past relationships (e.g., with a parent) onto the nurse; the statement "You sound just like my mother" is a classic example.
C. Oppositional defiant disorder involves persistent defiance, anger, and hostility across multiple settings, not just a single interaction.
D. The nurse cannot assume family discipline practices based on this interaction alone.
Correct Answer is C
Explanation
A. Saying “I really wish you would stop nagging me” is more of a passive or pleading statement, not assertive.
B. “You are not perfect either” is defensive and aggressive, not assertive.
C. “I feel unappreciated when you criticize me” is correct because it uses an “I” statement that expresses feelings clearly and respectfully without blaming, which is the basis of assertive communication.
D. “Are you telling me you want me to change?” is challenging and defensive rather than assertive.
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